MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG VÀ HỘI CHỨNG LÃO KHOA Ở NGƯỜI BỆNH CAO TUỔI DI CHỨNG ĐỘT QUỴ NÃO

Abstract

Objective: To evaluate several clinical characteristics and geriatric syndromes in older post-stroke patients. Subjects and Methods: A cross-sectional descriptive study was conducted on 107 patients aged ≥60 years who were diagnosed with stroke and examined or treated at the National Geriatric Hospital. Collected data included clinical characteristics of stroke, functional status (Barthel Index, IADL), depression (GDS-15), nutritional status (MNA-SF), polypharmacy, and fall risk. Results: The rate of recurrent stroke was 34.6%, with ischemic stroke being the most common type (81.6%). More than half of the patients had hemiplegia (53.3%). The proportion of patients dependent in daily activities ranged from partial dependence (41.1%) to complete dependence (43.9%). Depressive symptoms were observed in 72% of patients, while malnutrition and risk of malnutrition accounted for 24.3% and 41.1%, respectively. A high fall-risk group accounted for 69.2%. Polypharmacy was found in 70.1% of patients, with a mean of 5.7 medications per day. Conclusion: Older adults after stroke presented with a high prevalence of geriatric syndromes, particularly functional decline, depression, malnutrition, and high risk of falls. Routine comprehensive geriatric assessment should be implemented to facilitate early detection and timely interventions, thereby improving prognosis and quality of life for post-stroke patients.