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

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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.

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REFERENCES

  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.

  2. Vorob’eva, O.V., The phenomenon of asthenia, Ross. Med. Zh., 2012, no. 5, pp. 248–252.

  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.

  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.

  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.

    Article  Google Scholar 

  6. Myakotnykh, V.S., Torgashov, M.N., and Borovkova, T.A., Stress i vozrast (Stress and Age), Yekaterinburg: Ural. Gos. Med. Univ., 2016.

  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.

  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.

  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.

  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.

  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.

  12. Putilina, M.V., Asthenic disorders in general medical practice: diagnostics and therapy, Nervn. Bolezni, 2013, no. 4, pp. 26–33.

  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.

  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.

  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.

  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.

  17. Chutko, L.S., Asthenic disorders in clinical practice, Med. Sovet, 2011, nos. 9–10, pp. 104–107.

  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.

  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.

    Article  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

  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.

    Article  PubMed  Google Scholar 

  25. Miyoshi, K., What is early onset dementia?, Psychogeriatrics, 2009, vol. 9, no. 2, pp. 67–72.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  27. Stern, S., Behar, S., and Gottlieb, S., Aging and diseases of the heart, Circulation, 2003, vol. 108, pp. 1–3.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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Correspondence to V. S. Myakotnykh.

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Translated by G. Chirikova

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Myakotnykh, V.S., Ostapchuk, E.S. & Postovalova, V.L. The Main Diseases and Syndromes Identified in Elderly and Senile Patients Hospitalized at Inpatient Clinics of Different Specialties. Adv Gerontol 9, 101–108 (2019). https://doi.org/10.1134/S2079057019010107

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