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Screening of thyroid function in the hospitalized aged.

M T Jussila, R H Kaarela, R J Heikinheimo

    Archives of Gerontology and Geriatrics
    |July 1, 1987
    PubMed
    Summary

    Systematically screening all elderly hospital patients for thyroid issues identified significantly more new cases of hypothyroidism and hyperthyroidism compared to testing only when symptoms were suspected.

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    Area of Science:

    • Geriatric Medicine
    • Endocrinology
    • Diagnostic Testing

    Background:

    • Thyroid dysfunction is common in the elderly.
    • Diagnosis is often delayed or missed when relying solely on clinical suspicion.
    • Systematic screening may improve early detection rates.

    Purpose of the Study:

    • To evaluate the yield of systematic thyroid testing in geriatric patients.
    • To compare systematic screening versus testing based on clinical suspicion.
    • To determine if routine thyroid function tests are beneficial in this population.

    Main Methods:

    • A thyroid test was administered to all patients admitted to a geriatric department.
    • Thyroid test results were compared between systematic screening and a control group tested only on clinical suspicion.
    • New cases of hypothyroidism and hyperthyroidism were documented.

    Main Results:

    • Systematic screening detected 17 new cases of hypothyroidism versus 2 in the suspicion-based group.
    • Systematic screening detected 34 new cases of hyperthyroidism versus 21 in the suspicion-based group.
    • A higher incidence of both hypo- and hyperthyroidism was observed with systematic testing.

    Conclusions:

    • Systematic thyroid testing in all elderly hospital admissions is valuable.
    • Routine thyroid screening can identify more new cases of thyroid dysfunction.
    • Thyroid function testing (T4) is recommended for systematic use in geriatric patients.

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