CÁC HỘI CHỨNG LÃO KHOA VÀ BỆNH ĐỒNG MẮC Ở NGƯỜI LOÃNG XƯƠNG CAO TUỔI

Abstract

Objectives: to describe geriatric syndromes and co-morbidities in elderly osteoporosis patients. Methods: A cross-sectional descriptive study was carried out from 09/2021 - 09/2022 in osteoporosis patients aged ≥ 60 years, examined and treated at the National Geriatric Hospital. Diagnosis of osteoporosis according to WHO 1994 criteria is based on bone mineral density. Results: Of 285 osteoporosis patients, the mean age was 72.7 ± 8.7, female accounted for a higher proportion with 85.6% (244 people). The most common chronic disease that patients suffered from was hypertension (37.9%); followed by lumbar spondylosis with 30.2%, knee osteoarthritis (27.0%) and dyslipidemia (19.7%), diabetes (14.0%). There were 5.6% of patients who have had musculoskeletal surgery and 9.8% of patients who had ever broken a bone from middle age (40 years old). The rate of osteoporosis in the lumbar spine (66.3%) was higher than in the femoral neck (11.2%). The rate of ostepenia at the femoral neck was 48.4% higher than that of the lumbar spine (15.4%). There were 50.9% of patients with difficulty in daily activities (ADL) and 42.3% with difficulty in daily activities with equipment (IADL). Assessment of nutritional status - MNA-SF scale found that patients in the study had a risk of malnutrition accounted for 36.8% and malnutrition accounted for 11.6%. Conclusion: The rate of geriatric syndromes is high in elderly osteoporosis, so it is necessary to screen and evaluate comprehensively in this group in order to have appropriate treatment.