Co-morbidities associated with various ear nose throat conditions of geriatric patients in a tertiary care hospital
Keywords:Elderly, Morbidity, Hypertension, Diabetes, Epistaxis, Vocal cord pathology
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.
Mirza N, Lee JY, Chandrasekhar SS. Treating elderly with science and dignity. Geriatric Otolaryngol preface. 2018;51(4):15.
Orinei H, ito H, Suzuki T. Reviewing definition of elderly. Geriatric Gerontol Int. 2006;6(3):149-58.
Little W, Jenkins C, Wallace LM. Ageing and Elderly. Introduction Sociol Canada Ed. 2015;716-20.
Park K, Wesley AJ, Nanacy T. Preventive medicine in obstetrics. Paediatrics geriatrics. 2019;650-52.
Witham MD, Penman ID, Straham MWJ, Hobson RP. Ageing and disease, 23rd Ed. 2018;1305-9.
Rao S, Saxena D, Yasobant S. Operational Guidelines, National Programme for Health Care of Elderly. 2011;7-9.
Min HJ, Geun KH, Kim KS. Association between hypertension and epistaxis, systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2017;157(6):921-7.
Sreenivas V, Sima NH, Philip S. Role of comorbidities in BPPV. Ear Nose Throat J. 2019;1-6.
D’Silva L, Staecker H, Lin J, Maddux C. Otolith Dysfunction in persons with both Diabetes and Benign Paroxysmal Positional Vertigo. Otol Neurotol. 2018;38(5):379-85.
Webster G, Maria P, Rijo JD, Marcio C, Salmito C. Hyperinsulinemia and hyperglycaemia: risk factors for recurrence of benign paroxysmal positional vertigo, Guilherme. Associacao Brasileira de Otorrinolaringologia. 2015;81:347-51.
Lee JH, An J, Kyeong H, Moon HB. Prevalence and impact of comorbid laryngeal dysfunction in asthma. J Allergy Clin Immunol. 2020;1165-73.
Zakaria DA, Bekhet MM, Kodheir MS, Bassiouy SS. Oropharyngeal Dysphagia and Diabetes Mellitus, Folia Phoniatr Logop. 2018;70(3-4):134-7.