Comorbidity in elderly patients with varying degrees of "fragility" (senile asthenia)

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The article presents the results of a study of comorbidity in elderly patients with varying degrees of "fragility" (senile asthenia). It was found that almost all elderly patients (93.1%) have a comorbid background, and most patients (75.5%) have a severe degree of comorbidity — 6 points or more on the Charlson comorbidity scale.

A statistically significant strong relationship was found between frailty syndrome (FSS) and the Charlson comorbidity index, as well as the severity of comorbidity. Thus, in patients with FSS, the average comorbidity scores are significantly higher than in patients without FSS and with preasthenia. With increasing severity of frailty, the proportion of patients with severe comorbidity significantly increases, and with moderate comorbidity severity significantly decreases.

The most common nosologies in the structure of comorbid pathology in all elderly patients are arterial hypertension, type 2 diabetes mellitus, and ischemic heart disease. Statistically significant differences were found only for two nosologies — arterial hypertension and chronic heart failure, the frequency of which depends on the degree of "fragility" of the patient.

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作者简介

Sergey Puzin

Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

Email: pusinserg@mail.ru

postgraduate student of the Department of Geriatrics and Medical and Social Expertise 

俄罗斯联邦, Moscow

Karin Mirzaev

Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

Email: karin05doc@yandex.ru

MD, Associate Professor, Vice-Rector for Research and Innovation

俄罗斯联邦, Moscow

Sevda Chandirli

Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

编辑信件的主要联系方式.
Email: cha-seva2@yandex.ru

MD, Associate Professor of the Department of Geriatrics and Medical and Social Expertise 

俄罗斯联邦, Moscow

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2. Fig. 1. Prevalence of concomitant diseases in the structure of morbidity in elderly patients

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3. Fig. 2. Scoring of comorbidity in elderly patients with varying degrees of “fragility” (senile asthenia)

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4. Fig. 3. Severity of comorbid pathology in elderly patients with varying degrees of “fragility” (senile asthenia)

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