医学
老人忧郁量表
多药
日常生活活动
糖尿病
萧条(经济学)
逻辑回归
营养不良
老年学
老年病科
尿失禁
视力障碍
物理疗法
内科学
抑郁症状
精神科
外科
经济
宏观经济学
内分泌学
作者
Huyen Thi Thanh Vu,Thu Thi Hoai Nguyen,Tu Anh Le,Thanh Xuan Nguyen,Huong Thi Thu Nguyen,Tam Ngoc Nguyen,Thang Pham,Anh Trung Nguyen
出处
期刊:Gerontology
[Karger Publishers]
日期:2022-01-01
卷期号:68 (10): 1132-1138
被引量:9
摘要
<b><i>Introduction:</i></b> Comprehensive geriatric assessment (CGA) of older diabetic patients is thought to be of value, but there have been limited studies on the prevalence of impairments in the components of a CGA as well as the relationship between CGA and diabetic control in this group. <b><i>Objective:</i></b> This study aimed to evaluate the prevalence of components of CGA in older patients with diabetes in National Geriatric Hospital, Hanoi, Vietnam, and determine the association among domains of CGA with measures of diabetic control. <b><i>Methods:</i></b> A cross-sectional study of diabetic outpatients aged ≥60 years at National Geriatric Hospital in Hanoi, Vietnam, recruited over 3 months. The CGA questionnaire includes different assessments consisting of cognitive impairment (using Mini-Cog test), depression (using the 15-item Geriatric Depression Scale), urinary incontinence (using the 3-Incontinence questions), Activities of Daily Living (ADL) dependence, Instrumental Activities of Daily Living (IADL) dependence, high fall risk (using Hendrich II Fall Risk Model), hearing loss (using Whisper test), low visual acuity (using Snellen test), polypharmacy, malnutrition (using the Mini-Nutritional Assessment Short Form), and multiple geriatric conditions (patients had 2 or more geriatric conditions). Multiple logistic regression was used to analyze the association between demographic factors and CGA components with measures of diabetes control. <b><i>Results:</i></b> A total of 412 patients were recruited (56.6% female, mean age 71.9 [7.6] years). Prevalence of impairment in components of the CGA was high and highest for vision impairment (94.2%) and multiple geriatric conditions (89.3%). Age <75 years, cognitive impairment, depressive symptom, IADL impairment, and high fall risk were significantly associated with both poor fasting plasma glucose control (>130 mg/dL) and poor HbA1c control (≥7%). <b><i>Conclusions:</i></b> This study highlights that geriatric syndromes are common in older diabetic patients and associated with poorer diabetic control. It suggests CGA may be important to conduct in this group by establishing an interdisciplinary Geriatric health care team.
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