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[Clinico-statistical study on pyometra in high-aged outpatients]
K Akazawa1, H Takamori, H Yasuda
1Department of Gynecology, Tokyo Metropolitan Tama Geriatric Hospital.
Nihon Sanka Fujinka Gakkai Zasshi
|November 1, 1991
Summary
Pyometra, a uterine infection, is more common in older women, especially those with limited mobility or incontinence. This study highlights key risk factors and features of pyometra in the elderly population.
Area of Science:
- Geriatric Medicine
- Gynecology
- Infectious Diseases
Context:
- Pyometra is a serious uterine condition often affecting older women.
- Previous research has not fully elucidated the specific risk factors and clinical features in elderly patients.
- This study focuses on a cohort of outpatients aged 60 and above.
Purpose:
- To investigate the incidence and clinical characteristics of pyometra in elderly outpatients.
- To identify significant risk factors associated with pyometra in this demographic.
- To analyze the etiological agents and laboratory findings in elderly pyometra cases.
Summary:
- Pyometra was diagnosed in 13.6% of eligible elderly outpatients, with incidence increasing significantly with age.
- Poor daily living activity (76.2%) and urinary/rectal incontinence (30.2%) were strongly associated with pyometra.
- Peripheral leukocyte and C-reactive protein (CRP) abnormalities were common (34.5% and 70.4%, respectively), with mixed aerobic/anaerobic infections frequently observed.
Impact:
- Identifies immobility and incontinence as critical risk factors for pyometra in the elderly.
- Provides crucial data on the prevalence and clinical presentation of pyometra in older adults.
- Informs clinical practice for early detection and management of pyometra in geriatric patients.