Jenkinson M L, Bliss M R, Brain A T, Scott D L
Department of Geriatric Medicine, Hackney Hospital, London, UK.
Ann Rheum Dis. 1989 Mar;48(3):227-31. doi: 10.1136/ard.48.3.227.
One hundred consecutive patients admitted to an acute geriatric unit were examined for evidence of peripheral arthritis with recognised criteria used to define osteoarthritis, rheumatoid arthritis, pyrophosphate arthropathy, gout, and disorders of the shoulder joint. The presence of arthritis and its severity were related both to functional independence and to a recognition by the patient that joint problems were impairing independence. Seventy six patients had clinical peripheral arthritis; 48 had arthritis contributing to loss of function, and 19 of these did not volunteer evidence of their joint disease. The common occurrence of arthritic conditions in the elderly, with consequential disability and dependency, suggests that increased medical awareness may be required to prevent unnecessary morbidity. Our findings need confirmation in community based studies.
对入住急性老年病科的100例连续患者进行检查，以寻找外周关节炎的证据，并采用公认的标准来定义骨关节炎、类风湿关节炎、焦磷酸关节病、痛风和肩关节疾病。关节炎的存在及其严重程度与功能独立性以及患者对关节问题正在损害其独立性的认知均相关。76例患者有临床外周关节炎；48例患者的关节炎导致了功能丧失，其中19例未主动提及他们的关节疾病。老年人中关节炎状况常见，随之而来的是残疾和依赖，这表明可能需要提高医疗意识以预防不必要的发病情况。我们的研究结果需要在基于社区的研究中得到证实。
