Prevalence of multimorbidity among adults seen in family practice
Prevalence of multimorbidity among adults seen in family practice
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DOI：
10.1370/afm.272
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发表时间：
2005-05-01
影响因子：
4.4
通讯作者：
Lapointe, L
中科院分区：
文献类型：
--
作者：
Fortin, M;Bravo, G;Lapointe, L
目的：描述初级保健患者多病程度的有效数据很少。本研究的目的是通过计算慢性疾病的数量，并使用一种考虑这些疾病严重程度的测量方法，即累积疾病评定量表（CIRS），来估计其在家庭执业患者中的患病率。方法本研究于2003年在加拿大魁北克省萨格奈地区进行。在连续的会诊期间，从21名家庭医生中征集成年患者的参与。一名研究护士审查了医疗记录，并提取了有关慢性疾病的数据。对于每种慢性疾病，根据CIRS评分指南确定严重程度评分。结果样本包括320名男性和660名女性。总体而言，10名患者中有9名患有1种以上的慢性疾病。在18- 44岁、45- 64岁和65岁及以上年龄组中，患有两种或两种以上疾病的女性患病率分别为68%、95%和99%，男性患病率分别为72%、89%和97%。平均病情数和平均CIRS评分也随年龄的增长而显著增加。结论：无论是简单地计算病症数量还是使用CIRS来衡量，男性和女性的多病患病率都相当高，并且随着年龄的增长而显著增加。在家庭实践中看到的多胎患者代表了规则而不是例外。
PURPOSE There are few valid data that describe the extent of multimorbidity in primary care patients. The purpose of this study was to estimate its prevalence in family practice patients by counting the number of chronic medical conditions and using a measure that considers the severity of these conditions, the Cumulative Illness Rating Scale (CIRS).METHODS The study was carried out in the Saguenay region (Quebec, Canada) in 2003. The participation of adult patients from 21 family physicians was solicited during consecutive consultation periods. A research nurse reviewed medical records and extracted the data regarding chronic illnesses. For each chronic condition, a severity rating was determined in accordance with the CIRS scoring guidelines.RESULTS The sample consisted of 320 men and 660 women. Overall, 9 of 10 patients had more than I chronic condition. The prevalence of having 2 or more medical conditions in the 18- to 44-year, 45- to 64-year, and 65-year and older age-groups was, respectively, 68%, 95%, and 99% among women and 72%, 89%, and 97% among men. The mean number of conditions and mean CIRS score also increased significantly with age.CONCLUSIONS whether measured by simply counting the number of conditions or using the CIRS, the prevalence of multimorbidity is quite high and increases significantly with age in both men and women. Patients with multimorbiclity seen in family practice represent the rule rather than the exception.