Abstract
Objective: to assess the structure and influence of chronic pain (CP) on the functional status of patients with geriatric syndromes.Patients and methods. The study included 370 geriatric patients who were divided into two groups. Group A included 300 patients (mean age 75.1±8.25 years) with CP, and group B – 70 subjects of comparable age (75.1±7.75 years) without CP. All study participants were found to have polymorbidity: the Charlson index was 5.55±1.59 points in group A and 5.56±1.64 points in group B (p=0.963). All patients underwent a comprehensive geriatric assessment (CGE) to determine the functional status and diagnose geriatric syndromes.Results and discussion. According to the CGE data, senile asthenia syndrome was detected in 127 (42.3%) patients with CP and in 20 (28.6%) patients without CP (p=0.035). The average number of geriatric syndromes in group A was 7.06±2.68, in group B – 5.2±1.8 (p<0.001).Group A patients differed from those without CP in a significantly higher degree of dependence in daily life (Bartel index) and a lower score on the Physical Performance Battery.Conclusion. Patients with CP have poorer physical functioning and a greater degree of dependence on others in their daily life. When planning the most effective complex strategies for the treatment and prevention of CP exacerbations, it is necessary to take into account the functional status of elderly patients.
Highlights
Objective: to assess the structure and influence of chronic pain (CP) on the functional status of patients with geriatric syndromes
The study included 370 geriatric patients who were divided into two groups
When planning the most effective complex strategies for the treatment and prevention of CP exacerbations, it is necessary to take into account the functional status of elderly patients
Summary
Где не указано иначе, данные представлены как n (%). Результаты настоящего исследования соответствуют ранее полученным данным, свидетельствующим о существенном влиянии ХБ на гериатрический статус пациентов [10]. Распространенность болевого синдрома у лиц старше 60 лет составляет около 50%, увеличиваясь с возрастом. Колебания этого показателя зависят от когорты пациентов, среднего возраста и структуры имеющихся соматических заболеваний [11,12,13]. Частота выявления ХБ составила 81,1%, что выше, чем в ранее опубликованных зарубежных работах, и близко к показателям, полученным в первом российском эпидемиологическом исследовании «ЭВКАЛИПТ» у лиц старше 65 лет, – 83,9% [14]. Боль чаще всего локализовалась в спине и крупных суставах вследствие ОА и дегенеративных изменений позвоночника, на другие локализа-.
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