THE NEW APPROACHES TO PROBLEM OF POLYMORBIDITY
High prevalence of polymorbidity in outpatient therapeutic practice calls for improvement of diagnostic approaches, in particular, the development of methods for its measurement and using the results for optimization the number of medical, rehabilitation, expert and prevention processes. The analysis of previously proposed methods of evaluation polymorbidity allowed to reveal the factors that hinder their using in domestic therapeutic outpatient practice. Original methodology of integrated evaluation of polymorbidity adapted to the operating conditions of the district general practitioner and implemented its clinical testing. The methodology of integrated evaluation of polymorbidity based on the principles of polyparametric analysis allows to stratify degree polymorbidity and significantly optimize the program of clinical supervision, treatment (including - assessing pharmacological load), prevention, rehabilitation, sanatorium selection, predicting the course and outcome of diseases , perform express-analysis of the degree of disability, cardiovascular risk in complex diagnostic and treatment interventions.
ZhuravlevYI, TkhorikovaVN. The new approaches to problem of polymorbidity. Research Result. Medicine and Pharmacy Series. 2014;1(1):60-67 (In Russian). DOI: 10.18413 / 2313-8955-2014-1-1-60-67
While nobody left any comments to this publication.
You can be first.
1. Huntley A.L., Johnson R., Purdy S. Measures of Multimorbidity and Morbidity Burden for Use in Primary Care and Community Settings: A Systematic Review and Guide // Ann Fam Med. 2012. 10(2). P. 134–141.
2. Fortin M., Lapointe L., Hudon C. Multimorbidity is common to family practice: is it commonly researched? // Can Fam Physician. 2005. 51. P. 244–245.
3. Vertkin A.L., Zayratyants O.V., Vovk Y.I. Okonchatelny diagnoz [The final diagnosis]. Moscow.GEOTAR-Media; 2008; 576с.
4. Zekry D., Loures Valle B.H., Lardi C. Geriatrics index of comorbidity was the most accurate predictor of death in geriatric hospital among six comorbidity scores // JClinEpidemiol. 2010. 63 (9). P.1036-1044.
5. Vertkin A.L., Rumyantsev M.A., Skotnikov A.S. Komorbidnost [Comorbidity]. // Consilium Medicum Heart and blood vessels diseases. 2011. №2. С.37–41.
6. Charlson M.E., Pompei P., Ales H.L. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation // J Chron Dis. 1987. 40. P. 373–383.
7. Linn B.S., Linn M.W., Gurel L. Cumulative illness rating scale // J Am Geriatr Soc. 1968. 16. P. 622–626.
8. Miller M.D., Towers A. Manual of Guidelines for Scoring the Cumulative Illness Rating Scale for Geriatrics (CIRS-G).Pittsburg, Pa : University of Pittsburgh; 1991; 31 p.
9. Miller M.D., Paradis C.F., Houck P.R. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale // Psych Res. 1992. 41. P. 237–248.
10. Kaplan M.H., Feinstein A.R. Acritique of methods in reported studies of long-term vascular complications in patients with diabetes mellitus // Diabetes. 1973. 22(3). P.160–174.
11. Greenfield S., Apolone G. The importance of coexistent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement: Comorbidity and outcomes after hip replacement // Med Care. 1993. 31. P. 141–154.
12. Vertkin A.L., Vovk Y.I., Zaratyants O.V. Vozrozhdeniye kliniko-morfologicheskikh sopostavleny kak neobkhodimoye usloviye podgotovki klinitsista [Revival clinicopathologic comparisons as a prerequisite for training of the clinician] // Russian Journal of Medicine. 9 (3). C. 14–17.
a. Rekomendatsii ekspertov Vserossyskogo nauchnogo obshchestva kardiologov po diagnostike i lecheniyu metabolicheskogo sindroma, vtoroy peresmotr [Experts recommendations of the Russian Scientific Society of Cardiology for the diagnosis and treatment of metabolic syndrome, the second revision], Moscow: Russian Scientific Society of Cardiology; 2009; 32 с.,
b. Diagnostika i lecheniye arterialnoy gipertenzii (Rekomendatsii Rossyskogo meditsinskogo obshchestva po arterialnoy gipertonii i Vserossyskogo nauchnogo obshchestva kardiologov) [Diagnosis and treatment of hypertension (Recommendation Russian Medical Society of hypertension and the All-Russian Society of Cardiology)] // Systemic hypertension. Cardiology. 2010; 3: P. 5-26.
13. 2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). // Eur. Heart J. Jun. 14.