Eun Su Ku | 2 Articles |
Background
: Osteoporosis is the most common metabolic disease of the bone, and thought as public health problem due to its high prevalence and cost. Family physician as primary care physician is much interested in the osteoporosis. so we studied the rate of osteoporosis, severity and related risk factors of osteoporosis from high risk postmenopause women, in order to be helped in early diagnosis, treatment and prevention of osteoporosis. Methods : Among 706 patients who have taken Bone Mineral Density examination(DEXA) from Nov. 11, 1992, to Jul. 31, 1993 at Dong San Medical Center, we selected 102 natural postmenopause women who were not related to 2nd osteoporosis. The data was gathered from the BMD examination, qustionnaire and chart review. these data were analyzed using SAS/PC stastistic program. Results : The mean age is 57.7 years and postmenopause age is 47.6 years. Osteoporosis was defined when BMD of patient was below 90% of age-matched control value. Number of osteoporosis and normal group is 55 and 47, respectively. the rate of osteoporosis was 53.9%. The statistically significant difference was revealed between two groups in mean age, postmenopause age, duration of menstruation, duration after menopause, oral pill history, kyphosis and fracture history. In the multiple regression of risk factors to osteoporosis, height and postmenopause age had significant relation to the osteoporosis, and weight and Body Mass Index had trended to osteoporosis. Conclusion : Family physician should consider there risk factors of the osteoporosis when postmenopause women visit. We think that the more precise study for risk factors to osteoporosis is essential.
Background
: It is a recent trend that average life span prolonged according to the socioeconomic and scientific advance, therfore elderly patients are steadily increasing. The interest toward geriatrics raise earlier. Never the less, present epidemiologic study to geriatric patients is rare, in our country. This study purpoted to make basic epidemiologic data of geriatric in-patients. Methods : The subjects were 65 years old patients and over that visited to small and medium hospital of Andong city from June 1991 to March 1992. Among them new in-patients of 65 years old and over hospitalized at March, June, October, December were selected and their charts were reviewed. Results : Male and female ratio of 216 geriatric inpatients was 1:1.3 and average age was 72.5 years. The average numbers of diagnosis were 2.6 and the most common disease was hypertension, others were COPD, fractures, gastritis, malignant tumors, degenerative arthritis as in order and the average duration of hospitalization was 9.1days in geriatric in-patients. The average numbers of class of prescribed drugs in geriatric inpatients were 5.6 and the significant difference was not noticed in sex and age. The most common prescribed drug was antibiotics, The average of total cholesterol was 162.9mg/dl and dangerous group was 7.3%, borderline group was 11.8% by NCP guideline. The ratios of smokers and alcoholics were 50.0%, 34.4% respectively. Conclusion : This study was concerned about common diseases, prescribed drugs and health risk factors in geriatric in-patients. But this study was limited to small area and one community. Therefore, this result can't represent the result of the total geriatric population. As this reason, I wish to more & more great epidemiologic study about geriatric inpatients will being done in the future.
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