Causes and types of disease in elderly patients leading to one or multiple hospital admissions in rheumatology wards of southwestern Iran: A 6-year review
محل انتشار: فصلنامه تحقیقات روماتولوژی، دوره: 4، شماره: 1
سال انتشار: 1398
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 551
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شناسه ملی سند علمی:
JR_RHRE-4-1_001
تاریخ نمایه سازی: 1 خرداد 1398
چکیده مقاله:
The physiological changes associated with aging and the presence of comorbid diseases may complicate the treatment of elderly
patients with rheumatic diseases. This study aimed to determine the prevalence and main causes of admissions of elderly patients
to rheumatology wards and the number and duration of their hospitalizations.
Data was collected on patients aged ≥ 60 who were admitted to rheumatology wards from 2008 to 2013. To make a good comparison, the last diagnoses of younger patients admitted to these wards were also recorded.
In the elderly group, the records of 399 patients admitted to hospitals with a flare-up of a new or known case of rheumatoid arthritis (RA) were compared with those of 480 young patients. No significant difference was seen between these two groups in the
duration of hospital stay.
In the elderly group, hypertension (62.4%) was the most common comorbidity. The presence of psychiatric problems showed a
significant association with the number of admissions (P value=0.037) as well as patients receiving infliximab, rituximab, and IV
IG (P value=<0.001). Recurrent admissions were seen mostly in patients with psoriatic arthritis (PsA), polymyositis, and Behçet’s
disease.
Flare-ups or new diagnoses of RA were the most prevalent causes for the admission of elderly patients to rheumatology wards.
Recurrent admissions were seen mostly in patients with PsA and were associated with the presence of psychiatric problems and
a need for IV medications. The results highlight the need for healthcare centers to support outpatient clinics for elderly patients
کلیدواژه ها:
نویسندگان
Saeedeh Shenavandeh
Department of Internal Medicine, Division of Rheumatology, Shiraz University of Medical Sciences, Shiraz, Iran.
Elham Sadeghi
School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran.