Comorbidity in elderly patients with varying degrees of "fragility" (senile asthenia)

The article presents the results of a study of comorbidity in elderly patients with varying degrees of "fragility" (senile asthenia). It was found that almost all elderly patients (93.1%) have a comorbid background, and most patients (75.5%) have a severe degree of comorbidity — 6 points or more on the Charlson comorbidity scale. A statistically significant strong relationship was found between frailty syndrome (FSS) and the Charlson comorbidity index, as well as the severity of comorbidity. Thus, in patients with FSS, the average comorbidity scores are significantly higher than in patients without FSS and with preasthenia. With increasing severity of frailty, the proportion of patients with severe comorbidity significantly increases, and with moderate comorbidity severity significantly decreases. The most common nosologies in the structure of comorbid pathology in all elderly patients are arterial hypertension, type 2 diabetes mellitus, and ischemic heart disease. Statistically significant differences were found only for two nosologies — arterial hypertension and chronic heart failure, the frequency of which depends on the degree of "fragility" of the patient.