Otorhinolaryngological, Head and Neck Morbidity Profile of Geriatric Patients in a Tertiary Health Institution in a Developing Country
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: There is need to increase otorhinolaryngological services for geriatric patients in developing countries. This study aimed at determining the prevalence, sociodemographic features, types, comorbid illnesses and Management of otorhinolaryngological diseases in geriatric patients in a developing country. Materials and Methods: This was a retrospective study involving all geriatric patients who presented to the Ear, Nose and Throat Department of our center. This study was carried out using the medical records of patients who presented over a period of 2 years. The medical case records of the patients were retrieved. The data was analysed using Statistical Package for Social Sciences (SPSS) version 18. Results: Prevalence of geriatric otorhinolaryngology, head and neck diseases was 13.8%. There were 42.9% males with a male to female ratio of 1:1.5. Urban dwellers in 52.8% were predominant over rural dwellers in 47.2%. Common geriatric otorhinolaryngological diseases were presbyacusis,cerumen auris, rhinosinusitis and pharyngolaryngitis in 30.7%, 21.7%, 10.8% and 7.2% respectively. The anatomical location of otorhinolaryngologic diseases in geriatric were66.9% ear diseases, 18.7% nasal diseases and 12.7% throat diseases. The most frequent geriatric otorhinolaryngologic morbidity were hearing impairment in 54.8%, pain in 31.3%, discharge in 29.5%, tinnitus in 20.5%, snoring in 16.3% and itching in 15.7%. Common comorbid illnesses in the geriatric patients were hypertension, arthritis and diabetes mellitus in 22.3%, 19.9% and 14.5%. Common effect of otorhinolaryngologicdiseases on quality of life in these geriatric patients were 29.5%isolation, 28.9% embarrassment, 25.9% and 22.9% depression. Various forms of pre-hospital treatment occurred in 67.5% of thepatients. 62.7% of the patients had conservative/medical treatment. Otorhinolaryngological surgery/procedure were done in 44.0% patients while 3.6% patients were referred to other center for further treatment. Conclusion: Otorhinolaryngological diseases among geriatric patients were enormous. There are associated comorbid illnesses and affectation of quality of life at presentation. Majority of the patients practice prehospital self medication.
Authors and Affiliations
AdegbijiWaheed Atilade, Aina Felix Olukayode
Keywords
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- EP ID EP444232
- DOI 10.9790/0853-1801147985.
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