Saadet KOÇ OKUDUR, Özge DOKUZLAR, Pınar SOYSAL, Ahmet Turan IŞIK

469

Demans ve Komorbid Hastalıklarla İlişkisi

Amaç: Demans, dünya genelinde sıklığı giderek artan bir sağlık problemidir. Demans hastalarında komorbid hastalık sıklığının yüksek olduğu bilinmektedir. Demans varlığı, komorbid hastalıkların yönetimini ve hastaların kronik durumu yönetme becerisini zorlaştırabilir. Bu çalışmanın amacı, demans ve komorbidite ilişkisini değerlendirmektir.Metod: Çalışmaya, 60 yaş ve üstü, 2264 hasta alındı. Hastalar demansı olan ve olmayan olmak üzere 2 gruba ayrıldı. Kronik hastalık bilgileri, sosyo-demografik verileri, ilaç sayılarına dair veriler hasta takip dosyalarından elde edilerek retrospektif olarak değerlendirildi. Elde edilen sonuçlar hasta grupları arasında karşılaştırıldı.Bulgular: Çalışmaya dahil edilen demansı olmayan 1767 hastanın yaş ortalaması 74,36 ± 8,5, demansı olan 497 hastanın yaş ortalaması ise 78.06 ± 8,48 idi. Her iki hasta grubunda en sık görülen kronik hastalık hipertansiyondu. Demansı olan hastalarda ortalama komorbid hastalık sayısı ise 2,69, demansı olmayanlarda ise 3,06 idi. Demansı olan hastalarda Charlson Komorbidite İndeksi anlamlı olarak daha yüksek bulundu (p<0.001). Sonuç: Bu bulgular, demans gelişiminde diyabet, hipertansiyon, hiperkolesterolemi gibi komorbid hastalıkların risk faktörü olarak rol oynadığı bilinse de etiyopatogenezde vasküler risk faktörlerinin ön planda yer almadığı, hastalık gelişiminde başka faktörlerin de yer aldığını düşündürmektedir.
Anahtar Kelimeler:

yaşlı, demans, komorbidite, kronik hastalık

Relationship Between Dementia and Comorbid Diseases

Aim: Dementia is an increasingly frequent health problem worldwide. It is known that comorbid disease prevelance is high in dementia patients. Dementia can challenge the management of comorbid diseases and the ability of patients to manage chronic conditions. The aim of this study is to assess the relationship between dementia and comorbidity.Methods: 2264 patients aged 60 years and over were included in the study. Patients were divided into 2 groups who have dementia and no dementia. Chronic disease information, socio-demographic data, drug numbers were evaluated retrospectively from patient follow-up files. The results obtained were compared among the patient groups.Results: The mean age of 1767 non-demented patients was 74.36 ± 8.5, and the mean age of 497 demented patients was 78.06 ± 8.48. Hypertension was the most common chronic disease in both groups of patients. The total number of comorbid diseases in the non-demented group was 3.06, and in demented group was 2.69. The Charlson Comorbidity Index was significantly higher in the demented patient group (p <0.001). Conclusion: It is known that comorbid diseases such as diabetes, hypertension and hypercholesterolemia play role in dementia risk, but these findings suggest that vascular risk factors in etiopathogenesis of dementia might not be forefront and other risk factors may take part of disease development.
Keywords:

elderly, dementia, comorbidity, chronic disease,

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Geriatrik Bilimler Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2018
  • Yayıncı: Geriatrik Bilimler Derneği
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