Abstract
Introduction. Improving the quality of medical and preventive care for elderly patients is an important and timely task. Ensuring access to quality medical care that takes into account the specific needs of older people was proclaimed in the Concept of 'Integrated Care for Older People' (ICOPE), developed in 2017. It is a key element of the 'Decade of Healthy Ageing'—the action plan of the World Health Organization (WHO) Global Strategy for 2020-2030. Aim. To study the prevalence of intrinsic capacity impairments among older age groups based on the results of ICOPE screening. Materials and methods. In 2023, a prospective study (selective, cross-sectional) was conducted at the State Institution of Science “Center of innovative healthcare technologies” State Administrative Department to assess functional impairments of intrinsic capacity among patients from older age groups using the adapted questionnaire (WHO ICOPE). The study involved 577 individuals over 60, including 238 men (41.2%) and 339 women (58.8%). Results and discussion. Among 318 individuals aged 60-74 years (127 men and 191 women), 97.2% (95% CI 94.7-98.5) had various impairments, with the most common being vision problems (95.9%; CI 93.1-97.6), followed by symptoms of depression (63.8%; CI 58.4-68.9), and hearing loss (34.6%; CI 29.6-40.0). Reduced motor activity and cognitive abilities were found in 15.4% (CI 11.9-19.8) and 9.1% (CI 6.4-12.8) of participants, respectively, while nutritional disorders were present in 8.8% (CI 6.2-12.4). In the group aged 75-89 years (250 individuals), all participants had impairments, with the most common being vision problems (98.4%; CI 96.0-99.4), followed by symptoms of depression (64.8%; CI 58.7-70.5) and hearing loss (44.0%; CI 38.0-50.2). In the 90+ age group (9 individuals), impairments were found in 100% (CI 70.1-100.0) of cases, with the highest frequency of vision problems and depression (100%). The frequency of cognitive impairments and reduced motor activity significantly increases with age (p<0.001). Conclusions. Implementing screening tools is a priority in diagnosing intrinsic capacity impairments in older age groups. The WHO screening tool “Integrated Care for Older People” (ICOPE) enables the effective detection of key disorders associated with reduced intrinsic capacity, allowing for the assessment of their prevalence, planning further diagnosis, and organizing long-term home care based on the collaboration of medical and social services.
Published Version
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