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@article{1316795,
author = {Weber, Pavel and Meluzínová, Hana and Matějovská Kubešová, Hana and Polcarová, Vlasta and Jarkovský, Jiří and Bielaková, Katarína and Weberová, Dana},
article_location = {Bratislava},
article_number = {7},
doi = {http://dx.doi.org/10.4149/BLL_2015_078},
keywords = {advanced age; geriatric syndromes; falls; dependency},
language = {eng},
issn = {0006-9248},
journal = {Bratislava Medical Journal - Bratislavské lekárske listy},
title = {Geriatric giants - contemporary occurrence in 12,210 in-patients},
volume = {116},
year = {2015}
}
TY - JOUR
ID - 1316795
AU - Weber, Pavel - Meluzínová, Hana - Matějovská Kubešová, Hana - Polcarová, Vlasta - Jarkovský, Jiří - Bielaková, Katarína - Weberová, Dana
PY - 2015
TI - Geriatric giants - contemporary occurrence in 12,210 in-patients
JF - Bratislava Medical Journal - Bratislavské lekárske listy
VL - 116
IS - 7
SP - 408-416
EP - 408-416
PB - Univerzita Komenského
SN - 00069248
KW - advanced age
KW - geriatric syndromes
KW - falls
KW - dependency
N2 - OBJECTIVES: With advancing age, the degree of dependency and occurrence of great geriatric syndromes (GS), also referred to as geriatric giants, grow substantially. DESIGN: The prospective cohort study was aimed at conducting an analysis and comparison of geriatric syndromes (geriatric giants) among different age groups at admission to the acute geriatric department. SETTING, PARTICIPANTS: Between 1995 and 2012, we had altogether 12,210 elderly patients at an average age of 80.5 +/- 7.0 y (range 65-103 y) hospitalised at the Department of Geriatrics. We divided the patient set into three different age subgroups (65-74 y; 75-84 y and >= 85 y; e.g. 21.4 %; 47.9 % and 30.7 %) and compared the results among them. RESULTS: 3,787 persons (31.0 %) were without any GS. The growing tendency of the occurrence of all geriatric syndromes in combinations with increased age (p < 0.001) is obvious. Their occurrence in the above mentioned different age sets was examined in relation to individual geriatric syndromes and sex (female and male), namely falls 22.0 %, 27.8 %, 39.9 % and 20.5 %, 27.0 %, 36.1 %; immobility 26.4 %, 29.3 %, 42.5 % and 30.3 %, 30.1 % and 39.2 %; incontinence 38.4 %, 50.6 %, 69.5 % and 38.2 %, 47.4 %, 61.8 %; dementia and cognitive impairment 13.4 %, 23.4 %, 38.1 % and 15.8 %, 24.3 %, 33.2 % respectively. Age cut-off for geriatric syndromes occurrence based on ROC analysis is 83.5-84.5 y for females and 78.5-82.5 y for males. CONCLUSION: The occurrence of geriatric giants increasing with age and female gender is of crucial importance not only for individuals and families but also for demands on costs of health and social care in oncoming decades (Tab. 6, Fig. 3, Ref. 52).
ER -
WEBER, Pavel, Hana MELUZÍNOVÁ, Hana MATĚJOVSKÁ KUBEŠOVÁ, Vlasta POLCAROVÁ, Jiří JARKOVSKÝ, Katarína BIELAKOVÁ a Dana WEBEROVÁ. Geriatric giants - contemporary occurrence in 12,210 in-patients. \textit{Bratislava Medical Journal - Bratislavské lekárske listy}. Bratislava: Univerzita Komenského, 2015, roč.~116, č.~7, s.~408-416. ISSN~0006-9248. Dostupné z: https://dx.doi.org/10.4149/BLL\_{}2015\_{}078.
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