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Related Experiment Videos

[Screening for thyroid disorders in elderly patients].

Roberto Torre1, Patrizia Del Monte, Donatella Bernasconi

  • 1UO Medicina Interna, Ospedale S.Nicolò, Levanto. tarreo@libero.it

Recenti Progressi in Medicina
|July 14, 2004
PubMed
Summary
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Endocrine·2020

Thyroid function alterations are common in elderly hospital patients, with 12.6% diagnosed. Early thyroid screening for free thyroxine (FT4) and thyroid-stimulating hormone (TSH) in older adults improves patient outcomes.

Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Internal Medicine

Context:

  • Thyroid diseases often present non-specifically in elderly patients, leading to underdiagnosis.
  • Thyroid function alterations are more prevalent in older individuals compared to younger adults.
  • Hospitalized elderly patients represent a population at risk for undiagnosed thyroid conditions.

Purpose:

  • To determine the incidence of thyroid function alterations in elderly patients admitted to an internal medicine ward.
  • To analyze the types and prevalence of specific thyroid disorders within this demographic.
  • To evaluate the clinical utility of routine thyroid function testing upon hospital admission for the elderly.

Summary:

  • A one-year study of 300 elderly patients revealed thyroid function alterations in 12.6%.

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  • Hypothyroidism was the most common, affecting 45% of those with alterations (including overt, sub-clinical, and secondary forms).
  • Hyperthyroidism and low T3 syndrome were also observed, highlighting the spectrum of thyroid dysfunction in this age group.

    • Impact:

    • The findings underscore the high rate of unrecognized thyroid disease in hospitalized elderly patients.
    • Routine screening for FT4 and TSH upon admission is recommended to facilitate timely diagnosis and treatment.
    • Early diagnosis and management of thyroid dysfunction in the elderly can lead to significant clinical benefits and justify screening costs.