High prevalence of asymptomatic hypothyroidism and hyperthyroidism in hospitalized elderly females.

P Potestà, R Murolo, S Costantini, G Imperoli, F Giardina, G Guerriero, S De Meo, N Casalli
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Abstract

To investigate the prevalence of asymptomatic hypothyroidism and hyperthyroidism in hospitalized people, we performed thyroid function tests on a group of 2545 elderly patients consecutively observed in a General Hospital in Rome, during a six year period. The rate of asymptomatic hypothyroidism was as high as 0.71% in female patients and only 0.20% in male patients. In asymptomatic hyperthyroid subjects the prevalence rate was 0.58% in females and 0.20% in males. On the whole, prevalence rate of asymptomatic thyropathies resulted 0.94%, showing a clear difference in sex (women 1.29% and men 0.40%). The asymptomatic thyropathies screening of hospitalized elderly women may result in a very low cost diagnosis of many new cases of hypothyroidism and hyperthyroidism.

住院老年女性无症状甲状腺功能减退和甲状腺功能亢进的高发率。
为了调查住院患者中无症状甲状腺功能减退和甲状腺功能亢进的患病率,我们对罗马一家综合医院连续观察的2545名老年患者进行了甲状腺功能测试,为期6年。无症状性甲状腺功能减退症女性患者发生率高达0.71%,男性患者仅为0.20%。无症状甲状腺功能亢进患者中,女性患病率为0.58%,男性患病率为0.20%。总体而言,无症状甲状腺疾病的患病率为0.94%,性别差异明显(女性1.29%,男性0.40%)。对住院老年妇女进行无症状甲状腺疾病的筛查,可能会导致许多甲状腺功能减退和甲状腺功能亢进新病例的低成本诊断。
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