MỘT SỐ YẾU TỐ LIÊN QUAN VỚI THOÁI HÓA KHỚP GỐI Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG CAO TUỔI TẠI BỆNH VIỆN LÃO KHOA TRUNG ƯƠNG

Abstract

Objective: To describe some factors related to knee OA in elderly diabetic patients. Material and methods: A case-control study was conducted in elderly diabeteic patients at the National Geriatric Hospital in 2023. Diabetes was diagnosed according to ADA (American Diabetes Association 2022). Knee OA was diagnosed according to the ACR (the American College of Rheumatology 1991). Results: There were 256 subjects recruited into the study, average age 75.2 ± 6.8 years, 73.7% female. The group of patients with knee OA consisted of 118 people (46.1%). Factors associated with increased odds of knee OA: older age (1.67 95%CI: 1.01-2.74), female (OR 2.13, 95%CI 1.26 - 3, 60), high HbA1c, lipid metabolism disorder (OR 2.34, 95%CI 1.40 - 3.87), microvascular complications (OR 3.68, 95% 1.13 - 6.33) , history of hospitalization in the last12 months (OR 1.81, 95%CI 1.07 – 3.05), sarcopenia (OR 2.15, 95%CI 1.30 – 3.55), depression (OR 4 ,23, 95%CI 2.47 – 7.26). Conclusion: There is a need for longitudinal study to identify risk factors that increase the incidence of knee OA in older people with diabetes.