Soni N, Banerjee J, Gunasekaran V, Saini M, Singh V, Kumar P, Chakrawarty A, Chatterjee P, Dey AB. Association of geriatric syndromes in older adults with chronic obstructive pulmonary disease.
Aging Med (Milton) 2022;
5:106-112. [PMID:
35783116 PMCID:
PMC9245167 DOI:
10.1002/agm2.12208]
[Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 04/18/2022] [Accepted: 04/19/2022] [Indexed: 12/02/2022] Open
Abstract
Background
Geriatric syndromes (GS) are multi-factorial conditions that make older adults vulnerable to morbidities and poor outcomes. The main objective was to observe the frequency of GS in older patients with COPD.
Methods
A case-control study was conducted in the Geriatric department of a tertiary care hospital in India to evaluate geriatric syndromes including falls, cognitive impairment, frailty, functional impairment, urinary incontinence, malnutrition, and depression in patients with COPD and controls without COPD. The factors having a significant association with the occurrence of these GS in COPD patients were observed.
Results
In this study, 150 cases and 150 controls were included. The mean age of the participant was 65.85±5.54, with 76% males. Functional impairment, cognitive impairment, frailty, urinary incontinence, and malnutrition were significantly higher in COPD patients. The independent variables which increased the odds of geriatric syndromes were dyspnoea (≥2 mMRC grade) (AOR:3.54,95% CI:1.06-11.8) and low socioeconomic status (AOR: 4.14, 95% CI: 1.03-16.54), while male gender showed inverse association (AOR: 0.08,95% CI: 0.01-0.99).
Conclusion
Geriatric syndromes are common in older COPD patients, and assessment for them should be done routinely in these patients.
Collapse