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Related Experiment Videos

Thyroid screening in elderly hospital patients.

E Byrne, D H Gilmore, T R Beringer

    The Ulster Medical Journal
    |April 1, 1988
    PubMed
    Summary

    Screening elderly hospital patients for thyroid disease revealed significant prevalence of hypothyroidism and hyperthyroidism. Clinical assessment alone was insufficient, highlighting the value of biochemical screening.

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    Area of Science:

    • Endocrinology
    • Geriatric Medicine
    • Public Health Screening

    Background:

    • Thyroid dysfunction is common in the elderly.
    • Early detection and treatment can prevent complications.
    • Clinical assessment alone may miss subclinical cases.

    Purpose of the Study:

    • To determine the prevalence of thyroid disease in elderly hospital patients.
    • To evaluate the effectiveness of combined clinical and biochemical screening.
    • To assess the utility of clinical judgment versus biochemical testing.

    Main Methods:

    • A screening program was conducted on 214 elderly patients.
    • Included clinical evaluation and biochemical assessment of thyroid function.
    • Prevalence rates for various thyroid conditions were calculated.

    Main Results:

    • Prevalence of untreated hypothyroidism: 2.8%.
    • Prevalence of treated hypothyroidism: 2.8%.
    • Prevalence of untreated hyperthyroidism: 0.9%.
    • Prevalence of sub-clinical hypothyroidism: 4.7%.
    • Prevalence of non-thyroidal illness: 3.3%.
    • One case of hypopituitarism identified.
    • Clinical judgment alone showed poor accuracy.

    Conclusions:

    • Thyroid disease, including subclinical forms, is prevalent in elderly hospital patients.
    • Biochemical screening is essential for accurate diagnosis.
    • Screening programs offer significant benefits despite associated costs.

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