Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017

Esra Ates Bulut,1 Pinar Soysal,2 Ahmet Turan Isik1 1Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey; 2Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Background: Geriatric syndromes are complex clinica...

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Autores principales:	Ates Bulut E, Soysal P, Isik AT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Geriatric syndromes frailty sarcopenia dementia malnutrition Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8ede2a0d2d7c4148926ea585e36f3e88
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spelling	oai:doaj.org-article:8ede2a0d2d7c4148926ea585e36f3e882021-12-02T06:01:49ZFrequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 20171178-1998https://doaj.org/article/8ede2a0d2d7c4148926ea585e36f3e882018-10-01T00:00:00Zhttps://www.dovepress.com/frequency-and-coincidence-of-geriatric-syndromes-according-to-age-grou-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Esra Ates Bulut,1 Pinar Soysal,2 Ahmet Turan Isik1 1Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey; 2Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Background: Geriatric syndromes are complex clinical manifestations that are not an isolated disease in older adults and have common risk factors within themselves. The syndromes are significant causes of mortality, morbidity, and increased health care costs. Objective: To determine the frequency of geriatric syndromes such as malnutrition, dementia, depression, falls, polypharmacy, urinary incontinence, pressure ulcer, sarcopenia, and frailty in community-dwelling older adults. Methods: A total of 2,816 patients, who applied to geriatric outpatient clinic and were evaluated by comprehensive geriatric assessment, were included in this cross-sectional retrospective study. Falls in the last year and urinary incontinence were recorded. Polypharmacy was accepted as concurrent use of more than four drugs. Diagnosis of dementia and depression was defined according to Diagnostic and Statistical Manual of Mental Disorders Fifth Edition diagnostic criteria. In addition, frailty and sarcopenia were evaluated according to Fried’s physical frailty scale and European Working Group on Sarcopenia criteria, respectively. Results: The frequency of polypharmacy was 54.5%, urinary incontinence 47.6%, malnutrition 9.6%, depression 35.1%, dementia 21.6%, falls 33.6%, sarcopenia 31.7%, and frailty 28.3%. When all the participants were divided into three groups (60–69, 70–79, ≥80 years), all syndromes were significantly increased with age, except for depression. While 20% of cases in 60–69 years age group did not have any syndromes, 48% of cases in ≥80 years had more than four syndromes simultaneously. Conclusion: The frequency and coincidence of geriatric syndromes, except for depression, increases with age. Therefore, clinicians other than geriatricians taking care of older people should be aware of these syndromes as well as their treatment mechanisms. Keywords: geriatric syndromes, frailty, sarcopenia, dementia, malnutritionAtes Bulut ESoysal PIsik ATDove Medical PressarticleGeriatric syndromesfrailtysarcopeniadementiamalnutritionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1899-1905 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatric syndromes frailty sarcopenia dementia malnutrition Geriatrics RC952-954.6
spellingShingle	Geriatric syndromes frailty sarcopenia dementia malnutrition Geriatrics RC952-954.6 Ates Bulut E Soysal P Isik AT Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
description	Esra Ates Bulut,1 Pinar Soysal,2 Ahmet Turan Isik1 1Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey; 2Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Background: Geriatric syndromes are complex clinical manifestations that are not an isolated disease in older adults and have common risk factors within themselves. The syndromes are significant causes of mortality, morbidity, and increased health care costs. Objective: To determine the frequency of geriatric syndromes such as malnutrition, dementia, depression, falls, polypharmacy, urinary incontinence, pressure ulcer, sarcopenia, and frailty in community-dwelling older adults. Methods: A total of 2,816 patients, who applied to geriatric outpatient clinic and were evaluated by comprehensive geriatric assessment, were included in this cross-sectional retrospective study. Falls in the last year and urinary incontinence were recorded. Polypharmacy was accepted as concurrent use of more than four drugs. Diagnosis of dementia and depression was defined according to Diagnostic and Statistical Manual of Mental Disorders Fifth Edition diagnostic criteria. In addition, frailty and sarcopenia were evaluated according to Fried’s physical frailty scale and European Working Group on Sarcopenia criteria, respectively. Results: The frequency of polypharmacy was 54.5%, urinary incontinence 47.6%, malnutrition 9.6%, depression 35.1%, dementia 21.6%, falls 33.6%, sarcopenia 31.7%, and frailty 28.3%. When all the participants were divided into three groups (60–69, 70–79, ≥80 years), all syndromes were significantly increased with age, except for depression. While 20% of cases in 60–69 years age group did not have any syndromes, 48% of cases in ≥80 years had more than four syndromes simultaneously. Conclusion: The frequency and coincidence of geriatric syndromes, except for depression, increases with age. Therefore, clinicians other than geriatricians taking care of older people should be aware of these syndromes as well as their treatment mechanisms. Keywords: geriatric syndromes, frailty, sarcopenia, dementia, malnutrition
format	article
author	Ates Bulut E Soysal P Isik AT
author_facet	Ates Bulut E Soysal P Isik AT
author_sort	Ates Bulut E
title	Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
title_short	Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
title_full	Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
title_fullStr	Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
title_full_unstemmed	Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017
title_sort	frequency and coincidence of geriatric syndromes according to age groups: single-center experience in turkey between 2013 and 2017
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/8ede2a0d2d7c4148926ea585e36f3e88
work_keys_str_mv	AT atesbulute frequencyandcoincidenceofgeriatricsyndromesaccordingtoagegroupssinglecenterexperienceinturkeybetween2013and2017 AT soysalp frequencyandcoincidenceofgeriatricsyndromesaccordingtoagegroupssinglecenterexperienceinturkeybetween2013and2017 AT isikat frequencyandcoincidenceofgeriatricsyndromesaccordingtoagegroupssinglecenterexperienceinturkeybetween2013and2017
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Frequency and coincidence of geriatric syndromes according to age groups: single-center experience in Turkey between 2013 and 2017

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