Depression and anxiety among the elderly persons from institutional and noninstitutional settings in the field practice area of a tertiary-care institute, Andhra Pradesh: a comparative study

Author(s):  
Praveen BA ◽  
Sharvanan Udayar ◽  
Sai Sravan ◽  
Arun D
2021 ◽  
Vol 11 (2) ◽  
pp. 284-288
Author(s):  
Jyoti Tiwari ◽  
Sumit Rawat ◽  
Amit Jain ◽  
Diwashish Biswas

The elderly population is increasing rapidly globally, and presently, India has the second largest number of elderly persons in the country. Estimates of health disorders of the elderly in developing countries are required to predict trends in disease burden and to plan better health care facilities for the elderly population in the society. To study the profile of medical disorders & outcomes in the elderly patients admitted in the medicine wards of Bundelkhand Govt. Medical College, Sagar, MP. Which is a rural Government medical college of central India. This is a retrospective, observational study design. The study conducted in the indoor patients of Bundelkhand Medical College & Hospital Sagar, MP in the span of 6 months starting from Feb 2019 to July 2019 & total of 970 patients, aged 60- 90yrs were enrolled. The data were obtained from MRD of BMC Sagar & by review of records, data were collected and statistically analysed. Our study has total (n=970), out of which (n=581, 59.9%) were males & (n=389, 41.1%) were females. Mean age of males- 67.6±7.53, Mean age of females-68.4±7.98. Highest patients were in the age group of 60-69yrs (n=590, 60.8%). Among system involvement, Respiratory system (27%), Cardiovascular system (22.3%), GIT (11.4%), Cerebrovascular (7.7%), Genitourinary (5.7%) , Endocrine (5.1%), Infections (4.7%) and cancers (4.1) .In our patients 75.1% were discharged, 7.2% cases of DOR , 6.2% patients were LAMA. Death was in 4.6% and 0.6% cases were referred to higher center. The study shows highest cases of COPD (15.2%) followed by CAD (13.1%), Pulmonary TB (7.6%), Cerebrovascular accidents (6.1%), Hypertension (6.0%), Diabetes mellitus (4.5%), UTI (4.1%) and cancers (4.1%) in the geriatric patients of our study.


2016 ◽  
Vol 17 (1) ◽  
pp. 27-29
Author(s):  
Chandra Shekhar Bala ◽  
Sarmistha Biswas ◽  
Md Mahfuze Sarkar ◽  
Prodip Kumar Sarkar ◽  
Maimuna Sultana ◽  
...  

Introduction: Population demography of the world including Bangladesh is on transition. The increasing number of elderly persons has a direct impact on the demand for health services due to the consequent rise in degenerative diseases of aging and changing life style. The chief objective was to know the median age of the medical inpatients.Methods: This was an observational study. It was conducted in the wards of Medicine department of Dhaka Medical College Hospital from the 1st of March to 15th March.Result: Median age of the admitted patients is 44.5 years. Highest admission is from the 6th to 8th decade of age group. A total of 176 patients (31.88%) were above the ageof 60 years.Discussion: Median age is one of the important measures of population aging. Global median age is 29 years whereas median age of Bangladeshi population is 22 years. The medianage of medical inpatients is relatively high. Percentage of patients aged more than 50 years are doubled in two decades.Conclusion: It is evident that the face of patients in medicine wards is growing older. We must redistribute our resources to deal the conditions and diseases prevalent to the elderly people. We must be kept our preparedness up to date to serve the senior citizens.J MEDICINE January 2016; 17 (1) : 27-29


2001 ◽  
Vol 13 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Harsh Prem Jhingan ◽  
Rajesh Sagar ◽  
Ravindra Mohan Pandey

Objective: To study the 12-month outcome of late-onset depression in elderly persons and the predictive factors affecting its outcome. Method: This is a prospective study of 50 patients who had their first major depressive episode (according to DSM-III-R) in old age (60 years and above) and attended the psychiatry services of a tertiary care hospital in India. These patients were assessed at baseline and after 12 months for clinical outcome. Stepwise logistic regression was applied to determine predictive factors for the clinical outcome. Results: Twenty-eight percent of the patients had recovered, 30% had partially recovered, 23% had relapsed, 6% had been continuously ill, 11% had died, and 6% had comorbid dementia. Factors predicting a good outcome (full recovery and continuously well for 1 year) were shorter duration of episode (adjusted odds ratio [OR] = 19.15, 95% confidence interval [CI] 2.12-172.82) and living in joint family system (adjusted OR = 4.88, 95% CI 0.80-29.74). Conclusion: Overall, the 12-month outcome was poor in elderly individuals with late-onset depression.


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