THE FEATURES OF THE PREVALENCE OF GERIATRIC SYNDROMES IN PATIENTS REFERRED TO THE PLANNED SURGICAL TREATMENT OF AORTIC DISEASES
Introduction. In the elderly and senile age, the problem of aortic diseases occupies a special place, because the aorta as an independent organ at this age has its own characteristics. The least conducted research to study the characteristics of geriatric status in patients with aortic diseases, in particular, depending on the segment in which the intervention was carried out, which led to the relevance of the study. Purpose of research. To study the features of the prevalence of geriatric syndromes in patients referred for routine surgical treatment of aortic diseases. Material and methods. The study was conducted during 2015-2018 as part of the international study”GIRAFFE - Gerontological International Research Against Frailty: Fit Experience". The study included 159 patients. The main group consisted of elderly patients aged 60 to 74 years. The mean age of patients was 67.3+3.2 years. The division of patients into segments of the aorta, on which the operation was performed, due to the fact that the submitted literature there are differences during the postoperative period in these groups of patients. Geriatric status of patients was evaluated before surgery when referred for planned surgical treatment, 1 month after surgery and 6 months after surgery. Results. When compared with each other in the structure of elderly patients, the number of syndromes in patients operated on different segments of the aorta, it turned out that the cognitive profile in patients who were operated on the abdominal segment of the aorta was worse than in patients who were operated on the abdominal -iliac segment of the aorta. At the ripe age the only measure that reliably deteriorated compared with the indices 1 month after the operation, was an indicator of cognitive disorders moderate degree. Summary. Preoperative status in the elderly is characterized by the presence of geriatric syndromes associated with aging of the cognitive sphere and musculoskeletal system. Operations on the abdominal segment of the aorta were characterized by more negative dynamics of geriatric status than operations on the abdominal-iliac segment of the aorta.