Comprehensive clinical diagnosis of older adults attended in Peru

Authors

DOI:

https://doi.org/10.15649/cuidarte.2485

Keywords:

Clinical Diagnosis, Integral Healthcare Practice, Health of the Elderly, Aged, Demographic Data, Peru

Abstract

Introduction: Older adults are the most vulnerable population group and the least favored by health systems. They go through a process of progressive involution that can have health repercussions; therefore, timely and adequate clinical diagnosis becomes relevant to identify possible alterations. Objective: To establish a comprehensive clinical diagnosis according to sex and age of older adults attended nationally in Peru. Materials and Methods: A descriptive, cross-sectional, and retrospective study was conducted between March and April 2021 on 60,698 older adults attended in all the departments of Peru. Physical, functional, mental, and social examination of the older adults was conducted using the Medical Record of Comprehensive Health Care for Older Adults, interpreted using its technical guide. Absolute and relative frequencies, 95% confidence intervals for proportions, and the chi-square test of homogeneity were described. Results:49.4% of older adults were ill, of which 50.8% were women and 47.4% were men; 50.0% were aged 60 to 69 years, 50.6% were aged 70 to 79 years, and 46.1% were aged 80 years and over. Statistically significant differences were found among comprehensive clinical diagnosis, sex, and age (p = 0.000). Discussion: Regardless of the number of participants in all the contexts studied, at least one chronic disease moderately coexists in older adults, without the place where they live being a determining factor, since the aging process can only be different in its speed of progression and in the conditions in which it occurs. Conclusions: Most of the older adults were ill, female, and aged 70 to 79 years; differences in sex and age in the comprehensive clinical diagnosis were significant. Interventions at earlier stages may contribute significantly to healthy aging.

How to cite this article: Asenjo-Alarcón José Ander. Diagnóstico clínico integral de adultos mayores atendidos en Perú. Revista Cuidarte. 2022;13(2): e2485. http://dx.doi.org/10.15649/cuidarte.2485     

Author Biography

José Ander Asenjo-Alarcón, Universidad Nacional Autónoma de Chota

Universidad Nacional Autónoma de Chota, Chota, Perú.

References

Pilotto A, Custodero C, Maggi S, Polidori MC, Veronese N, Ferrucci L. A multidimensional approach to frailty in older people. Ageing Res Rev. 2020; 60:101047. https://doi.org/10.1016/j.arr.2020.101047

Yao S-S, Meng X, Cao GY, Huang ZT, Chen ZS, Han L, et al. Associations between Multimorbidity and Physical Performance in Older Chinese Adults. Int J Environ Res Public Health. 2020;17(12):4546. https://doi.org/10.3390/ijerph17124546

Hu X, Sun X, Li Y, Gu Y, Huang M, Wei J, et al. Potential gains in health-adjusted life expectancy from reducing four main non-communicable diseases among Chinese elderly. BMC Geriatr. 2019;19(1):16. https://doi.org/10.1186/s12877-019-1032-3

Gomes RDS, Barbosa AR, Meneghini V, Confortin SC, d'Orsi E, Rech CR. Association between chronic diseases, multimorbidity and insufficient physical activity among older adults in southern Brazil: a cross-sectional study. Sao Paulo Med J. 2020; 138(6):545-53. https://doi.org/10.1590/1516-3180.2020.0282.R1.15092020

Yao SS, Cao GY, Han L, Chen ZS, Huang ZT, Gong P, et al. Prevalence and Patterns of Multimorbidity in a Nationally Representative Sample of Older Chinese: Results From the China Health and Retirement Longitudinal Study. J Gerontol A Biol Sci Med Sci. 2020;75(10):1974-80. https://doi.org/10.1093/gerona/glz185

Kshatri JS, Palo SK, Bhoi T, Barik SR, Pati S. Prevalence and Patterns of Multimorbidity Among Rural Elderly: Findings of the AHSETS Study. Front Public Health. 2020; 8:582663. https://doi.org/10.3389/fpubh.2020.582663

Yadav UN, Ghimire S, Mistry SK, Shanmuganathan S, Rawal LB, Harris M. Prevalence of non-communicable chronic conditions, multimorbidity and its correlates among older adults in rural Nepal: a cross-sectional study. BMJ Open. 2021;11(2): e041728. https://doi.org/10.1136/bmjopen-2020-041728

Melo LA, Lima KC. Prevalence and factors associated with multimorbidities in Brazilian older adults. Cien Saude Colet. 2020;25(10): 3869-77. https://doi.org/10.1590/1413-812320202510.34492018

Tully MA, McMullan I, Blackburn NE, Wilson JJ, Bunting B, Smith L, et al. Sedentary behavior, physical activity, and mental health in older adults: An isotemporal substitution model. Scand J Med Sci Sports. 2020;30(10):1957-65. https://doi.org/10.1111/sms.13762

Moreno-Tamayo K, Manrique-Espinoza B, Ramírez-García E, Sánchez-García S. Social isolation undermines quality of life in older adults. Int Psychogeriatr. 2020; 32(11):1283-92. https://doi.org/10.1017/S1041610219000310

Ribeiro O, Teixeira L, Araújo L, Rodríguez-Blázquez C, Calderón-Larrañaga A, Forjaz MJ. Anxiety, Depression and Quality of Life in Older Adults: Trajectories of Influence across Age. Int J Environ Res Public Health. 2020;17(23):9039. https://doi.org/10.3390/ijerph17239039

Samuel J, Flores W, Frisancho A. Social exclusion and universal health coverage: health care rights and citizen-led accountability in Guatemala and Peru. Int J Equity Health. 2020;19(1):216. https://doi.org/10.1186/s12939-020-01308-y

Tian W-H, Tien JJ. Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan. Int J Environ Res Public Health. 2020;17(19):7196. https://doi.org/10.3390/ijerph17197196

Marques Bernardes G, Saulo H, Nobre Fernandez R, Lima-Costa MF, Andrade FB. Catastrophic health expenditure and multimorbidity among older adults in Brazil. Rev Saude Publica. 2020; 54:125. https://doi.org/10.11606/s1518-8787.2020054002285

Ministerio de Salud del Perú. Plataforma nacional de datos abiertos, Adulto mayor. Plataforma Nacional de Datos abiertos. 2021. https://www.datosabiertos.gob.pe/dataset/minsa-adulto-mayor

Asenjo-Alarcón JA. Matriz diagnóstico clínico del adulto mayor. Mendeley Data. 2022. http://dx.doi.org/10.17632/h8pywf97ps.1

Jeon Y-J, Pyo J, Park Y-K, Ock M. Health behaviors in major chronic diseases patients: trends and regional variations analysis, 2008-2017, Korea. BMC Public Health. 2020; 20(1):1813. https://doi.org/10.1186/s12889-020-09940-7

Dumurgier J, Tzourio C. Epidemiology of neurological diseases in older adults. Rev Neurol (Paris). 2020; 176(9):642-48. https://doi.org/10.1016/j.neurol.2020.01.356

Carrillo-Larco RM, Bennett JE, Di-Cesare M, Gregg EW, Bernabe-Ortiz A. The contribution of specific non-communicable diseases to the achievement of the Sustainable Development Goal 3.4 in Peru. PLoS One. 2020;15(10): e0240494. https://doi.org/10.1371/journal.pone.0240494

Li Q, Zheng D, Lin H, Zhong F, Liu J, Wu Y, et al. High Circulating Follicle-Stimulating Hormone Level Is a Potential Risk Factor for Renal Dysfunction in Post-Menopausal Women. Front Endocrinol (Lausanne). 2021; 12:627903. https://doi.org/10.3389/fendo.2021.627903

Sinikumpu S-P, Jokelainen J, Haarala AK, Keränen M-H, Keinänen-Kiukaanniemi S, Huilaja L. The High Prevalence of Skin Diseases in Adults Aged 70 and Olde. J Am Geriatr Soc. 2020;68(11):2565-71. https://doi.org/10.1111/jgs.16706

Cai Z, Li H. An Updated Review: Androgens and Cognitive Impairment in Older Men. Front Endocrinol (Lausanne). 2020; 11:586909.https://doi.org/10.3389/fendo.2020.586909

Kim HI, Yoon JY, Kwak MS, Cha JM. Real-World Use of Colonoscopy in an Older Population: A Nationwide Standard Cohort Study Using a Common Data Model. Dig Dis Sci. 2021;66(7):2227-34. https://doi.org/10.1007/s10620-020-06494-x

Liberale L, Montecucco F, Tardif JC, Libby P, Camici GG. Inflamm-ageing: the role of inflammation in age-dependent cardiovascular disease. Eur Heart J. 2020; 41(31):2974-82. https://doi.org/10.1093/eurheartj/ehz961

Li PS, Hsieh CJ, Miao NF. A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan. J Nurs Res. 2020;28(6): e124. https://doi.org/10.1097/JNR.0000000000000402

Published

2022-06-24

How to Cite

1.
Asenjo-Alarcón JA. Comprehensive clinical diagnosis of older adults attended in Peru. Revista Cuidarte [Internet]. 2022 Jun. 24 [cited 2024 Jul. 3];13(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2485

Issue

Section

Investigation Article

Categories

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)