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Advances in Gerontology

, Volume 9, Issue 1, pp 101–108 | Cite as

The Main Diseases and Syndromes Identified in Elderly and Senile Patients Hospitalized at Inpatient Clinics of Different Specialties

  • V. S. MyakotnykhEmail author
  • E. S. Ostapchuk
  • V. L. Postovalova
Article

Abstract

In total, 661 patients have been examined in inpatient clinics; of these, 234 subjects are aged 60 to 102 years and 427 subjects are aged 18 to 59 years. The variants of pathologies that distinctly increase in prevalence with age are identified. First and foremost, these are pathologies of the locomotor system, gastrointestinal tract, and cardiovascular system. Conversely, cerebrovascular accidents (strokes) are prevalent in subjects under 60 years old, while the incidence of CAD and angina pectoris without the development of myocardial infarction in elderly and senile subjects insignificantly increases as compared to subjects under 60 years. The specific clinical and etiological features of senile asthenia (as an independent disease) and age-related cognitive disorders are identified as compared with the classical asthenic and cognitive disorders that develop in young and middle-aged subjects. This necessitates the need for specially trained geriatricians to diagnose and treat patients over the age of 60 with a comprehensive geriatric assessment of the patient’s state. It is desirable to reinforce the staff of the geriatric inpatient clinics with neurologists and psychiatrists with priority given to diagnosis and treatment rather than the prevalence of palliative care.

Keywords:

geriatric prevalent pathology age inpatient hospital 

Notes

REFERENCES

  1. 1.
    Agal’tsov, M.V. and Tkacheva, O.N., Changes in sleep of the people in elderly and senile age: a review, Prof. Med., 2015, no. 2, pp. 49–53.Google Scholar
  2. 2.
    Vorob’eva, O.V., The phenomenon of asthenia, Ross. Med. Zh., 2012, no. 5, pp. 248–252.Google Scholar
  3. 3.
    Il’nitskii, A.N. and Proshchaev, K.I., Frailty as the concept of modern gerontology, Gerontologiya, 2013, no. 1. http://gerontology.esrae.ru/ru/1-2. Accessed December 14, 2017.Google Scholar
  4. 4.
    Melekhin, A.I., Algorithm of complex geriatric health assessment in elderly and senile age, Klin. Med. Psikhol.: Issled., Obuch., Prakt., 2016, no. 3 (13). http://medpsy.ru/climp. Accessed December 14, 2017.Google Scholar
  5. 5.
    Myakotnykh, V.S., Emelyanov, V.V., Gavrilov, I.V., et al., Age- and sex-related differences in the lipid profile and stress response in human aging, Adv. Gerontol., 2016, vol. 6, no. 2, pp. 138–143.CrossRefGoogle Scholar
  6. 6.
    Myakotnykh, V.S., Torgashov, M.N., and Borovkova, T.A., Stress i vozrast (Stress and Age), Yekaterinburg: Ural. Gos. Med. Univ., 2016.Google Scholar
  7. 7.
    Polyakov, P.I., Gorelik, S.G., Litynskii, A.V., et al., Optimization of medical care for people of elderly and senile age with surgical diseases, Fundam. Issled., 2013, nos. 9–6, pp. 1115–1120.Google Scholar
  8. 8.
    Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii no. 36n ot 22 yanvarya 2014 g. “Ob utverzhdenii primernykh dopolnitel’nykh professional’nykh program meditsinskogo obrazovaniya po spetsial’nosti ‘Geratriya’” (Order of the Ministry of Health of the Russian Federation No. 36n of January 22, 2014 “On Approval of Approximate Additional Professional Programs of Medical Education in the Specialty of Geriatrics”), Moscow, 2014.Google Scholar
  9. 9.
    Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii no. 707n ot 8 oktyabrya 2015 g. “Ob utverzhdenii kvalifikatsionnykh trebovanii k meditsinskim i farmatsevticheskim rabotnikam s vysshim obrazovaniem po napravleniyu podgotovki “Zdravookhranenie i meditsinskie nauki”. Spetsial’nost’ ‘Geriatriya’” (Order of the Ministry of Health of the Russian Federation No. 707n of October 8, 2015 “On Approval of Qualification Requirements for Medical and Pharmaceutical Professionals with Higher Education in the field of “Health Protection and Medical Sciences,” Specialty “Geriatrics””), Moscow, 2015.Google Scholar
  10. 10.
    Prikaz Ministerstva zdravookhraneniya RF ot 29 yanvarya 2016 g. no. 38n “Ob utverzhdenii Poryadka okazaniya meditsinskoi pomoshchi po profilyu ‘Geriatriya’” (Order of the Ministry of Health of Russian Federation No. 38n of January 29, 2016 “On Approval of the Order of Medical Service in Field of Geriatrics”), Moscow, 2016.Google Scholar
  11. 11.
    Proshchaev, K.I., Il’nitskii, A.N., and Konovalov, S.S., Izbrannye lektsii po geriatrii (Selected Lectures on Geriatrics), St. Petersburg: Praim-Evroznak, 2008.Google Scholar
  12. 12.
    Putilina, M.V., Asthenic disorders in general medical practice: diagnostics and therapy, Nervn. Bolezni, 2013, no. 4, pp. 26–33.Google Scholar
  13. 13.
    Tkacheva, O.N., Runikhina, N.K., Kotovskaya, Yu.V., et al., Vedenie patsientov so starcheskoi asteniei v pervichnom zvene zdravookhraneniya: uchebnoe posobie dlya vrachei (Maintaining of Patients with Senile Asthenia in Primary Health Care: Manual for Physicians), Moscow: Ross. Akad. Med. Nauk, 2016.Google Scholar
  14. 14.
    Frolova, E.V., Gurina, N.A., Korystina, E.M., et al., Complex geriatric assessment in primary health care: objectives and prospects, Klin. Gerontol., 2010, vol. 16, nos. 11–12, pp. 41–45.Google Scholar
  15. 15.
    Khramelashvili, V.V., Astenicheskie rasstroistva i vozmozhnosti ikh medikamentoznoi korrektsii: posobie dlya vrachei (Asthenic Disorders and Their Possible Medical Correction: Manual for Physicians), Moscow: Sovero-Press, 2005.Google Scholar
  16. 16.
    Chukaeva, I.I. and Larina, V.N., Age-associated states (geriatric syndromes) in the practice of a clinical physician-therapist, Lech. Delo, 2017, no. 1, pp. 6–15.Google Scholar
  17. 17.
    Chutko, L.S., Asthenic disorders in clinical practice, Med. Sovet, 2011, nos. 9–10, pp. 104–107.Google Scholar
  18. 18.
    Yakhno, N.N., Zakharov, V.V., Lokshina, A.B., et al., Demenetsii: rukovodstvo dlya vrachei (Dementia: Guide for Physicians), Moscow MEDpress-Inform, 2011, 3rd ed.Google Scholar
  19. 19.
    Aggarwal, A. and Kean, E., Comparison of the Folstein Mini Mental State Examination (MMSE) to the Montreal Cognitive Assessment (MoCA) as a cognitive Screening tool in an inpatient rehabilitation setting, Neurosci. Med., 2010, vol. 1, pp. 39–42.CrossRefGoogle Scholar
  20. 20.
    Dubois, B., Slachevsky, A., Litvan, I., and Pillon, B., The FAB: a frontal assessment battery at bedside, Neurology, 2000, vol. 55, no. 11, pp. 1621–1626.CrossRefGoogle Scholar
  21. 21.
    Falk, K., Patel, H., Swedberg, K., and Ekman, I., Fatigue in patients with chronic heart failure—a burden associated with emotional and symptom distress, Eur. J. Cardiovasc. Nurs., 2009, vol. 8, no. 2, pp. 91–96.CrossRefGoogle Scholar
  22. 22.
    Folstein, M.F., Folstein, S.E., and McHugh, P.R., “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician, J. Psychiatr. Res., 1975, vol. 12, no. 3, pp. 189–198.CrossRefGoogle Scholar
  23. 23.
    Friedman, L., Evaluating the Montreal Cognitive Assessment (MoCA) and the Mini Mental State Exam (MMSE) for cognitive impairment post stroke: a validation study against the Cognistat, MSc Thesis, London, ON: Univ. of Western Ontario, 2012. http://ir.lib.uwo.ca/etd/852. Accessed December 14, 2017.Google Scholar
  24. 24.
    Godefroy, O., Fickl, A., Roussel, M., et al., Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststroke cognitive impairment?, Stroke, 2011, vol. 42, pp. 1712–1716.CrossRefGoogle Scholar
  25. 25.
    Miyoshi, K., What is early onset dementia?, Psychogeriatrics, 2009, vol. 9, no. 2, pp. 67–72.CrossRefGoogle Scholar
  26. 26.
    Scharre, D.W., Chang, S.-I., Murden, R.A., et al., Self-administered Gerocognitive Examination (SAGE): a brief cognitive assessment Instrument for mild cognitive impairment (MCI) and early dementia, Alzheimer Dis. Assoc. Disord., 2010, vol. 24, no. 1, pp. 64–71.CrossRefGoogle Scholar
  27. 27.
    Stern, S., Behar, S., and Gottlieb, S., Aging and diseases of the heart, Circulation, 2003, vol. 108, pp. 1–3.CrossRefGoogle Scholar
  28. 28.
    Tsoi, K.K., Chan, J.Y., Hirai, H.W., et al., Cognitive tests to detect dementia: a systematic review and meta-analysis, JAMA Intern. Med., 2015, vol. 175, no. 9, pp. 1450–1458.CrossRefGoogle Scholar

Copyright information

© Pleiades Publishing, Ltd. 2019

Authors and Affiliations

  • V. S. Myakotnykh
    • 1
    Email author
  • E. S. Ostapchuk
    • 1
  • V. L. Postovalova
    • 1
  1. 1.Ural State Medical UniversityYekaterinburgRussia

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