Co-morbidities associated with various ear nose throat conditions of geriatric patients in a tertiary care hospital

Anoop Varghese Kuruvilla; Ariyamparambil Rajagopalan Vinayakumar; Nevil Varghese

doi:10.18203/issn.2454-5929.ijohns20205626

Authors

Anoop Varghese Kuruvilla Department of Otorhinolaryngology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India
Ariyamparambil Rajagopalan Vinayakumar Department of Otorhinolaryngology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India
Nevil Varghese Department of Otorhinolaryngology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur, Kerala, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20205626

Keywords:

Elderly, Morbidity, Hypertension, Diabetes, Epistaxis, Vocal cord pathology

Abstract

Background: Old age is a sensitive phase in which lack of awareness regarding the changing behavioural patterns leads to major physiological and psychological problems. This emphasizes the need for a study on the co-morbidities associated with ENT conditions among geriatric population presented in a tertiary care hospital.

Methods: A discrete study was done among the elder patients (≥65 years) admitted in ENT department. Detailed history was taken regarding their co-morbidities and health problems using questionnaire. Feedback of these patients with respect to their ENT conditions as well as co-morbidities was recorded during hospital stay and subsequent follow-upin ENT outpatient department. Opinion of general physician, neurologist, cardiologist was sought and advices followed for management of co-morbidities. The prevalence of co-morbidities and health problems were subjected to statistical analysis.

Results: A total of 141 patients (90 male and 51 female) were included in the study. The most common ENT associated illness for the admission was epistaxis (23/141, 16.3%) and vocal cord pathology (23/141,16.3%). The most common associated co-morbidities were hypertension (54/141, 38.2%) and type 2 diabetes (51/141, 36.17%). Symptomatic improvement and patient satisfaction with treatment offered were higher with adequate management of co-morbidity.

Conclusions: The most common ENT associated illness for the admission was epistaxis and vocal cord pathology which was associated with hypertension and type 2 diabetes. Better control of these co-morbidities improves treatment outcome as well as patient satisfaction, trust with medical field.

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