ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 206
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Assessing intrinsic capacity of older adults in Pakistan
using the ICOPE tool
Dr Samreen Fatima, Prof Saniya Sabzwari, Maria Fletcher
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AKUH
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Background
Pakistan is expected to see a tripling of its current ageing population by 2050. Studies from Pakistan
highlight heavy non-communicable disease (NCD) burden and their resulting complications in the older
population. The ICOPE (Integrated Care of Older People) tool can be used for large-scale functional
assessment of older adults.
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This study piloted ICOPE in Karachi, Pakistan, to assess health and functional outcomes in older
individuals and determine its association with NCDs.
Methods
A cross-sectional study was conducted at the Aga Khan University. Using non-probability convenience
sampling, patients 60 years and older attending outpatient clinics were recruited.
Data were analysed using SPSS version 22. Means and standard deviations were reported for
quantitative variables, while percentages were reported for categorical variables. Associations of
comorbid illnesses with different outcomes were assessed through Chi-squared tests.
Results
A total of 84 adults with a mean age of 69.04 years participated in this study, with 56% females. Large
number of patients had diabetes (45.8%), hypertension (63%) and osteoarthritis (39%). High rates of
cognitive (32%), psychological (56%) and mobility impairments (38%) were found.
Results showed that increasing age affects mobility (P < 0.001). Certain comorbidities were also
found to be associated with one or more intrinsic capacity domains like hypertension with cognition
(P < 0.054), appetite loss (P < 0.023) and vision (P 0.001). Polypharmacy (five or more drugs) was
significantly associated with poor item recall (P 0.004), disorientation (P 0.050) and anorexia (P 0.020).
Conclusion
There is a large burden of NCDs among older individuals seeking ambulatory care. The ICOPE tool
was able to determine one or more impaired intrinsic capacity domains. These findings provide
important insight for the further community-based ICOPE implementation studies in Pakistan.
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