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The Clinical Management of Deconditioned Patient.
K I Prashchayeu1, A N Ilnitski1, T V Evdokimova1
1Belgorod State University, 85, Pobedy St., Belgorod, 308015, Russia.
Archives of Razi Institute
|June 5, 2023
Summary
Deconditioned elderly patients often develop geriatric syndromes like anxiety, depression, and fall risk six months post-infection. Interventions should address motor activity decline to improve outcomes and rehabilitation potential.
Area of Science:
- Gerontology
- Clinical Medicine
- Rehabilitation Science
Background:
- Deconditioning, characterized by subacute functional deficiency and tachycardia upon standing, affects elderly patients post-infection.
- A significant portion of elderly patients exhibit varying degrees of motor activity disorders six months after treatment.
- The study highlights the heterogeneity in functional status among elderly patients despite a homogeneous somatic structure.
Purpose of the Study:
- To investigate the clinical manifestations and management of deconditioned elderly patients.
- To assess the impact of deconditioning on geriatric syndromes and functional status six months post-treatment.
- To identify predictors of poor outcomes and reduced rehabilitation potential in this population.
Main Methods:
- A cohort of 172 elderly patients (65-74 years) were assessed six months after infectious disease treatment.
- Patients were categorized into four groups based on motor activity indicators, serving as a criterion for adaptive function.
- Comprehensive geriatric assessments included motor activity questionnaires, muscle strength measurements, and evaluations for anxiety, depression, sleep quality, malnutrition risk, and fall syndrome.
Main Results:
- Six months post-treatment, 73.8% of patients showed motor activity disorders, ranging from mild to significant.
- Moderate and significant motor activity disorders were associated with a higher incidence of fall syndrome.
- Deconditioning led to an increase in anxiety and depression, decreased sleep quality, elevated malnutrition risk, and significant muscle strength decline (dinapenia), particularly in lower extremities.
Conclusions:
- Deconditioning in elderly patients manifests as a cascade of geriatric syndromes, including anxiety, depression, sleep disturbances, hypomobility, dinapenia, and increased fall risk.
- Significant motor activity disorders are linked to muscle weakness and increased fall risk, diminishing rehabilitation potential.
- Early identification and management of deconditioning are crucial for mitigating geriatric syndromes and improving functional recovery in elderly patients.
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