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Khovasova N.O.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Clinical and Research Center of Gerontology of Pirogov Russian National Research Medical University, Moscow, Russia

Moroz V.I.

Russian Clinical and Research Center of Gerontology of Pirogov Russian National Research Medical University, Moscow, Russia

Tkacheva O.N.

Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia

Osteoarthritis and geriatric syndromes

Authors:

Khovasova N.O., Moroz V.I., Tkacheva O.N.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(9‑2): 90‑98

DOI: 10.17116/jnevro201911909290

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OSTEOARTHRITIS AND GERIATRIC SYNDROMES
OSTEOARTHRITIS AND GERIATRIC SYNDROMES

To cite this article:

Khovasova NO, Moroz VI, Tkacheva ON. Osteoarthritis and geriatric syndromes. S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(9‑2):90‑98. (In Russ.)
https://doi.org/10.17116/jnevro201911909290

Подписка 2025-2 (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
 
 
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Objective. To study the geriatric status of patients with osteoarthritis (OA) older than 60 years depending on the severity of frailty. Material and methods. The study included 201 patients with OA (mean age 75.84±8.09 years). The patients were divided into 3 groups: patients without frailty, patients with prefrailty and patients with frailty. Along with clinical examination, the risk of falls, pain intensity, the Charlson comorbidity index and the number of geriatric syndromes were calculated. Results and conclusion. With the increase of frailty, the number of patients experiencing difficulties in movement increases. The physical activity of the patients gradually reduces with the appearance of prefrailty and significantly reduces in OA. At the same time, there is the increase in dependence on outside help, the decrease in IADL and walking speed. The most common geriatric syndromes in patients with OA are sensory deficits, chronic pain syndrome and falls. The neuropathic component of pain is diagnosed in every tenth patient with OA without frailty and in every third patient with OA and frailty. In light of results obtained in the study, the authors suggest detailed recommendations for treatment of patients.

Keywords:

osteoarthritis
geriatric syndrome
frailty
chronic pain syndrome
neuropathic component of pain
falls
NSAIDs
chondroitin sulfate
Hondroguard

Authors:

Khovasova N.O.

Pirogov Russian National Research Medical University, Moscow, Russia;
Russian Clinical and Research Center of Gerontology of Pirogov Russian National Research Medical University, Moscow, Russia

Moroz V.I.

Russian Clinical and Research Center of Gerontology of Pirogov Russian National Research Medical University, Moscow, Russia

Tkacheva O.N.

Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia

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