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Published on: November 7, 2014
Gastroparesis in geriatrics population: A United States population study
Saad Saleem1, Zahid Ijaz Tarar2, Muhammad Aziz3
1Department of Internal Medicine, Sunrise Hospital and Medical Center, Las Vegas, NV, United States.
Insights
Older adults with gastroparesis present with more bloating and early satiety, unlike younger patients who experience more nausea, vomiting, and abdominal pain. This highlights key differences in gastroparesis symptom presentation between age groups.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Clinical Research
Background:
- Older adults with upper gastrointestinal diseases often present with atypical symptoms, complicating accurate diagnosis.
- Gastroparesis, a condition affecting stomach emptying, requires understanding age-specific clinical presentations.
Purpose of the Study:
- To compare the demographics, clinical presentation, and surgical management of gastroparesis in older adults (≥70 years) versus younger populations (<70 years).
Main Methods:
- Utilized the National Inpatient Sample database from 2012-2014.
- Analyzed patient data with a primary diagnosis of gastroparesis.
- Stratified patients into two age groups: 70 years and older, and younger than 70 years.
Main Results:
- Older adults were significantly more likely to report early satiety (OR=3.79) and bloating (OR=2.80) compared to younger patients.
- Conversely, older adults had lower odds of experiencing nausea with vomiting (OR=0.86) and abdominal pain (OR=0.56).
Conclusions:
- Gastroparesis symptom presentation differs significantly between older adults and younger individuals.
- Older patients predominantly exhibit early satiety and bloating, while younger patients are more prone to nausea, vomiting, and abdominal pain.
Background:
Older patients with upper gastrointestinal diseases may lack disease-specific symptoms that are required to make the correct diagnosis. This study aimed to compare the gastroparesis demographics, clinical presentation, and surgical management between the older adult and young populations.
Methods:
The National Inpatient Sample database was used between the years 2012 and 2014 with the primary diagnosis of gastroparesis. Patients were further divided based on their age into two groups: 70 years or older and younger than 70 years.
Results:
The older adults were more likely to have early satiety and bloating compared to younger population with an odds ratio (OR) = 3.79; 95% Confidence Interval (95%CI) 2.80- 5.11, p < 0.0001 and OR = 2.80, 95%CI 2.07-3.78, p<0.0001 respectively. Older adults had low odds of having nausea with vomiting (OR = 0.86, 95%CI 0.76-0.95, p = 0.003), or abdominal pain (OR = 0.56, 95%CI 0.50-0.63, p<0.0001).
Conclusions:
Older adults had more early satiety and bloating, whereas younger patients had more nausea with vomiting and abdominal pain.
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