Analysis of multimorbidity in individual elderly nursing home residents. Development of a multimorbidity matrix
Analysis of multimorbidity in individual elderly nursing home residents. Development of a multimorbidity matrix
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DOI：
10.1016/j.archger.2008.12.009
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发表时间：
2009-11-01
影响因子：
4
通讯作者：
Akner, Gunnar
中科院分区：
文献类型：
--
作者：
Akner, Gunnar
在目前的医疗记录中，个别老年人的慢性多病很少被完整地记录下来，既没有作为横断面概述，也没有作为各种健康问题的纵向时间过程。这显然妨碍了综合临床分析。这项工作旨在评估个别老年患者的慢性多病，并开发一种方法来绘制，量化和分级多病的患病率。对70名平均年龄为85岁的养老院居民（女性55名）进行了探索性研究。通过病史、临床检查和医疗记录获得有关健康问题的信息。19项多病矩阵，映射，量化和分级的慢性发病率在个别患者提出。这70名住院医生表现出275种不同的健康问题，排名前三的是神经精神、心血管和胃肠疾病。这些居民平均患有17种不同的慢性健康问题，平均每天连续服用6.6种药物。连续用药次数与定量和分级多重发病评分之间存在显著相关性。所提出的多重疾病矩阵提供了对个体多重疾病老年人健康状况的有用分类概述，并构成了正在进行的将电子健康记录发展和更新为“交互式健康分析系统”的工作的基础。2009年由爱思唯尔爱尔兰有限公司出版。
The chronic multimorbidity in individual elderly people is rarely documented in its entirety in present medical records, neither as cross-sectional overview nor as longitudinal time-course of various health problems. This obviously hampers an integrated clinical analysis. This work was aimed at evaluating the chronic multimorbidity in individual elderly patients and developing a method to map, quantify and grade the prevalence of the multimorbidity. An explorative study in 70 nursing home residents (55 women), mean age 85 was performed. Information on health problems was obtained through history, clinical examination and medical records. A 19-item multimorbidity matrix that maps, quantifies and grades the chronic morbidity in individual patients is presented. The 70 residents exhibited 275 different health problems: the top 3 items being neuropsychiatric, cardiovascular and gastrointestinal ones. The residents had a mean of 17 different chronic health problems and were prescribed a mean of 6.6 continuous medications per day. There was a significant correlation between the number of continuous drug prescriptions and both quantitative and graded multimorbidity-scores. The presented multimorbidity matrix provides a useful taxonomic overview over the health situation in individual multimorbid elderly and constitutes the basis for ongoing work to develop and renew the electronic health record into an "interactive health analysis system". (C) 2009 Published by Elsevier Ireland Ltd.