Naslov
Patterns of Co-morbidity and multimorbidity of chronic diseases: results of a ten year follow- up of chronic patients in family medicine in Croatia

Autori
Kašuba Lazić, Đurđica ; Katić, Milica ; Kern, Josipa ; Ožvačić Adžić, Zlata

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Research on Multimorbidity in General Practice. Book of abstract. European General Practice Research Network. Dubrovnik, Croatia / - Maastricht, 2009

Skup
European General Practice research Network (EGPRN)conference

Mjesto i datum
Dubrovnik, Hrvatska, 15.10.2014. - 18.10.2014

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
chronic disease; co-morbidity; multimorbidity; cohort; family medicine; Croatia

Sažetak
Chronic disease(CD) multimorbidity in the General Practitioner (GP) population and appropriate management of multimorbid patients is one of the main challanges in General practice. Research question: To investigate the burden of multimorbidity and patterns of Co-morbidity of CDs especially in hypertonics in a GP population over a 10 years follow up. Method: A longitudinal historic cohort study was performed from 1994-2003. We collected data on socio-demographic characteristics, all recorded CDs, and the year when the diagnosis of hypertension was established in seven teaching GP practices in Zagreb. The study encompased medical records of 6409 patients with at least one CD recorded in 1994 according to the internacional Classification of Diseases, X revision. Out of 6409 respondents, 26, 4% died, 10, 7% changed their GP and there were no data available for 30, 6%. The final smple consisted of 2071 (32, 3% chronic patients (63, 9% women and 36, 1% men). Software SAS 8.0.2 (SAS Institute inc., Carry, NC, USA) was used for data analyses. Results: The number of CDs has risen from 3, 4 diagnoses in 1994 to 9, 8 in 2003. The proportion of CD multimorbidity has risen from 36, 9% to 88, 6% for men and 49, 0% to 94, 1% for women, respectively. Risk factor associated with CD multimorbidity were: age (OR=2.498, 95%CI, (2.068-3.018)), female sex (OR=2.045, 95% CI, 1.483-2.820)) and single status(OR=1.929, 95% CI, (1.66-4.191)). Out of 1, 043 hypertonics, 44% have had the diagnosis for 1 to 10 years, 45% for 10-20 years, and 11% more than 20 years. Considering hypertension as an index disease we find a vast amount of different CD co-morbidities with two to 13 additional CDs.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA