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Profil Morbiditas Pasien Geriatri di Kota Bandar Lampung: Studi Cross Sectional Multicenter

*Nurul Irna Windari orcid  -  Institut Teknologi Sumatera, Indonesia
Received: 27 Dec 2024; Published: 26 Aug 2025.

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Abstract

Background: The elderly population in Indonesia has increased, include Lampung Province. 97.5% of elderly experience at least one chronic disease and experience multimorbid conditions whose prevalence increases with age. Only 57.7% of elderly with chronic diseases had examinations at least once every 6 months. This research is an effort to study the morbidity profile in a group of elderly patients which can be used as basic data to help plan health services.

Methods: A descriptive, cross-sectional multicenter observational study with purposive sampling was conducted at three hospitals in Bandar Lampung with research subjects are elderly people with chronic diseases who were undergoing outpatient treatment and met the inclusion criteria, namely age ≥ 60 years, had complete medical records, have filled out informed consent, and can communicate verbally using Indonesian. Data analysis will be carried out descriptively by illustrating the data that has been collected using numbers and percentages.

Result: The majority of elderly patients are pre-elderly 60,21%, male 52,25%, not working 77,85%, primary/junior high school education 56,06%, married 96,19%, BPJS insurance 69,20% and low income 58.48%. Congestive Heart Failure (CHF) 33,00%, diabetes mellitus 14,30%, hypertension 12,58%, Chronic Kidney Disease (CKD) 7,48% and stroke 5.78% were the most common chronic diseases in this study. Elderly patients predominantly have 73,70% comorbidities and are within the normal BMI range of 60,21%.

Conclusion: High morbidity in elderly patients requires treatment efforts to minimize it and prevent mortality. Efforts need to be made to suppress risk factors for chronic disease in the elderly.

Keywords: Morbiditas; Penyakit Kronis; Lansia.

Fulltext
Keywords: Epidemiology;Health

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  1. Kementerian Kesehatan RI. 2016. Peraturan Menteri Kesehatan Nomor 25 tahun 2016 tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._25_ttg_Rencana_Aksi_Nasional_Kesehatan_Lanjut_Usia_Tahun_2016-2019_.pdf
  2. Badan Pusat Statistik. 2023. Statistik Penduduk Lanjut Usia 2023. https://www.bps.go.id/id/publication/2023/12/29/5d308763ac29278dd5860fad/statistik-penduduk-lanjut-usia-2023.html
  3. Ferrucci, L., & Fabbri, E. 2018. Inflammageing: Chronic inflammation in ageing, cardiovascular disease, and frailty. Nature Reviews Cardiology, 15(9), 505–522. https://doi.org/10.1038/s41569-018-0064-2
  4. Aïdoud, A., Gana, W., Poitau, F., Debacq, C., Leroy, V., Nkodo, J.-A., Poupin, P., Angoulvant, D., & Fougère, B. 2023. High Prevalence of Geriatric Conditions Among Older Adults With Cardiovascular Disease. Journal of the American Heart Association. https://doi.org/10.1161/JAHA.122.026850
  5. Usha, P., Kishore, S., Singh, M., Jain, B., Kumar, D., Kumar Reddy, N., Rehan, A., & Ranjan, S. 2020. A study of morbidity profile among geriatric population in Uttarakhand: A community based cross-sectional study. Journal of Family Medicine and Primary Care, 9(7), 3677. https://doi.org/10.4103/jfmpc.jfmpc_256_20
  6. Immonen, M., Haapea, M., Similä, H., Enwald, H., Keränen, N., Kangas, M., Jämsä, T., & Korpelainen, R. 2020. Association between chronic diseases and falls among a sample of older people in Finland. BMC Geriatrics, 20(1), 225. https://doi.org/10.1186/s12877-020-01621-9
  7. Avci, I. A., Nal, B., & Ayyildiz, M. (2016). Assessment of chronic disease prevalence, nutritional habits and healthy lifestyle behaviors in elderly patients
  8. Alharbi, B. A., Masud, N., Alajlan, F. A., Alkhanein, N. I., Alzahrani, F. T., Almajed, Z. M., Alessa, R. K. M., & Al-Farhan, A. I. (2020). Association of elderly age and chronic illnesses: Role of gender as a risk factor. Journal of Family Medicine and Primary Care, 9(3), 1684. https://doi.org/10.4103/jfmpc.jfmpc_1060_19
  9. Żurański, W., Nowak, J., Danikiewicz, A., Zubelewicz-Szkodzińska, B., & Hudzik, B. 2024. Assessing Cardiovascular Risk in Geriatric Patients Without Atherosclerotic Cardiovascular Disease. Journal of Clinical Medicine, 13(23), Article 23. https://doi.org/10.3390/jcm13237133
  10. Mercer, S., Salisbury, C., & Fortin, M. (2014). ABC of Multimorbidity—Google Books. https://books.google.co.id/books?hl=en&lr=lang_en&id=bTeXAwAAQBAJ&oi=fnd&pg=PR7&ots=6sSAlAPNXK&sig=rM9cXCJVCV380l0h4TOYDrXblyI&redir_esc=y#v=onepage&q&f=false
  11. Kshatri, J. S., Palo, S. K., Bhoi, T., Barik, S. R., & Pati, S. 2020. Prevalence and Patterns of Multimorbidity Among Rural Elderly: Findings of the AHSETS Study. Frontiers in Public Health, 8, 582663. https://doi.org/10.3389/fpubh.2020.582663
  12. Zheng, D. D., Loewenstein, D. A., Christ, S. L., Feaster, D. J., Lam, B. L., McCollister, K. E., Curiel-Cid, R. E., & Lee, D. J. 2021. Multimorbidity patterns and their relationship to mortality in the US older adult population. PLOS ONE, 16(1), e0245053. https://doi.org/10.1371/journal.pone.0245053
  13. Lijuan3*, A. Z. J. Y. Y. X. W. 2020. Effects of Chronic Disease Burden on Anxiety and Depression in Elderly Patients. Chinese General Practice, 23(23), 2923. https://doi.org/10.12114/j.issn.1007-9572.2019.00.664
  14. Ahamed, F., Ghosh, T., Kaur, A., & Debnath, A. (2021). Prevalence of chronic morbidities and healthcare seeking behavior among urban community dwelling elderly population residing in Kalyani Municipality area of West Bengal, India. Journal of Family Medicine and Primary Care, 10(11), 4193–4199. https://doi.org/10.4103/jfmpc.jfmpc_893_21
  15. K Singh, S., & Pandey, P. (2016). Morbidity Profile, Healthcare Utilization and Associated out of Pocket Expenditure on Health among Elderly Population of Lucknow District, Northern India. Tropical Medicine & Surgery, 04(02). https://doi.org/10.4172/2329-9088.1000210
  16. Rajeev, K., K. K., A. R., Suresh, A., & Salim, A. (2023). Study on health seeking behaviour of elderly population for chronic diseases in a rural area of northern Kerala. International Journal of Research in Medical Sciences, 11(8), 2889–2893. https://doi.org/10.18203/2320-6012.ijrms20232418
  17. Pishkar Mofrad, Z., Jahantigh, M., & Arbabisarjou, A. 2015. Health Promotion Behaviors and Chronic Diseases of Aging in the Elderly People of Iranshahr*- IR Iran. Global Journal of Health Science, 8(3), 139. https://doi.org/10.5539/gjhs.v8n3p139
  18. Areekal, B., Padmaja, D. J., Veepanattu, P., Jossy, A. C., Menon, A., Pottamcholayil, A. R. M., Kumar, A. A., & Paul, A. M. 2020. Chronic Morbidity and Health Seeking Behaviour among Elderly in a Rural Area of Thrissur District. Journal of Evidence Based Medicine and Healthcare, 7(47), 2787–2792. https://doi.org/10.18410/jebmh/2020/572
  19. Alsuwaidan, S. 2021. Prevalence of Comorbidity Among Elderly. Global Journal of Aging & Geriatric Research, 1(4). https://doi.org/10.33552/GJAGR.2021.01.000518
  20. Pham, T., Nguyen, N. T. T., ChieuTo, S. B., Pham, T. L., Nguyen, T. X., Nguyen, H. T. T., Nguyen, T. N., Nguyen, T. H. T., Nguyen, Q. N., Tran, B. X., Nguyen, L. H., Ha, G. H., Latkin, C. A., Ho, C. S. H., Ho, R. C. M., Nguyen, A. T., & Vu, H. T. T. (2018). Gender Differences in Quality of Life and Health Services Utilization among Elderly People in Rural Vietnam. International Journal of Environmental Research and Public Health, 16(1), 69. https://doi.org/10.3390/ijerph16010069
  21. Liu, Y.-B., Liu, L., Li, Y.-F., & Chen, Y.-L. (2015). Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese. International Journal of Environmental Research and Public Health, 12(8), 9714–9725. https://doi.org/10.3390/ijerph120809714
  22. Rakasiwi, L. S., & Kautsar, A. (2021). Pengaruh Faktor Demografi dan Sosial Ekonomi terhadap Status Kesehatan Individu di Indonesia
  23. Tipirneni, R., Politi, M. C., Kullgren, J. T., Kieffer, E. C., Goold, S. D., & Scherer, A. M. (2018). Association Between Health Insurance Literacy and Avoidance of Health Care Services Owing to Cost. JAMA Network Open, 1(7), e184796. https://doi.org/10.1001/jamanetworkopen.2018.4796
  24. Zhao, C., Wong, L., Zhu, Q., & Yang, H. 2018. Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. PLOS ONE, 13(6), e0199006. https://doi.org/10.1371/journal.pone.0199006
  25. Rodgers, J. L., Jones, J., Bolleddu, S. I., Vanthenapalli, S., Rodgers, L. E., Shah, K., Karia, K., & Panguluri, S. K. (2019). Cardiovascular Risks Associated with Gender and Aging. Journal of Cardiovascular Development and Disease, 6(2), 19. https://doi.org/10.3390/jcdd6020019
  26. Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. 2020. Pathophysiology of Type 2 Diabetes Mellitus. International Journal of Molecular Sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275
  27. Ciumărnean, L., Milaciu, M. V., Negrean, V., Orășan, O. H., Vesa, S. C., Sălăgean, O., Iluţ, S., & Vlaicu, S. I. (2022). Cardiovascular Risk Factors and Physical Activity for the Prevention of Cardiovascular Diseases in the Elderly. International Journal of Environmental Research and Public Health, 19(1), Article 1. https://doi.org/10.3390/ijerph19010207
  28. Oguntibeju, O. O. (2019). Type 2 diabetes mellitus, oxidative stress and inflammation: Examining the links. International Journal of Physiology, Pathophysiology and Pharmacology, 11(3), 45–63
  29. Glazier, J. J. (2022). Pathophysiology, Diagnosis, and Management of Hypertension in the Elderly. The International Journal of Angiology : Official Publication of the International College of Angiology, Inc, 31(4), 222–228. https://doi.org/10.1055/s-0042-1759486
  30. Abdulkader, R. C. R. M., Burdmann, E. A., Lebrão, M. L., Duarte, Y. A. O., & Zanetta, D. M. T. (2017). Aging and decreased glomerular filtration rate: An elderly population-based study. PLOS ONE, 12(12), e0189935. https://doi.org/10.1371/journal.pone.0189935
  31. Kovesdy, C. P. 2022. Epidemiology of chronic kidney disease: An update 2022. Kidney International Supplements, 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
  32. Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O’Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. R. 2016. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. PLOS ONE, 11(7), e0158765. https://doi.org/10.1371/journal.pone.0158765
  33. Saran, R., Robinson, B., Abbott, K. C., Agodoa, L. Y. C., Bragg-Gresham, J., Balkrishnan, R., Bhave, N., Dietrich, X., Ding, Z., Eggers, P. W., Gaipov, A., Gillen, D., Gipson, D., Gu, H., Guro, P., Haggerty, D., Han, Y., He, K., Herman, W., … Shahinian, V. 2019. US Renal Data System 2018 Annual Data Report: Epidemiology of Kidney Disease in the United States. American Journal of Kidney Diseases, 73(3), A7–A8. https://doi.org/10.1053/j.ajkd.2019.01.001
  34. Jha, R., Lopez-Trevino, S., Kankanamalage, H. R., & Jha, J. C. (2024). Diabetes and Renal Complications: An Overview on Pathophysiology, Biomarkers and Therapeutic Interventions. Biomedicines, 12(5), Article 5. https://doi.org/10.3390/biomedicines12051098
  35. Ko, S.-H., Han, K. D., Park, Y.-M., Yun, J.-S., Kim, K., Bae, J.-H., Kwon, H.-S., & Kim, N.-H. (2023). Diabetes Mellitus in the Elderly Adults in Korea: Based on Data from the Korea National Health and Nutrition Examination Survey 2019 to 2020. Diabetes & Metabolism Journal, 47(5), 643–652. https://doi.org/10.4093/dmj.2023.0041
  36. Moltó, A., & Dougados, M. (2014). Comorbidity indices—PubMed. https://pubmed.ncbi.nlm.nih.gov/25365102/
  37. Fan, H., Li, X., Zheng, L., Chen, X., Lan, Q., Wu, H., Ding, X., Qian, D., Shen, Y., Yu, Z., Fan, L., Chen, M., Tomlinson, B., Chan, P., Zhang, Y., & Liu, Z. (2016). Abdominal obesity is strongly associated with Cardiovascular Disease and its Risk Factors in Elderly and very Elderly Community-dwelling Chinese. Scientific Reports, 6(1), 21521. https://doi.org/10.1038/srep21521

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