Geriatric Syndromes among Patients with Rheumatoid Arthritis : A Comparison between Young and Elderly Patients
© 2022 Niksolat F., et al..
Background: In the general geriatric population, Geriatric syndromes (GSs) predict greater likelihood of hospitalization, increased health care use and cost. The present study aimed to compare GSs among young and elderly patients with rheumatoid arthritis (RA).
Methods: In a cross-sectional study a total of 98 participants, including 65 elderly (≥60 years) and 33 young adult patients (<60 years) with RA who referred to the geriatric and rheumatologic clinic were enrolled. Patients were categorized into three groups (healthy elderly, n=27; elderly with RA, n=38; and young people with RA, n=33). GSs were assessed using mini-mental state exam (MMSE), five-item geriatric depression scale-15 (GDS-15), mini nutritional assessment (MNA), and asking patients about history of falls in the past year. The RA activity in patients was assessed using disease activity for rheumatoid arthritis score-28 (DAS-28) scale, serum ESR (mm/h) level.
Results: There was a statistically significant differences in terms of DAS-28 (2.23±1.01 vs. 0.64±0.97, P=0.025) and ESR (28.10±6.64 vs. 23.09±7.65 mm/h, P=0.042) between healthy elderly and RA elderly patients. Elderly patients with RA were significantly more prone to have cognitive impairment (P=0.002), fall (P=0.005), malnutrition (P<0.001), urinary incontinence (P<0.001), and functional disability (P=0.021) compared to healthy elderlies and young RA patients. The results of binary logistic regression revealed that in elderly RA patients, higher DAS-28 score [odds ratio (OR) = 1.96; 95% CI 1.03, 3.84; P=0.041] was an independent risk factors for the GSs.
Conclusion: The prevalence of some features of GSs were higher in the elderly RA patients than healthy elderly and young RA patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Ethiopian journal of health sciences - 32(2022), 4 vom: 24. Juli, Seite 791-798 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Niksolat, Fatemeh [VerfasserIn] |
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| Links: |
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| Themen: |
Accidental Falls |
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| Anmerkungen: |
Date Completed 12.08.2022 Date Revised 13.08.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.4314/ejhs.v32i4.16 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM344694062 |
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| 100 | 1 | |a Niksolat, Fatemeh |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Geriatric Syndromes among Patients with Rheumatoid Arthritis |b A Comparison between Young and Elderly Patients |
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| 500 | |a Date Revised 13.08.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 Niksolat F., et al. | ||
| 520 | |a Background: In the general geriatric population, Geriatric syndromes (GSs) predict greater likelihood of hospitalization, increased health care use and cost. The present study aimed to compare GSs among young and elderly patients with rheumatoid arthritis (RA) | ||
| 520 | |a Methods: In a cross-sectional study a total of 98 participants, including 65 elderly (≥60 years) and 33 young adult patients (<60 years) with RA who referred to the geriatric and rheumatologic clinic were enrolled. Patients were categorized into three groups (healthy elderly, n=27; elderly with RA, n=38; and young people with RA, n=33). GSs were assessed using mini-mental state exam (MMSE), five-item geriatric depression scale-15 (GDS-15), mini nutritional assessment (MNA), and asking patients about history of falls in the past year. The RA activity in patients was assessed using disease activity for rheumatoid arthritis score-28 (DAS-28) scale, serum ESR (mm/h) level | ||
| 520 | |a Results: There was a statistically significant differences in terms of DAS-28 (2.23±1.01 vs. 0.64±0.97, P=0.025) and ESR (28.10±6.64 vs. 23.09±7.65 mm/h, P=0.042) between healthy elderly and RA elderly patients. Elderly patients with RA were significantly more prone to have cognitive impairment (P=0.002), fall (P=0.005), malnutrition (P<0.001), urinary incontinence (P<0.001), and functional disability (P=0.021) compared to healthy elderlies and young RA patients. The results of binary logistic regression revealed that in elderly RA patients, higher DAS-28 score [odds ratio (OR) = 1.96; 95% CI 1.03, 3.84; P=0.041] was an independent risk factors for the GSs | ||
| 520 | |a Conclusion: The prevalence of some features of GSs were higher in the elderly RA patients than healthy elderly and young RA patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Accidental Falls | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a Arthritis | |
| 650 | 4 | |a Cognitive Dysfunction | |
| 650 | 4 | |a Rheumatoid | |
| 650 | 4 | |a Urinary Incontinence | |
| 700 | 1 | |a Zandieh, Zhale |e verfasserin |4 aut | |
| 700 | 1 | |a Roshani, Fatemeh |e verfasserin |4 aut | |
| 700 | 1 | |a Larijani, Samaneh Saghafian |e verfasserin |4 aut | |
| 700 | 1 | |a Mirfakhraee, Hosna |e verfasserin |4 aut | |
| 700 | 1 | |a Bahadori, Farzaneh |e verfasserin |4 aut | |
| 700 | 1 | |a Niksolat, Maryam |e verfasserin |4 aut | |
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