Association of upper gastrointestinal symptoms with functional and clinical characteristics in the elderly

查看全文 作　　者：Alberto [1]Pilotto;Stefania [2]Maggi;Marianna [2]Noale;Marilisa [3]Franceschi;Giancarlo [4]Parisi;Gaetano [2]Crepaldi

机构地区：[1]Geriatrics Unit,Azienda ULSS 16 Padova,S.Antonio Hospital;[2]Aging Section,National Research Council,Institute of Neuroscience;[3]Endoscopy Unit,Department of Surgery;[4]Department of Internal Medicine,General Hospital

出　　处：《World Journal of Gastroenterology》索引2011年第17卷第25期,共7页

摘　　要：AIM:To evaluate the prevalence of upper gastrointestinal symptoms and their association with clinical and functional characteristics in elderly outpatients.METHODS:The study involved 3238 outpatients ≥ 60 years consecutively enrolled by 107 general practitioners.Information on social,behavioral and demographic characteristics,function in the activities of daily living (ADL),co-morbidities and drug use were collected by a structured interview.Upper gastrointestinal symptom data were collected by the 15-items upper gastro-intestinal symptom questionnaire for the elderly,a validated diagnostic tool which includes the following five symptom clusters:(1) abdominal pain syndrome;(2) reflux syndrome;(3) indigestion syndrome;(4) bleeding;and (5) non-specific symptoms.Presence and severity of gastrointestinal symptoms were analyzed through a logistic regression model.RESULTS:3100 subjects were included in the final analysis.The overall prevalence of upper gastrointestinal symptoms was 43.0%,i.e.cluster (1) 13.9%,(2) 21.9%,(3) 30.2%,(4) 1.2%,and (5) 4.5%.Upper gastrointestinal symptoms were more frequently reported by females (P < 0.0001),with high number of co-morbidities (P < 0.0001),who were taking higher number of drugs (P < 0.0001) and needed assistance in the ADL.Logistic regression analysis demonstrated that female sex (OR=1.39,95% CI:1.17-1.64),disability in the ADL (OR=1.47,95% CI:1.12-1.93),smoking habit (OR=1.29,95% CI:1.00-1.65),and body mass index (OR=1.06,95% CI:1.04-1.08),as well as the presence of upper (OR=3.01,95% CI:2.52-3.60) and lower gastroenterological diseases (OR=2.25,95%CI:1.70-2.97),psychiatric (OR=1.60,95% CI:1.28-2.01) and respiratory diseases (OR=1.25,95% CI:1.01-1.54) were significantly associated with the presence of upper gastrointestinal symptoms.CONCLUSION:Functional and clinical characteristics are associated with upper gastrointestinal symptoms.A multidimensional comprehensive evaluation may be useful when approaching upper gastrointestinal symptoms in older subjects. 关键词：消化道症状临床特点中老年人 LOGISTIC回归模型 LOGISTIC回归分析协会胃肠道疾病呼吸系统疾病

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Association of upper gastrointestinal symptoms with functional and clinical characteristics in the elderly

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