2019 № 6 Main trends in mortality from injuries among elderly persons
Abstract. Despite the fact that the main economic and demographic negative contribution to the death rate from injuries is caused by cases among the able-bodied population, a huge social role is played by mortality among the elderly and senile age. For all the major causes of death from injuries, with the exception of death in road accidents and due to injuries with sharp objects, where the maximum rates are recorded for men of working age, the leading age groups are65 years or more, and peak values occur at the age of 80 years or more.The problem of high mortality among seniors is interdepartmental in nature; to solve this problem, it is necessary to involve not only health authorities, but, above all, social services. For persons of old age, an organization of an accessible environment is necessary, not only at public and private facilities, but also at the place of residence.
2020 № 4 The Structure of hospitalized morbidity of elderly and senile patients
Population aging in the Russian Federation requires is a new challenge for medical and social care, including inpa- tient care, for the elderly. The purpose of this study was to study the structure of morbidity requiring hospitalization of elderly and senile people in the Krasnoyarsk territory. We analyzed data of all 36206 patients aged 60 years and older who were hospitalized to the Krasnoyarsk regional hospital for war veterans in 2014–2019. Age, gender, duration of in-hospital care, main and concomitant diseases were the main studied variables. The proportion of men among the elderly increased while the proportion of women decreased over the study period. It was found that the causes of hospitalization varied considerably between age groups. Thus, among the hospitalized elderly, diseases of the circulatory system and diseases of the genitourinary system were most often identified as the main disease in patients. Diseases of the circulatory system were diagnosed as the main disease more often also in elderly patients and in patients belonging to centenarians. Our results reflect gradual increase in life expectancy of the population. An increase in the proportion of people with advanced age in the population structure warrants structural changes in institutions that specialize in providing medical and social assistance to these categories of the population.