COMPREHENSIVE EPIDEMIOLOGICAL ANALYSIS OF COMORBID PATHOLOGY IN PATIENTS WITH SENILE ASTHENIA SYNDROME
Senile asthenia is one of the most unfavorable variants of aging, while patients with senile asthenia syndrome are quite heterogeneous and a comprehensive analysis of such patients is necessary, taking into account comorbid pathology. For modern geriatrics, it is extremely important to use an individual approach, taking into account functional deficiency and concomitant pathologies. The purpose of this work was to determine the presence of senile asthenia syndrome and the relationship with comorbid pathology in the conditions of the therapeutic department of a multidisciplinary hospital. In the course of the work, data from a random sample of 301 people were analyzed. After that, patients older than 60 years were selected (177 patients, the age of patients ranged from 60 to 93 years, averaging 71.34 ± 11.0 years.). After that, the frequency of occurrence of comorbid pathology was determined. Then, on the basis of validated questionnaires, patients with CA syndrome were identified and the comorbid pathology of this group was evaluated. The average score on the questionnaire "Age is not a hindrance" was 2 points [1;5], on the MMSE scale - 16 points [25;10], on the IADL scale - 18 points [22;10], on the VAS scale - 39.1% + 16.3%, thus 40.7% of patients were diagnosed with the syndrome CA, 28.8% - preasthenic condition, 30.5% - no violations were detected. Evaluation of the frequency of comorbid pathology in individuals with CA syndrome demonstrated that the most common pathology is cardiovascular diseases, diabetes mellitus and chronic kidney disease. The incidence of CA syndrome in the conditions of the therapeutic department was 40.7%, these patients are associated with a higher incidence of comorbid pathology. These data indicate the need to assess comorbid pathology for the diagnosis and treatment of patients with CA syndrome.