Epidemiology of Multimorbidity in Older Adults with Cardiovascular Disease

被引：63

作者：

Bell, Susan P. ^{[1
,2
]}

Saraf, Avantika A. ^{[1
,2
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Cardiovasc Med, 221 Kirkland Hall, Nashville, TN 37235 USA

[2] Vanderbilt Univ, Med Ctr, Ctr Qual Aging, Div Geriatr Med, 221 Kirkland Hall, Nashville, TN 37235 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2016年 / 32卷 / 02期

关键词：

Older adults; Multimorbidity; Cardiovascular disease; Chronic conditions; ACUTE CORONARY SYNDROMES; INAPPROPRIATE MEDICATION PRESCRIPTIONS; CLINICAL-PRACTICE GUIDELINES; GERIATRIC SYNDROMES; HEART-DISEASE; RISK-FACTORS; FRAILTY; OUTCOMES; HEALTH; CARE;

D O I：

10.1016/j.cger.2016.01.013

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Multimorbidity is the most significant condition affecting older adults, and it impacts every component of health care management and delivery. Multimorbidity significantly increases with age. For individuals with a diagnosis of cardiovascular disease, multimorbidity has a significant effect on the presentation of the disease and the diagnosis, management, and patient-centered preferences in care. Evidence-based therapeutics have focused on cardiovascular focused morbidity. Over the next 25 years, the proportion of adults aged 65 and older is estimated to increase threefold. The needs of these patients require a fundamental shift in care from single disease practices to a more patient-centered framework.

引用

页码：215 / +

页数：13

共 37 条

[1] Role of Frailty in Patients With Cardiovascular Disease
Afilalo, Jonathan
Karunananthan, Sathya
Eisenberg, Mark J.
Alexander, Karen P.
Bergman, Howard
[J]. AMERICAN JOURNAL OF CARDIOLOGY, 2009, 103 (11) : 1616 - 1621
[2] [Anonymous], POPULATION ESTIMATES
[3] Geriatric syndromes as predictors of adverse outcomes of hospitalization
Anpalahan, M.
Gibson, S. J.
[J]. INTERNAL MEDICINE JOURNAL, 2008, 38 (01) : 16 - 23
[4] AHA/ACC/HHS Strategies to Enhance Application of Clinical Practice Guidelines in Patients With Cardiovascular Disease and Comorbid Conditions
Arnett, Donna K.
Goodman, Richard A.
Halperin, Jonathan L.
Anderson, Jeffrey L.
Parekh, Anand K.
Zoghbi, William A.
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 64 (17) : 1851 - 1856
[5] Primary angioplasty versus prehospital fibrinolysis in acute myocardial infarction: a randomised study
Bonnefoy, E
Lapostolle, F
Leizorovicz, A
Steg, G
McFadden, EP
Dubien, PY
Cattan, S
Boullenger, E
Machecourt, J
Lacroute, JM
Cassagnes, J
Dissait, F
Touboul, P
[J]. LANCET, 2002, 360 (9336) : 825 - 829
[6] Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases - Implications for pay for performance
Boyd, CM
Darer, J
Boult, C
Fried, LP
Boult, L
Wu, AW
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 294 (06): : 716 - 724
[7] Informing Evidence-Based Decision-Making for Patients with Comorbidity: Availability of Necessary Information in Clinical Trials for Chronic Diseases
Boyd, Cynthia M.
Vollenweider, Daniela
Puhan, Milo A.
[J]. PLOS ONE, 2012, 7 (08):
[8] Future of Multimorbidity Research: How Should Understanding of Multimorbidity Inform Health System Design?
Boyd, Cynthia M.
Fortin, Martin
[J]. PUBLIC HEALTH REVIEWS, 2010, 32 (02) : 451 - 474
[9] Informing Clinical Practice Guideline Development and Implementation: Prevalence of Coexisting Conditions Among Adults with Coronary Heart Disease
Boyd, Cynthia M.
Leff, Bruce
Wolff, Jennifer L.
Yu, Qilu
Zhou, Jing
Rand, Cynthia
Weiss, Carlos O.
[J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2011, 59 (05) : 797 - 805
[10] Geriatric Conditions in Acutely Hospitalized Older Patients: Prevalence and One-Year Survival and Functional Decline
Buurman, Bianca M.
Hoogerduijn, Jita G.
de Haan, Rob J.
Abu-Hanna, Ameen
Lagaay, A. Margot
Verhaar, Harald J.
Schuurmans, Marieke J.
Levi, Marcel
de Rooij, Sophia E.
[J]. PLOS ONE, 2011, 6 (11):

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