The prevalence of cardiovascular diseases, risk factors and cardiovascular drug therapy in Turkish very elderly patients admitted to the Cardiology clinics: a subgroup analysis of Elder-Turk study. [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-49579 | DOI: 10.5543/tkda.2018.49579

The prevalence of cardiovascular diseases, risk factors and cardiovascular drug therapy in Turkish very elderly patients admitted to the Cardiology clinics: a subgroup analysis of Elder-Turk study.

Gülay Gök1, Ümit Yaşar Sinan2, Nil Özyüncü3, Mehdi Zoghi4
1Department of Cardiology, Mardin State Hospital, Mardin,Turkey
2Department of Cardiology, İstanbul University Institute of Cardiology,İstanbul, Turkey
3Department of Cardiology, Faculty of Medicine, Ankara University; Ankara, Turkey
4Department of Cardiology, Ege University Faculty of Medicine, İzmir, Turkey


OBJECTIVE
The population of patients with advanced age is gradually increasing in the world over the decades. However, there are few data about the prevalence of cardiovascular disease, risk factors and the drug usage among very elderly patients in cardiology clinics. We aimed to compose a national database of cardiovascular risk factors, concomitant diseases, the drug usages of very-elderly.


METHODS
The 5694 patients aged 65 years or older who were admitted to cardiology clinics between March 2015 and December 2015 were included ın ELDER-TURK. study. The subgroup of patients aged over 80 years was evaluated in this study. We compared the prevalence of cardiovascular diseases and risk factors of 1098 very elderly patients aged over 80 years (group II, mean age of 83.5 ±3.1) and 4596 elderly patients aged 65-79 years (group I, mean age of 71.1±4.3) who had been followed up in cardiology clinics.


RESULTS
The prevalence of co-morbid conditions such as diabetes mellitus and coronary artery disease were higher in the group I (30% vs 24.6%; p<0.001 and 50.2% vs 44.7%; p<0.002 respectively). Whereas, the prevalence renal failure and atrial fibrillation were higher in the very elderly group (15.5% vs 10.5% and 35.9% vs 25.1% all p < 0.0001).
In our study group, the rate of outpatient wards was lower in very elderly patients compared to the elderly (p<0.04)


CONCLUSION
We had a valuable data about the prevalence of cardiovascular, co-morbid diseases and the medication usage among Turkey`s very elderly patients who were admitted to cardiology clinics.

Keywords: very elderly, cardiovascular disese, cardiac risk factors, epidemiology

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Corresponding Author: Gülay Gök, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
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