Osteoarthritis and geriatric syndromes

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

doi:https://doi.org/10.17116/jnevro201911909290

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Abstract:

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

SPIN RSCI: 6129-5809
Scopus AuthorID: 6602941818
ResearcherID: M-4510-2014
ORCID: 0000-0002-4193-688X

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References:

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