Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities

Authors

  • Sevdalina Alekova Todorova Department of Internal Diseases and General Medicine, Faculty of Medicine, Trakia University, Stara Zagora, Bulgaria https://orcid.org/0000-0002-0443-5891

DOI:

https://doi.org/10.3889/oamjms.2021.6744

Keywords:

Chronic diseases, People with physical disabilities, Incidence, Health and social challenges

Abstract

Background:

 People living in old age with disabilities acquired in early adulthood or because of a congenital anomaly represent a growing population with unique medical needs. This study aims to investigate the incidences of chronic diseases and the prevalence of chronic polymorbidity among adults with physical disabilities, who are accommodated in the largest social home on the Balkan Peninsula.

Methods:

 In this descriptive survey, 179 people with physical disabilities were studied during 2017- 2018. A structured questionnaire was used to obtain information on socio-demographic characteristics, personal lifestyle and self-reported diagnosis of the presence of chronic diseases. In addition to the above, second research was conducted on the available medical documentation for the health status of each person, which helped to verify the information about the incidence and prevalence of chronic diseases among adults with physical disabilities.

Results:

Most of the adults with physical disabilities have at least more than two chronic conditions (69.27 %). Arterial hypertension is the commonest chronic illness among them (47. 48 %).  The study reported a raised incidence of chronic diseases of the digestive system and chronic diseases of the urinary system, as well as increasing prevalence of diabetes mellitus type II, chronic diseases of the pulmonary system and degenerative joints diseases correlated with the age of persons.

Conclusion:

The study showed an increased frequency of chronic diseases among adults with physical disabilities and a significant number of persons who have multiple chronic conditions, which determines the need for frequent and long-term health care.

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References

Campbell ML, Putnam M. Reducing the shared burden of chronic conditions among persons aging with disability and older adults in the United States through bridging aging and disability. Healthcare (Basel). 2017;5(3):56. https://doi.org/10.3390/healthcare5030056 PMid:28895898 DOI: https://doi.org/10.3390/healthcare5030056

Hutton D, World Health Organization. Ageing and Life Course Unit. Older People in Emergencies: Considerations for Action and Policy Development. Geneva: World Health Organization; 2008. Available from: https://www.apps.who.int/iris/handle/10665/43817. www.apps.who.int

Verbrugge LM, Latham K, Clarke PJ. Aging With disability for midlife and older adults. Res Aging. 2017;39(6):741-777. https://doi.org/10.1177/0164027516681051 PMid:28566012 DOI: https://doi.org/10.1177/0164027516681051

Imai K, Kadowaki T, Aizawa Y. Standardized indices of mortality among persons with spinal cord injury: Accelerated aging process. Ind Health. 2004;42(2):213-8. https://doi.org/10.2486/indhealth.42.213 PMid:15128171 DOI: https://doi.org/10.2486/indhealth.42.213

Cook KF, Molton IR, Jensen MP. Fatigue and aging with a disability. Arch Phys Med Rehabil. 2011;92(7):1126-33. PMid:21704793 DOI: https://doi.org/10.1016/j.apmr.2011.02.017

Goodman RA, Posner SF, Huang ES, Parekh AK, Koh HK. Defining and measuring chronic conditions: Imperatives for research, policy, program, and practice. Prev Chronic Dis. 2013;10:E66. https://doi.org/10.5888/pcd10.120239 PMid:23618546 DOI: https://doi.org/10.5888/pcd10.120239

World Health Organization. Global Status Report on Non-Communicable Disease. Geneva, Switzerland: World Health Organization; 2014. Available from: http://www.who.int/nmh/publications/ncd-status-report-2014/en. [Last accessed on 2017 Jun 16].

Ward BW, Schiller JS, Goodman RA. Multiple chronic conditions among US adults: A 2012 update. Prev Chronic Dis. 2014;11:E62. https://doi.org/10.5888/pcd11.130389 PMid:24742395 DOI: https://doi.org/10.5888/pcd11.130389

The Health Insurance Act in the Republic of Bulgaria, Promulgated, SG No. 70/19. 06. 1998, Last Amended and Supplemented 22. 03. 2019; 2019.

The National Framework Agreement in the Republic of Bulgaria, Promulgated, SG No. 28/29. 03. 2018, Last Amended and Supplemented 28. 06. 2019; 2019. DOI: https://doi.org/10.18356/15645304-2019-1-13

Sousa RM, Ferri CP, Acosta D, Albanese E, Guerra M, Huang Y, et al. Contribution of chronic diseases to disability in elderly people in countries with low and middle incomes: A 10/66 Dementia Research Group population-based survey. Lancet. 2009;374(9704):1821-30. https://doi.org/10.1016/s0140-6736(09)61829-8 PMid:19944863 DOI: https://doi.org/10.1016/S0140-6736(09)61829-8

The United Nations. “Convention on the Rights of Persons with Disabilities Treaty Series”. Vol. 2515. The United Nations; 2006. p. 3.

European Disability Strategy (2010-2020). Opinion of the Section for Employment, Social Affairs and Citizenship on the Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions European Disability Strategy 2010-2020: A Renewed Commitment to a Barrier-Free Europe, Brussel; 2011. https://doi.org/10.5235/219174411799494765 DOI: https://doi.org/10.5235/219174411799494765

Dimova M, Milcheva H, Andova A. Training of Geriatric Specialists for Building of Communication Skills for Work with Elderly People with Disabilities. CBU International Conference on Innovations in Science and Education, Prague, Czech Republic; 2016. p. 773-6. https://doi.org/10.12955/cbup.v4.848 DOI: https://doi.org/10.12955/cbup.v4.848

European Commission. Employment, Social Affairs and Inclusion. Available from: https://www.ec.europa.eu/social. [Last accessed on 2021 Apr 15].

Bulgarian Social Assistance Act, Promulgated, SG No. 56/19.05.1998, Effective 28.11.2014 Last Amended and Supplemented 30.04. 2019; 2019.

Rules for the Implementation of the Social Assistance Act in Bulgaria, Promulgated, SG No. 113/11.11.1998, Last Amended and Supplemented 16.08.2019; 2019.

National Strategy for Long Term Care in the Republic of Bulgaria; 2014-2020. p. 11-4.

Kim YE, Lee YR, Yoon SJ, Kim YA, Oh IH. Years of life lost due to premature death in people with disabilities in Korea: The Korean national burden of disease study framework. J Korean Med Sci. 2019;34(2):e22. https://doi.org/10.3346/jkms.2019.34.e22 PMid:30636948 DOI: https://doi.org/10.3346/jkms.2019.34.e22

Kinne S. Distribution of secondary medical problems, impairments, and participation limitations among adults with disabilities and their relationship to health and other outcomes. Disabil Health J. 2008;1(1):42-50. https://doi.org/10.1016/j.dhjo.2007.11.006 PMid:21122710 DOI: https://doi.org/10.1016/j.dhjo.2007.11.006

Scales CD Jr., Tasian GE, Schwaderer AL, Goldfarb DS, Star RA, Kirkali Z. Urinary stone disease: Advancing knowledge, patient care, and population health. Clin J Am Soc Nephrol. 2016;11(7):1305-12. https://doi.org/10.2215/cjn.13251215 PMid:26964844 DOI: https://doi.org/10.2215/CJN.13251215

Hoff LS, Goldenstein-Schainberg C, Fuller R. Nephrolithiasis in gout: Prevalence and characteristics of Brazilian patients. Adv Rheumatol. 2020;60:2. https://doi.org/10.1186/s42358-019-0106-4 DOI: https://doi.org/10.1186/s42358-019-0106-4

Rejnmark L, Vestergaard P, Mosekilde L. Nephrolithiasis and renal calcifications in primary hyperparathyroidism. J Clin Endocrinol Metab. 2011;96(8):2377-85. https://doi.org/10.1210/jc.2011-0569 PMid:21646371 DOI: https://doi.org/10.1210/jc.2011-0569

Ejlsmark-Svensson H, Bislev LS, Rolighed L, Sikjaer T, Rejnmark L. Predictors of renal function and calcifications in primary hyperparathyroidism: A nested case-control study. J Clin Endocrinol Metab. 2018;103(9):3574-83. https://doi.org/10.1210/jc.2018-00923 PMid:29955845 DOI: https://doi.org/10.1210/jc.2018-00923

Poore W, Boyd CJ, Singh NP, Wood K, Gower B, Assimos DG. Obesity and its impact on kidney stone formation. Rev Urol. 2020;22(1):17-23. PMid:32523467

Nerli R, Jali M, Guntaka AK, Patne P, Patil S, Hiremath MB. Type 2 diabetes mellitus and renal stones. Adv Biomed Res. 2015;4:180. PMid:26605219

Assimos DG. Diabetes mellitus and kidney stone formation. Rev Urol. 2006;8(1):44. PMid:16985563

Ramakrishnan K, Scheid DC. Diagnosis and management of acute pyelonephritis in adults. Am Family Physician. 2005;71(5):933-42. PMid:15768623

Gopal GK, Wilson BP, Viggeswarpu S, Sathyendra S, Iyyadurai R, Visvanathan R, et al. Clinical profile and predictors of outcomes in older inpatients with pyelonephritis in a tertiary care hospital in Southern India. J Clin Diagn Res. 2015;9(10):OC05-7. https://doi.org/10.7860/jcdr/2015/15964.6616 PMid:26557554 DOI: https://doi.org/10.7860/JCDR/2015/15964.6616

Genao L, Buhr GT. Urinary tract infections in older adults residing in long-term care facilities. Ann Longterm Care. 2012;20(4):33-38. PMid:23418402

Matsumoto T. Urinary tract infections in the elderly. Curr Urol Rep. 2001;2(4):330-3. PMid:12084261 DOI: https://doi.org/10.1007/s11934-001-0073-1

Matthews SJ, Lancaster JW. Urinary tract infections in the elderly population. Am J Geriatr Pharmacother. 2011;9(5):286-309. PMid:21840265 DOI: https://doi.org/10.1016/j.amjopharm.2011.07.002

Nicolle LE. Urinary tract infections in the elderly. Clin Geriatr Med. 2009;25(3):423-36. PMid:19765490 DOI: https://doi.org/10.1016/j.cger.2009.04.005

Hooton TM, Bradley SF, Cardenas DD, Colgan R, Geerlings SE, Rice JC, et al. Infectious diseases society of America diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 international clinical practice guidelines from the infectious diseases society of America. Clin Infect Dis. 2010;50(5):625-63. https://doi.org/10.1086/650482 PMid:20175247 DOI: https://doi.org/10.1086/650482

Nicolle LE. Issues in the diagnosis and management of urinary tract infections in the older adult. Curr Transl Geriatr and Exp Gerontol Rep. 2013;28(1):136-42. https://doi.org/10.1007/s13670-013-0046-5 PMid:24484576 DOI: https://doi.org/10.1007/s13670-013-0046-5

Fried TR, Vaz Fragoso CA, Rabow MW. Caring for the older person with chronic obstructive pulmonary disease. JAMA. 2012;308(12):1254-63. https://doi.org/10.1001/jama.2012.12422 PMid:23011715 DOI: https://doi.org/10.1001/jama.2012.12422

Franssen FM, Smid DE, Deeg DJ, Huisman M, Poppelaars J, Wouters EF, et al. The physical, mental, and social impact of COPD in a population-based sample: Results from the longitudinal aging study Amsterdam. NPJ Prim Care Respir Med. 2018;28(1):30. https://doi.org/10.1038/s41533-018-0097-3 PMid:30097575 DOI: https://doi.org/10.1038/s41533-018-0097-3

Rennard SI, Locantore N, Delafont B, Tal-Singer R, Silverman EK, Vestbo J, et al. Identification of five chronic obstructive pulmonary disease subgroups with different prognoses in the ECLIPSE cohort using cluster analysis. Ann Am Thorac Soc. 2015;12(3):303-12. https://doi.org/10.1513/annalsats.201403-125oc PMid:25642832 DOI: https://doi.org/10.1513/AnnalsATS.201403-125OC

Gonzalez-Moro JM, de Lucas Ramos P, Alonso JL, López-Muñiz Ballesteros B, Díaz EA, Ribera X, et al. Impact of COPD severity on physical disability and daily living activities: EDIP-EPOC I and EDIP-EPOC II studies. Int J Clin Pract. 2009;63(5):742-50. https://doi.org/10.1111/j.1742-1241.2009.02040.x PMid:19392924 DOI: https://doi.org/10.1111/j.1742-1241.2009.02040.x

Eisner MD, Iribarren C, Blanc PD, Yelin EH, Ackerson L, Byl N, et al. Development of disability in chronic obstructive pulmonary disease: beyond lung function. Thorax. 2011;66(2):108-14. https://doi.org/10.1136/thx.2010.137661 PMid:21047868 DOI: https://doi.org/10.1136/thx.2010.137661

Battaglia S, Benfante A, Spatafora M, Scichilone N. Asthma in the elderly: A different disease? Breathe (Sheff). 2016;12(1):18-28. https://doi.org/10.1183/20734735.002816 PMid:27064568 DOI: https://doi.org/10.1183/20734735.002816

Gonzalez-Diaz SN, Villarreal-Gonzalez RV, De Lira-Quezada CE, Guzman-Avilan RI. Outcome measures to be considered on asthma in elderly. Curr Opin Allergy Clin Immunol. 2019;19(3):209-15. https://doi.org/10.1097/aci.0000000000000525 PMid:30747751 DOI: https://doi.org/10.1097/ACI.0000000000000525

Gillman A, Douglass JA. Asthma in the elderly. Asia Pac Allergy. 2012;2(2):101-8. PMid:22701859 DOI: https://doi.org/10.5415/apallergy.2012.2.2.101

Braman SS. Growing old with asthma: What are the changes and challenges? Expert Rev Respir Med. 2010;4(2):239-48. PMid:20406090 DOI: https://doi.org/10.1586/ers.10.12

Wooten JM. Pharmacotherapy considerations in elderly adults. South Med J. 2012;105(8):437-45. PMid:22864103 DOI: https://doi.org/10.1097/SMJ.0b013e31825fed90

Onder G, Petrovic M, Tangiisuran B, Meinardi MC, Markito-Notenboom WP, Somers A, et al. Development and validation of a score to assess risk of adverse drug reactions among in-hospital patients 65 years or older: The GerontoNet ADR risk score. Arch Intern Med. 2010;170(13):1142-8. https://doi.org/10.1001/archinternmed.2010.153 PMid:20625022 DOI: https://doi.org/10.1001/archinternmed.2010.153

Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage. 2013;21(9):1145-53. https://doi.org/10.1016/j.joca.2013.03.018 PMid:23973124 DOI: https://doi.org/10.1016/j.joca.2013.03.018

McDonough CM, Jette AM. The contribution of osteoarthritis to functional limitations and disability. Clin Geriatr Med. 2010;26(3):387-99. PMid:20699161 DOI: https://doi.org/10.1016/j.cger.2010.04.001

Wilkie R, Peat G, Thomas E, Croft P, Wilkie R, Peat G, et al. Factors associated with restricted mobility outside the home in community-dwelling adults ages fifty years and older with knee pain: An example of use of the International classification of functioning to investigate participation restriction. Arthritis Rheum. 2007;57(8):1381-9. https://doi.org/10.1002/art.23083 PMid:18050177 DOI: https://doi.org/10.1002/art.23083

Mottram S, Peat G, Thomas E, Wilkie R, Croft P, Mottram S, et al. Patterns of pain and mobility limitation in older people: Cross-sectional findings from a population survey of 18,497 adults aged 50 years and over. Quality Life Res. 2008;17(4):529-39. https://doi.org/10.1007/s11136-008-9324-7 PMid:18365768 DOI: https://doi.org/10.1007/s11136-008-9324-7

Wong JL, Alschuler KN, Mroz TM, Hreha KP, Molton IR. Identification of targets for improving access to care in persons with long term physical disabilities. Disabil Health J. 2019;12(3):366-74. https://doi.org/10.1016/j.dhjo.2019.01.002 PMid:30880008 DOI: https://doi.org/10.1016/j.dhjo.2019.01.002

Lundström U, Wahman K, Seiger Å, Gray DB, Isaksson G, Lilja M. Participation in activities and secondary health complications among persons aging with traumatic spinal cord injury. Spinal Cord. 2017;55(4):367-72. https://doi.org/10.1038/sc.2016.153 PMid:27845357 DOI: https://doi.org/10.1038/sc.2016.153

Terrill AL, Molton IR, Ehde DM, Amtmann D, Bombardier CH, Smith AE, et al. Resilience, age, and perceived symptoms in persons with long-term physical disabilities. J Health Psychol. 2016;21(5):640-9. https://doi.org/10.1177/1359105314532973 PMid:27165965 DOI: https://doi.org/10.1177/1359105314532973

Amtmann D, Bamer AM, Nery-Hurwit MB, Liljenquist KS, Yorkston K. Factors associated with disease self-efficacy in individuals aging with a disability. Psychol Health Med. 2019;24(10):1171-81. https://doi.org/10.1080/13548506.2019.1612082 PMid:31033342 DOI: https://doi.org/10.1080/13548506.2019.1612082

Terrill AL, Molton IR. Frequency and impact of midlife stressors among men and women with physical disability. Disabil Rehabil. 2019;41(15):1760-7. https://doi.org/10.1080/09638288.2018.1448466 PMid:29521178 DOI: https://doi.org/10.1080/09638288.2018.1448466

Battalio SL, Jensen MP, Molton IR. Secondary health conditions and social role satisfaction in adults with long-term physical disability. Health Psychol. 2019;38(5):445-54. https://doi.org/10.1037/hea0000671 PMid:31045428 DOI: https://doi.org/10.1037/hea0000671

Ivkov B. Injuries and Disabilities of the Population. The Population of Bulgaria at the Beginning of the 21st Century. Status and Tendencies. Sofia: AI “Prof. Marin Drinov; 2011. p. 339-70.

Ivkov B. Analysis of the Needs of People with Disabilities for Social Inclusion through Employment. Part 1, Sofia; 2013. p. 33.

Ostrowska A, Sikorska J. Syndrom Niepełnosprawności w Polsce. Warszawa: Bariery Integracji; 1996.

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Published

2021-09-11

How to Cite

1.
Alekova Todorova S. Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities. Open Access Maced J Med Sci [Internet]. 2021 Sep. 11 [cited 2024 Apr. 25];9(B):1140-8. Available from: https://oamjms.eu/index.php/mjms/article/view/6744