scholarly journals Korelasi antara Usia dan Derajat Osteoartritis Sendi Lutut Berdasarkan Sistem Klasifikasi Kellgren-Lawrence di RSUP Dr. Hasan Sadikin Bandung Tahun 2019-2020

2021 ◽  
Vol 3 (1) ◽  
pp. 16-25
Author(s):  
Jonathan J Sibarani ◽  
Atta Kuntara ◽  
Renaldi P H N Rasyid

Osteoarthritis is a joint disease that commonly causes disability in the elderly. Thisresearch aimed to find the correlation between age and primary knee osteoarthritis gradeaccording to the Kellgren-Lawrence classification system in patients in the Department ofRadiology of RSUP Dr. Hasan Sadikin Bandung. This research was a cross-sectional study. Thisresearch used Spearman’s correlation method. This research used X-ray results from theDepartment of Radiology of RSHS from 1 January 2019-29 February 2020 (n=67). The grade ofknee osteoarthritis was diagnosed by a radiology consultant of RSHS. This study found thatprimary knee osteoarthritis was most commonly found in the 55-59 years age group, as many as14 patients (20,9%) and least commonly found in the 40-44 years age group, as many as 2 patients(3%). Severe osteoarthritis was most commonly found in the 55-59 years age group and 60-64years age group with the number of severe osteoarthritis patients within each age group were 3patients (33,3%). The correlation coefficient was -0,15 (p=0,224) hence there was no correlationbetween age and grade of primary knee osteoarthritis. Conclusion, there was no correlationbetween age and grade of primary knee osteoarthritis in the Radiology Department of RSHS in2019-2020.Keywords: Age; correlation; Kellgren-Lawrence; primary knee osteoarthritis

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0011
Author(s):  
Basuki Supartono ◽  
Riza Amalia ◽  
Ika Satya ◽  
Sugeng Wiyono

Osteoarthritis is a degenerative joint disease which is related with the damage of cartilage. Xray is one of the osteoarthritis radiological examinations but only to see the damage of bone not cartilage. One of an effective examination to visualize the damage of cartilage is Ultrasound. The objective of this study is to determine the relation between osteoarthritis grading scale with cartilage ultrasonographic in knee osteoarthritis patients. This was a Cross-sectional study on 32 knee osteoarthritis patients. Statistical analysis was performed using Kolmogorov-Smirnov Test showed there was a correlation between osteoarthritis grading scale with cartilage ultrasonographic. The conclusion in this study, there is a significant correlation between osteoarthritis grading scale with cartilage ultrasonographic in knee osteoarthritis patients.


Author(s):  
Van Tuan Nguyen

TÓM TẮT Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và xác định một số yếu tố nguy cơ liên quan đến mức độ nặng thoái hóa khớp trên X-quang, siêu âm. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 96 bệnh nhân thoái hóa khớp gối nguyên phát theo tiêu chuẩn ACR 1991 tại bệnh viện Hữu nghị Đa khoa Nghệ An. Kết quả: Độ tuổi trung bình trong nghiên cứu là 76,8 ± 10,24, nhóm tuổi trên 70 chiếm tỷ lệ cao nhất là 54,71%. Nữ giới chiếm tỷ lệ 75%. BMI trung bình là 23,2 ± 1,08 kg/m2, trong đó BMI ≥ 23kg/m2 chiếm 75%. Triệu chứng đau cơ học chiếm 94,7%, cứng khớp buổi sáng dưới 30 phút 84,1%, lạo xạo khi cử động 88,74%, dấu hiệu bào gỗ 87,42%, bập bềnh xương bánh chè 5,3%. Gai xương khe đùi chè chiếm tỷ lệ cao nhất 81,48%, lệch trục khớp 52,98%, đặc xương dưới sụn 33,11%, siêu âm tràn dịch chiếm 20,53%, kén Baker 19,82%, Nhóm tuổi trên 60 có nguy cơ tổn thương trên X-quang cao gấp 12,72 lần và trên siêu âm cao gấp 14,6 lần so với nhóm tuổi dưới 60. Những bệnh nhân có BMI ≥ 23kg/m2 có nguy cơ tổn thương trên X-quang mức độ nặng cao gấp 2,24 lần nhóm có BMI < 23kg/m2. Kết luận: Thoái hóa khớp gối rất phổ biến ở người cao tuổi, đặc biệt ở nữ giới và tình trạng thừa cân béo phì. Các yếu tố như tuổi cao, tình trạng thừa cân béo phì có liên quan đến mức độ nặng của thoái hóa khớp gối trên X-quang và siêu âm. ABSTRACT CLINICAL, PARACLINICAL CHARACTERISTICS AND SOME RISK FACTORS FOR THE SEVERITY OF PRMARY KNEE OSTEOARTHRITIS Objetive: To describe clinical, paraclinical characteristics and expolore some risk factors regarding the severity of osteoarthritis based on X-ray and ultrasound findings. Methods: A prospective cross - sectional descriptive study was conducted on 96 patients with primary Results: The average age in the study was 76.8 ± 10.24, the age group of over 70 accounted for the highest rate of 54.71%. Women ratio made up 75%. The average BMI was 23.2 ± 1.08 kg/m2, of which the BMI ≥ 23kg/m2 accounted for 75%. Symptoms of mechanical pain accounted for 94.7%, knee stiffness in the morning less than 30 minutes 84.1%, knee crunch 88.74%, signs of wood plank 87.42%, patellar fluttering 5.3 %. The highest percentage of femoral cleft spines accounted for 81.48%, joint axis deviation 52.98%, subchondral solidification 33.11%, ultrasound effusion accounted for 20.53%, Baker’s cocoon 19.82%, The age group of over 60 had a 12.72 times higher risk of lesions on X-ray and on ultrasound 14.6 times higher than the age group under 60. The group of patients with BMI ≥ 23kg/m2 had the risk of severe lesions on X-ray 2.24 times higher than the group of patients with BMI < 23kg/m2. Conclusion: Osteoarthritis of the knee is very common in the elderly, especially female and obese subjects. Risk factors such as advanced age, overweight and obesity had the relation to the severity of the degeneration on radiographs and ultrasound. Keywords: Kneeosteoarthritis, X-ray, ulstrasonography knee osteoarthritis according to clinical criteria ACR 1991 at Nghe An general friendship hospital.


2019 ◽  
Vol 7 (1) ◽  
pp. 5-14 ◽  
Author(s):  
Marchel S. Vetrile ◽  
Aleksandr A. Kuleshov ◽  
Nikolai A. Eskin ◽  
Mikhail B. Tsykunov ◽  
Alexey I. Kokorev ◽  
...  

Aim. We defined the prevalence of back pain in children and adolescents aged 917 years with spinal deformities. Material and methods. The cross-sectional study included 230 students with different spinal deformities aged 917 years. The prevalence of back pain, intensity, location, and situations in which it occurred were assessed via questionnaire. Results. Among 230 respondents, 186 (80.9%) admitted that they had experienced back pain (mainly in the lumbar spine) at various frequencies within the year preceding the study. Mild pain was prevalent (71% of respondents). Girls experienced back pain significantly more frequently than boys. Conclusions. Back pain in children and adolescents requires clinical and instrumental examination, including X-ray. Back pain is a frequent phenomenon in children with different spinal deformities. Тhe incidence of pain in children and adolescents with spinal deformities in our study is statistically higher than that of healthy individuals of the same age group.


2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  


2019 ◽  
Vol 56 (1) ◽  
pp. 71
Author(s):  
Prabhjot Kaur

Micronutrients deficiency are often common in elderly people due to a number of factors like reduced food intake and lack of variety in foods they eat. To study the food habits, food pattern, dietary intake and their effect upon nutritional profile of elderly males belonging to rural and urban area. This was a cross sectional study done among 100 elderly males, 50 each belonging to HIG and LIG in various villages of district Ludhiana in the age group of 60 and above. A pretested, semi- structured questionnaire was used to collect the data. The data was analyzed by using different statistics formulas. The result shows that the average daily intake of energy by the elderly male respondents of HIG ranged from 1565 kcal to 1818 kcal and for respondents of LIG ranged from 1432 kcal to1660 kcal which was below the energy requirements given for 60+ age group based on their body weights. Significant association was found between knowledge and occupation, education, marital status and income. This study shows that the diet of the respondents of HIG were adequate in protein, fat, calcium, iron, vitamin C but were inadequate in energy, carbohydrates, fibre, carotene and riboflavin. The diets of elderly of LIG respondents were inadequate in all the major nutrients leading to nutritional deficiencies and making them more susceptible to diseases.


2022 ◽  
Vol 21 (1) ◽  
pp. 114-119
Author(s):  
Farhana Salim ◽  
Iffat Nowshin ◽  
Meherunnessa Begum

Aim: This was a descriptive cross sectional study with an aim to find out the occurrences of awareness and use of PPE among the radiographic workers. Methods: The study was conducted among 80 radiographic workers working in 30 different X-ray installations in Dhaka city. Data were collected by direct interviewing of the respondents by using structured questionnaires. Result: Out of all respondents, 93.8%were male and 6.2% were female. Fifty two percent were within the age group 31-40 years. Forty-five percent of all the respondents had higher academic qualification on radiography and eighty-six percent of them were trained in radiography. Ninetynine percent of the workers were aware about using personal protective equipments and Ninetyseven percent were aware about using monitoring devices. However PPE was used by ninety-two percent and radiation monitoring devices by only thirty-six percent. Conclusion: Appropriate protective devices and monitoring devices were not available in most the installations. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 114-119


2017 ◽  
Vol 28 (2) ◽  
pp. 62-66
Author(s):  
Mir Hasan Shakil Mahmud ◽  
Nusrat Rahman ◽  
Shipra Mandal

The level of functional dependency of elderly is increasing day by day. The old care homes have been markedly increased in recent years in Bangladesh. The purpose of the study was to identify the level of functional dependency and independency among activities of daily living for the elderly people of old care homes in Bangladesh. A cross sectional study was conducted with a structured and close ended interviewer administered questionnaire to collect information from 144 elderly people of five old care homes through convenient sampling technique. The results showed that, 38 participants were fully functional (score 6), 56 participants had score 4 and they had moderate impairment, 40 participants score was 2 or less which indicated severe functional impairment and 10 participants were totally dependent (score 0). The study also revealed that 58% of the elderly people in the age group 60-65 years were independent and 70% of the elderly people belonging to age group >70 were totally dependent. However, it has been evident that percentage of independency decreases with the increase of age. It was also found that respondents‘ at the age of 65 years and above were functionally dependent. This study also recommends for occupational therapy service in old care home.Bang J Psychiatry Dec 2014; 28(2): 62-66


2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Roberta Fernanda Rogonni Ferrari ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Celmira Lange ◽  
Lígia Carreira ◽  
Eraldo Schunk Silva

ABSTRACT A cross-sectional study with quantitative approach carried out with 387 community-dwelling elderly to identify their attitudes toward leisure activities in the cognitive, affective and behavioral dimensions. Data were analyzed using descriptive statistics, Fisher's association test and Spearman's correlation. Most participants were female, aged up to 80 years, married and had up to four years of schooling. The elderly had a predominantly positive attitude toward leisure in the three subscales, with a lower mean for the behavioral subscales, which indicated that some elders had a negative attitude. This was significantly associated with age, educational attainment, smoking status and functional capacity. In conclusion, a positive attitude and greater involvement in leisure activities allows health professionals to raise a critical reflection in the elderly, especially in their behavioral attitude to rethink the planning, opportunities and resources for leisure.


2019 ◽  
Vol 26 (1) ◽  
pp. 122
Author(s):  
Hendrayati Hendrayati ◽  
Putri Indah Nirmalasari

ABSTRACTIncreased Life Expectancy (UHH) in Indonesia is a success in the field of health and welfare. UHH can increase the elderly population (elderly) by decreasing mortality. The 2015 Central Bureau of Statistics (BPS) report, UHH in 2015 became 70.8 years and will increase to 72.2 years in 2030-2035, while in Maros district in 2015 for UHH increased to 68.55 years. The aging process in the elderly has the risk of non-communicable diseases, such as hypertension. The results of the Basic Health Research (Riskesdas) in 2013, showed that the health problems in the highest elderly were Hypertension with the category age of 55-64 years of 45.9%, 65-74 years of 57.6% and 75 years and over 63.8 %.Hypertension in the elderly can affect the level of dependence on the surrounding environment. The dependency ratio of Indonesia's elderly population in 2016 was 13.65%. This means that every 100 people of productive age must bear about 14 elderly residents. The dependency ratio in South Sulawesi is 14.62%, which means that every 100 productive residents in South Sulawesi must bear around 15 elderly residentsThis study is an analytical study with a cross sectional study design. The population in this study were all elderly  aged 60-80 years. Sampling using purposive sampling with sample criteria as follows: 60 - 80 years old, have a history of hypertension and / or have high blood pressure (≥ 140/90 mmHg) at the time of measurement, Willing to be interviewed, Not having hearing and memory disorders (senile) and can be invited to communicate clearly. Samples that fit the criteria in this study were 47 people.Research result is a disobedience to the hypertension diet in elderly people with very high hypertension reaches 91.5%, and insignificant relationship between nutritional status and the independence of the elderly both the age group <75 years and the age group ≥75 years with a significant value of each p = 0.619 and p = 0.191.There is a non-significant relationship between hypertension and the independence of the elderly both in the age group <75 years and the age group ≥75 years with a significant value of p = 0.447 and p = 0.362.The elderly with hypertension sufferers should always be given counseling and / or nutritional consultation to increase their understanding of the diet being undertaken


2021 ◽  
Vol 8 (03) ◽  
pp. 157-161
Author(s):  
Sreelaxmi Aitipamula ◽  
Veena Madireddy ◽  
Vijaya Kumari Mudunoor ◽  
Baranitharan S

BACKGROUND Abdominal cystic lesions are not so uncommon in the paediatric age group. Ultrasonography (USG) is the initial investigation of choice for detection of lesions. Computed tomography (CT) and magnetic resonance imaging (MRI) further compliment the findings of USG and help in the final diagnosis of various abdominal lesions in this age group. Because of the overlap in imaging features, histologic analysis is usually necessary to establish a diagnosis. The major role of the radiologist is to document the cystic nature of these abdominal masses and to determine the origin. Our aim was to study the incidence of cystic abdominal lesions in the paediatric age group and role of imaging in the diagnosis of various types of cystic lesions. METHODS This is a cross sectional study of 60 children who have been referred to radiology department with abdominal symptoms, over a period of 18 months (from April 2018 to September 2019) in Niloufer hospital, Hyderabad. Children suspected to have abdominal lesions have been referred to radiology department. USG is the initial investigation done and further CT / MRI has been done according to the findings on USG. Paediatric patients of age day 1 to 12 years, both male and female suspected to have abdominal cystic lesions either clinically or sonologically have been included in the study. Retroperitoneal lesions are excluded from study. RESULTS Out of the 60 patients studied, 44 patients were females and the rest were males. The most affected age group was between 0 - 1 year which constituted to 50 percent of the total cases studied. The most common pathologies are ovarian cyst and duplication cyst which constituted about 49 % of the cases. Statistical significance has been observed between the gender and incidence of cystic lesions. CONCLUSIONS Imaging plays a key role in the evaluation of various types of cystic lesions in the paediatric age group and arrive at a particular diagnosis based on specific imaging features. The radiologist must consider patient age, clinical parameters and imaging findings to formulate the likely diagnosis of cystic lesions. USG being cost effective, widely available and with no risk of radiation has been chosen as the first modality for investigation. KEYWORDS Cystic Lesions, USG, CT / MRI, Ovarian Cyst, Enteric Duplication Cyst


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