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. 2022 May 12;5(2):106-112.
doi: 10.1002/agm2.12208. eCollection 2022 Jun.

Association of geriatric syndromes in older adults with chronic obstructive pulmonary disease

Nidhi Soni  1 , Joyita Banerjee  1 , Venugopalan Gunasekaran  1   2 , Mamta Saini  1 , Vishwajeet Singh  3 , Pramod Kumar  1 , Avinash Chakrawarty  1 , Prasun Chatterjee  1 , Aparajit Ballav Dey  1
Affiliations

Association of geriatric syndromes in older adults with chronic obstructive pulmonary disease

Nidhi Soni et al. Aging Med (Milton). .

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.

Keywords: chronic obstructive pulmonary disease; dyspnoea; geriatric syndrome.

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Conflict of interest statement

6There are no conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Frequency of individual geriatric syndromes in patients with COPD patients. Abbreviations: ADL, activities of daily living; COPD, chronic obstructive pulmonary disease; IADL, instrumental activities of daily living
See this image and copyright information in PMC

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