MỘT SỐ BỆNH ĐỒNG MẮC VÀ HỘI CHỨNG LÃO KHOA Ở NGƯỜI BỆNH PARKINSON CAO TUỔI

Abstract

Objective: To assess some comorbidities and common geriatric syndromes in older patients with Parkinson's disease. Subjects and methods: A cross-sectional descriptive study on 190 Parkinson's patients ≥ 60 years old examined and treated at the National Geriatric Hospital. Comorbidities were assessed based on medical records. Some geriatric syndromes were assessed: polypharmacy, nutritional status, cognitive function, depression, risk of falling, sleep disorders, activities daily living. Results: The most common comorbidities were hypertension (40.5%), osteoarthritis (21.6%), diabetes (12.6%), chronic cardiovascular disease (12.6%), osteoporosis (7.4%). The average number of comorbidities was 1.9 ± 1.5 (diseases). 87.4% of patients had sleep disorders and 74.2% of participants had polypharmacy. The prevalence of malnutrition and risk of malnutrition were 7.4% and 41.1%, respectively. The prevalence of cognitive impairment was 32.1%. Signs of mild depression were present in 47.9%, while moderate to severe depression was detected in 16.3%. The prevalence of patients with high risk of falling was 78.9%. The prevalence of ADL and IADL impairment was 51.1% and 61.1%, respectively. Conclusion: This study showed a high prevalence of comorbidities such as hypertension, osteoarthritis, diabetes and geriatric syndromes such as sleep disorders, high risk of falling, polypharmacy, depression, and impaired activities daily living.