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Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
Year: 2011 Month: 9 Volume: 57 Issue 3
Original Article
Year: 2011
Month: 9
Valume: 57
Issue 3
Viewed 612 times
Received 01.04.2010
Accepted 01.02.2011
Identifying the Characteristics of Geriatric Patients who Referred to Outpatient Clinics of Physical Medicine and Rehabilitation: A Multicenter Descriptive Study
Doi: 10.4274/tftr.56933
Asuman Doğan;
Ankara Fizik Tedavi Rehabilitasyon Eğitim Araştırma Hastanesi 5. Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Esma Ceceli;
Ankara Eğitim Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Müyesser Okumuş;
Ankara Eğitim Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
N. Kutay Ordu GÖKKAYA;
Ankara Fizik Tedavi Rehabilitasyon Eğitim Araştırma Hastanesi 2. Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Yeşim Gökçe KUTSAL;
Hacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye
Pınar Borman;
Ankara Eğitim Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Pınar Öztop;
Başkent Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye
Özlem Altındağ;
Gaziantep Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Gaziantep, Türkiye
Ali Aydeniz;
Gaziantep Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Gaziantep, Türkiye
Mehmet Beyazova;
Gazi Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye
Nurten Eskiyurt;
İstanbul Üniversitesi İstanbul Tıp Fakültesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
Sibel Eyigör;
Ege Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye
Sami Hizmetli;
Cumhuriyet Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Sivas, Türkiye
Jale İrdesel;
Uludağ Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Bursa, Türkiye
Hale Karapolat;
Ege Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye
Ercan Madenci;
Gaziantep Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Gaziantep, Türkiye
Barış NACIR ;
Ankara Eğitim Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Özgür ORTANCIL;
Karaelmas Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Zonguldak, Türkiye
Nur Turhan;
Baskent University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
İlker Yağcı;
Marmara Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
Pelin Yazgan;
Harran Üniversitesi Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Şanlıurfa, Türkiye
Mailing Address
Asuman Doğan;
Ankara Fizik Tedavi Rehabilitasyon Eğitim Araştırma Hastanesi 5. Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye
Abstract

Aim: The aim of this study was to define the demographic and clinical characteristics of geriatric patients who referred to physical medicine and rehabilitation (PMR) outpatient clinics and to detect the differences between these characteristics in regard to age, sex and education level.
Materials and Methods: 820 patients over 65 years old who attended 20 outpatient clinics were included in the study. In addition to demographic data, the complaints, comorbid diseases, pain levels, drugs being used, exercise and medical status of the patients were recorded. The effects of age, sex and education level on complaints, comorbid diseases and  exercise habits were investigated.
Results: The mean age of the patients was 71.7±5.5 years. 16.7% were living alone, 61.7% were housewives. 86% of the patients had one or more comorbid diseases - hypertension, gastric problems and heart disease were mostly encountered. The most common complaints were joint pain, fatigue and widespread body pain. The average number of pills taken per day was 4.02±0.9 (median 4), and the VAS pain score was 5.1±1.3 (median 5.0). History of falling was present in 16.5% of patients. 30.1% were routinely walking and 15.4% were performing exercise at home.  In patients over 75 years, vertebral pain and deformity, urinary  incontinence, eye problem, difficulty in swallowing, decrease in hearing, as well as balance and teeth problems were significantly more frequent than in younger subjects.
Conclusion: Aged population constitutes most of the PMR outpatient clinic patients. Considering comorbid diseases, high number of daily taken drugs and falls, PMR specialist should be cautious in prescribing drugs and planning rehabilitation programme. For independence in activities of daily living in this age group, besides the musculoskeletal system, all other  systems should be evaluated and a comprehensive geriatric rehabilitation programme should be constructed. Turk J Phys Med Re­hab 2011;57:143-9. 


Key Words
Elderly, sex, comorbid diseases, polypharmacy
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