Open AccessAssociation of geriatric syndromes in older adults with chronic obstructive pulmonary disease
Author(s) -
Soni Nidhi,
Banerjee Joyita,
Gunasekaran Venugopalan,
Saini Mamta,
Singh Vishwajeet,
Kumar Pramod,
Chakrawarty Avinash,
Chatterjee Prasun,
Dey Aparajit Ballav
Publication year - 2022
Publication title -
aging medicine
Language(s) - English
Resource type - Journals
ISSN - 2475-0360
DOI - 10.1002/agm2.12208
Subject(s) - medicine , copd , malnutrition , depression (economics) , odds ratio , urinary incontinence , comorbidity , geriatrics , cognitive impairment , disease , sarcopenia , physical therapy , pediatrics , surgery , psychiatry , economics , macroeconomics
Abstract Background Geriatric syndromes (GS) are multi‐factorial conditions that make older adults vulnerable to morbidities and poor outcomes. The main objective was to observe the frequency of GS in older patients with COPD. Methods A case‐control study was conducted in the Geriatric department of a tertiary care hospital in India to evaluate geriatric syndromes including falls, cognitive impairment, frailty, functional impairment, urinary incontinence, malnutrition, and depression in patients with COPD and controls without COPD. The factors having a significant association with the occurrence of these GS in COPD patients were observed. Results In this study, 150 cases and 150 controls were included. The mean age of the participant was 65.85±5.54, with 76% males. Functional impairment, cognitive impairment, frailty, urinary incontinence, and malnutrition were significantly higher in COPD patients. The independent variables which increased the odds of geriatric syndromes were dyspnoea (≥2 mMRC grade) (AOR:3.54,95% CI:1.06‐11.8) and low socioeconomic status (AOR: 4.14, 95% CI: 1.03‐16.54), while male gender showed inverse association (AOR: 0.08,95% CI: 0.01‐0.99). Conclusion Geriatric syndromes are common in older COPD patients, and assessment for them should be done routinely in these patients.