Evaluation of the Clinical and Demographic Characteristics of Patients aged 65 and Over Who Applied to the Physiotherapy and Rehabilitation Outpatient Clinic

Öz

Background: The aim of this study is to evaluate the cilinical and demographic characteristics of geriatric patients aged 65 and over who presented at the physical medicine and rehabilitation polyclinic of university hospital. Material and Methods: The study was conducted in the physical medicine and rehabilitation (PMR) department of Harran University Hospital. In the study, the records of geriatric patients aged 65 and over who presented at the PMR polyclinic in the first 10 months of 2022 were retrospectively analyzed. Demographic characteristics and diagnoses of patients in the geriatric age group were examined. Results: A total of 759 people were included in the study, 546 of whom were women (71.9%) and 213 of them (28.1%) were men aged 65 and over. The gender distribution was determined to be significantly predominantly female (p<0.001). The mean age of the patients was 72.3±6 (65-98) years. The mean age of men was 71.6±5 (65-89) and the mean age of women was 72.6±6 (65-98), and there was no significant difference between the mean ages of both groups (p>0.05). Conclusion: We observed that the most common diagnoses of the older adult patients who presented at our PMR polyclinic, the most frequent were degenerative diseases and osteoporosis, followed by other diagnoses. To reduce pain and disability in patients, it is important that protective measures are taken against the risk factors that can worsen the clinical condition of the disease in older adults. Nevertheless, we think that there is a need for multicenter clinical studies with wider patient participation related to the prevalence of musculoskeletal diseases in elderly individuals.

Anahtar Kelimeler

• Aging
• Geriatrics
• Gonarthrosis
• Osteoporosis
• Pain

Fiziksel Tıp ve Rehabilitasyon Polikliniğine Başvuran 65 Yaş ve Üzeri Hastaların Klinik ve Demografik Özelliklerinin Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı bir üniversitesi hastanesindeki fiziksel tıp ve rehabilitasyon kliniğine başvuran 65 yaş ve üzeri geriatrik hastaların klinik ve demografik özelliklerinin değerlendirilmesidir. Materyal ve metod: Çalışma Harran Üniversitesi Hastanesi fiziksel tıp ve rehabilitasyon (FTR) bölümünde yapıldı. Çalışmada 2022 yılının ilk 10 ayında FTR polikliniğine başvuran 65 yaş ve üzeri geriatrik hastaların kayıtları retrospektif olarak incelenmiştir. Geriatri yaş grubundaki hastaların aldıkları tanılar ve demografik özellikleri incelendi. Bulgular: Çalışmaya alınan 65 yaş ve üstü hastaların 546’sı kadın (% 71,9) ve 213’ü erkek (% 28,1) olmak üzere toplamda 759 kişiydi. Cinsiyet dağılımına ögre bakıldığında gruplar arasında kadın hastaların erkek hastalara göre belirgin bir oranda daha fazla gözükmekteydi. Cinsiyet dağılımı açısından yapılan karşılaştırmada aralarında anlamlı bir fark saptandı (p<0.001). Hastaların yaş ortalaması 72,3±6 (65-98) yıl olarak tespit edildi. Erkeklerin yaş ortalaması 71,6±5 (65-89) kadınların yaş ortalaması 72,6±6 (65-98) olup her iki grubun yaş ortalamları arasında anlamlı bir fark saptanmadı (p>0.05). Sonuç: FTR polikliniğimize başvuran geriatrik hastalara konulan tanılar arasında en sık dejeneratif hastalıklar ve osteoporoz tanılarının olduğu, diğer tanılarında bu hastalık gruplarını takip ettiğini gözlemledik. Yaşlı bireylerde hastalığın kliniğini artırabilecek risk faktörleri için koruyucu önlemlerin alınması, hastalarda ağrı ve sakatlığı azaltmada önemlidir. Bununla birlikte yaşlı bireylerle ilgili kas-iskelet sistemi hastalıklarının prevalansı ile alakalı hasta katılımın daha geniş olduğu ve multi merkezli yapılacak klinik çalışmalara ihtiyaç olduğunu düşünmekteyiz.

Anahtar Kelimeler

• Yaşlılık
• Geriatri
• Gonartroz
• Osteoporoz
• Ağrı

Kaynakça

1. 1. Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organiza-tion (WHO) approach to healthy ageing. Maturitas. 2020 Sep;139:6-11. doi: 10.1016/j.maturitas.2020.05.018. Epub 2020 May 26.
2. 2. Demircan C, Aging and Its Problems. Ersoy A, Ed. Bursa Uludag University Faculty of Medicine Publications, Uludag Book of Internal Diseases Volume 3. Bursa − October 2022, pp. 641-647.
3. 3. WHO. Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. 01.10.2022.
4. 4. Dogan A, Ceceli E, Okumus M, Ordu Gökkaya N.K, Gökce Kutsal Y, Borman P. Identifying the Characteristics of Geri-atric Patients who Referred to Outpatient Clinics of Physi-cal Medicine and Rehabilitation: A Multicenter Descriptive Study. Turk J Phys Med Rehab 2011;57:143-9.
5. 5. Levinger P, Hill KD. Are the Recommended Physical Activity Guidelines Practical and Realistic for Older People With Comp-lex Medical Issues? J Geriatr Phys Ther 2021;44:2–8. 6.
6. 6. Erdem HR, Sayan M, Gökgöz Z, Refiker Ege M. Yaşlılarda Fiziksel Aktivite: Derleme. YIU Saglik Bil. Derg. 2021;2:16−22.
7. 7. Seckin U, Borman P, Bodur H. The Prevalence of the Diagnosis of Elderly People Attending to the Physical Medicine and Re-habilitation Clinics. Turkish Journal of Geriatrics 1999;2:57-60.
8. 8. Bakar C, Ozkan S, Maral I, Kaymak Karatas G, Sepici V. Diagnosis of Elderly Patients Attending to the Physical Medicine and Re-habilitation Outpatient Clinic of A University Hospital. Turkish Journal of Geriatrics 2002;2:59-63.

9. 9. Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tom-sone S, Krejcar O, Kuca K. Consequences of chronic diseases and other limitations associated with old age - a scoping re-view. BMC Public Health. 2019 Nov 1;19(1):1431. doi: 10.1186/s12889-019-7762-5.
10. 10. Perez-Lasierra JL, Casajus JA, González-Agüero A, Moreno-Franco B. Association of physical activity levels and prevalence of major degenerative diseases: Evidence from the national health and nutrition examination survey (NHANES) 1999-2018. Exp Gerontol. 2022 Feb;158:111656. doi: 10.1016/j.exger.2021.111656. Epub 2021 Dec 14.
11. 11. Gregson CL, Armstrong DJ, Bowden J, Cooper C, Edwards J, Gittoes NJL and et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos. 2022 Apr 5;17(1):58. doi: 10.1007/s11657-022-01061-5. Erratum in: Arch Osteoporos. 2022 May 19;17(1):80.
12. 12. Sozen T, Ozışık L, Başaran NC. An overview and management of osteoporosis. Eur J Rheumatol. 2017 Mar;4(1):46-56. doi: 10.5152/eurjrheum.2016.048. Epub 2016 Dec 30.
13. 13. Porter JL, Varacallo M. Osteoporosis. 2022 Sep 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
14. 14. Prince RL, Lewis JR, Lim WH, Wong G, Wilson KE, Khoo BC and et al. Adding Lateral Spine Imaging for Vertebral Fractures to Densitometric Screening: Improving Ascertainment of Patients at High Risk of Incident Osteoporotic Fractures. J Bone Miner Res. 2019 Feb;34(2):282-289.
15. 15. Rachner TD, Hofbauer LC, Göbel A, Tsourdi E. Novel therapies in osteoporosis: PTH-related peptide analogs and inhibitors of sclerostin. J Mol Endocrinol. 2019 Feb 01;62(2):R145-R154.
16. 16. Primorac D, Molnar V, Rod E, Jeleč Ž, Čukelj F, Matišić V, Vrdoljak T, Hudetz D, Hajsok H, Borić I. Knee Osteoarthritis: A Review of Pathogenesis and State-Of-The-Art Non-Operative Therapeutic Considerations. Genes (Basel). 2020 Jul 26;11(8):854. doi: 10.3390/genes11080854.
17. 17. Zhang Y, Jordan, J.M. Epidemiology of Osteoarthritis. Clin. Geriatr. Med. 2010, 26, 355–369.
18. 18. Swingler T.E, Niu, L, Smith, P, Paddy P, Le L, Barter M.J, Young D.A, Clark I.M. The function of microRNAs in cartilage and os-teoarthritis. Clin. Exp. Rheumatol. 2019, 37, 40–47.
19. 19. Ilas D.C, Churchman S.M, McGonagle D, Jones, E. Targeting subchondral bone mesenchymal stem cell activities for intrinsic joint repair in osteoarthritis. Futur. Sci. OA 2017, 3, FSO228.
20. 20. Kan HS, Chan PK, Chiu KY, Yan CH, Yeung SS, Ng YL, Shiu KW, Ho T. Non-surgical treatment of knee osteoarthritis. Hong Kong Med J. 2019 Apr;25(2):127-133. doi: 10.12809/hkmj187600. Epub 2019 Mar 28.