{"title":"尼日利亚一家三级医院内科病房收治的老年患者中的慢性病和多发病","authors":"Paul Osemeke Nwani MBBS, MSc, FMCP, FWACP , Ambrose Ohumagho Isah MBBS, FMCP, FWACP, FRCP (Edin), MD (UK)","doi":"10.1016/j.jcgg.2015.10.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background/Purpose</h3><p>Morbidity patterns vary for different age groups. As people grow older, chronic noncommunicable diseases become prominent causes of diseases. Our aim was to determine the frequency of occurrence and the patterns of chronic diseases and multimorbidity among elderly inpatients.</p></div><div><h3>Methods</h3><p>A longitudinal prospective survey was conducted among patients aged ≥ 65 years who were admitted to the medical wards of a tertiary hospital (Nnewi, Nigeria) over a period of 12 months. Chronic diseases were defined and counted using the World Health Organization definition, and multimorbidity was defined as the co-occurrence of two or more chronic diseases in the same individual, at a given time.</p></div><div><h3>Results</h3><p>The records of 345 patients aged between 65 years and 92 years were reviewed. There were 221 (64.1%) males and 124 (35.9%) females. A total of 223 (64.6%) patients were aged 65–74 years (early elderly), and 122 (35.4%) patients were aged ≥ 75 years (late elderly). Chronic morbidities were present in 92.5% (<em>n</em> <!-->=<!--> <!-->319/345) of the patients, whereas 49.0% (<em>n</em> <!-->=<!--> <!-->169/345) had multimorbidity. The diseases of the circulatory system and endocrine and metabolic diseases ranked the highest among the chronic diseases.</p></div><div><h3>Conclusion</h3><p>The high frequency of occurrence of multiple chronic diseases in the same individual highlights the challenges awaiting the current healthcare delivery system in developing countries as the populations in these parts of the world grow older.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 83-86"},"PeriodicalIF":0.0000,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.10.001","citationCount":"19","resultStr":"{\"title\":\"Chronic diseases and multimorbidity among elderly patients admitted in the medical wards of a Nigerian tertiary hospital\",\"authors\":\"Paul Osemeke Nwani MBBS, MSc, FMCP, FWACP , Ambrose Ohumagho Isah MBBS, FMCP, FWACP, FRCP (Edin), MD (UK)\",\"doi\":\"10.1016/j.jcgg.2015.10.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background/Purpose</h3><p>Morbidity patterns vary for different age groups. As people grow older, chronic noncommunicable diseases become prominent causes of diseases. Our aim was to determine the frequency of occurrence and the patterns of chronic diseases and multimorbidity among elderly inpatients.</p></div><div><h3>Methods</h3><p>A longitudinal prospective survey was conducted among patients aged ≥ 65 years who were admitted to the medical wards of a tertiary hospital (Nnewi, Nigeria) over a period of 12 months. Chronic diseases were defined and counted using the World Health Organization definition, and multimorbidity was defined as the co-occurrence of two or more chronic diseases in the same individual, at a given time.</p></div><div><h3>Results</h3><p>The records of 345 patients aged between 65 years and 92 years were reviewed. There were 221 (64.1%) males and 124 (35.9%) females. A total of 223 (64.6%) patients were aged 65–74 years (early elderly), and 122 (35.4%) patients were aged ≥ 75 years (late elderly). Chronic morbidities were present in 92.5% (<em>n</em> <!-->=<!--> <!-->319/345) of the patients, whereas 49.0% (<em>n</em> <!-->=<!--> <!-->169/345) had multimorbidity. The diseases of the circulatory system and endocrine and metabolic diseases ranked the highest among the chronic diseases.</p></div><div><h3>Conclusion</h3><p>The high frequency of occurrence of multiple chronic diseases in the same individual highlights the challenges awaiting the current healthcare delivery system in developing countries as the populations in these parts of the world grow older.</p></div>\",\"PeriodicalId\":100764,\"journal\":{\"name\":\"Journal of Clinical Gerontology and Geriatrics\",\"volume\":\"7 3\",\"pages\":\"Pages 83-86\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.10.001\",\"citationCount\":\"19\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Gerontology and Geriatrics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2210833516000071\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Gerontology and Geriatrics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2210833516000071","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Chronic diseases and multimorbidity among elderly patients admitted in the medical wards of a Nigerian tertiary hospital
Background/Purpose
Morbidity patterns vary for different age groups. As people grow older, chronic noncommunicable diseases become prominent causes of diseases. Our aim was to determine the frequency of occurrence and the patterns of chronic diseases and multimorbidity among elderly inpatients.
Methods
A longitudinal prospective survey was conducted among patients aged ≥ 65 years who were admitted to the medical wards of a tertiary hospital (Nnewi, Nigeria) over a period of 12 months. Chronic diseases were defined and counted using the World Health Organization definition, and multimorbidity was defined as the co-occurrence of two or more chronic diseases in the same individual, at a given time.
Results
The records of 345 patients aged between 65 years and 92 years were reviewed. There were 221 (64.1%) males and 124 (35.9%) females. A total of 223 (64.6%) patients were aged 65–74 years (early elderly), and 122 (35.4%) patients were aged ≥ 75 years (late elderly). Chronic morbidities were present in 92.5% (n = 319/345) of the patients, whereas 49.0% (n = 169/345) had multimorbidity. The diseases of the circulatory system and endocrine and metabolic diseases ranked the highest among the chronic diseases.
Conclusion
The high frequency of occurrence of multiple chronic diseases in the same individual highlights the challenges awaiting the current healthcare delivery system in developing countries as the populations in these parts of the world grow older.
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