BACKGROUND AND AIMS: The oldest-old population is expanding rapidly. There is a new need for clinical information about this group, which is actively using social and health care. We studied the population of people born in 1907-1910 and living in the city of Tampere (Finland) at the age 90 (N=916, 79.4% women, 20.6% men); 71.7% of the population lived in the community and 28.3% in institutions. METHODS: Medical records of 832 (90.8%) nonagenarians were obtained. We registered diagnoses of chronic diseases or diseases that required hospitalization at any time of their lives, as well as physicians' notes on their memory and mobility. Diseases were coded and grouped according to ICD-10. RESULTS: The most common diagnosis groups were cardiovascular diseases (78.3%), gastrointestinal diseases (58.6%), infections (53.6%) and trauma (49.6%). There was an average of 8 chronic or severe diseases mentioned in patient records. The diagnosis of dementia was mentioned in 26.7% of cases, most of them living in institutions; a problem with memory--from forgetfulness to dementia--was mentioned in 35.9% of cases; 37.5% were able to move using no or a light support, 8.3% were bedridden. CONCLUSIONS: We conclude that this age group suffers from numerous chronic diseases influencing mobility and cognition. Dementia seems to be the most important symptom leading to institutionalization.
BACKGROUND AND AIMS: The oldest-old population is expanding rapidly. There is a new need for clinical information about this group, which is actively using social and health care. We studied the population of people born in 1907-1910 and living in the city of Tampere (Finland) at the age 90 (N=916, 79.4% women, 20.6% men); 71.7% of the population lived in the community and 28.3% in institutions. METHODS: Medical records of 832 (90.8%) nonagenarians were obtained. We registered diagnoses of chronic diseases or diseases that required hospitalization at any time of their lives, as well as physicians' notes on their memory and mobility. Diseases were coded and grouped according to ICD-10. RESULTS: The most common diagnosis groups were cardiovascular diseases (78.3%), gastrointestinal diseases (58.6%), infections (53.6%) and trauma (49.6%). There was an average of 8 chronic or severe diseases mentioned in patient records. The diagnosis of dementia was mentioned in 26.7% of cases, most of them living in institutions; a problem with memory--from forgetfulness to dementia--was mentioned in 35.9% of cases; 37.5% were able to move using no or a light support, 8.3% were bedridden. CONCLUSIONS: We conclude that this age group suffers from numerous chronic diseases influencing mobility and cognition. Dementia seems to be the most important symptom leading to institutionalization.
Authors: L Kananen; S Marttila; T Nevalainen; L Kummola; I Junttila; N Mononen; M Kähönen; O T Raitakari; A Hervonen; M Jylhä; T Lehtimäki; M Hurme; J Jylhävä Journal: Age (Dordr) Date: 2016-06-14
Authors: Saara Marttila; Laura Kananen; Sergei Häyrynen; Juulia Jylhävä; Tapio Nevalainen; Antti Hervonen; Marja Jylhä; Matti Nykter; Mikko Hurme Journal: BMC Genomics Date: 2015-03-14 Impact factor: 3.969
Authors: Saara Marttila; Tapio Nevalainen; Laura Kananen; Juulia Jylhävä; Marja Jylhä; Antti Hervonen; Jorma Ilonen; Mikko Hurme Journal: Sci Rep Date: 2015-02-27 Impact factor: 4.379
Authors: Saara Marttila; Juulia Jylhävä; Tapio Nevalainen; Matti Nykter; Marja Jylhä; Antti Hervonen; Liina Tserel; Pärt Peterson; Mikko Hurme Journal: PLoS One Date: 2013-06-11 Impact factor: 3.240