Espinoza Sara E, Quiben Myla, Hazuda Helen P
The Department of Medicine, Divisions of Geriatrics, Gerontology & Palliative Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.
The Department of Nephrology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Curr Geriatr Rep. 2018 Dec;7(4):201-209. doi: 10.1007/s13670-018-0254-0. Epub 2018 Sep 19.
Over half of the older adults in U.S. have multimorbidity, defined broadly as the presence of 2 or more chronic diseases in an individual. Multimorbidity has significant overlap with disability and frailty. In this review, we broadly review the concepts of multimorbidity, disability, and frailty, as well as their interrelationships, and ability to predict future adverse health outcomes in older adults.
Depending on the study, the prevalence of individuals with all three of multimorbidity, disability, and frailty ranges from 2-20%. Multimorbidity and patterns of multimorbidity are predictive of functional limitations, disability, health care usage, and mortality. The degree to which multimorbidity predicts these outcomes depends on many factors but partly upon the population examined and the presence of frailty and disability.
Multimorbidity is an emerging public health concern that is observed with and predictive of disability and frailty.
在美国，超过半数的老年人患有多种疾病，广义上定义为个体存在两种或更多种慢性疾病。多种疾病与残疾和衰弱有显著重叠。在本综述中，我们广泛回顾多种疾病、残疾和衰弱的概念，以及它们之间的相互关系，以及预测老年人未来不良健康结局的能力。
根据研究，患有多种疾病、残疾和衰弱这三者的个体患病率在2%至20%之间。多种疾病及其模式可预测功能受限、残疾、医疗保健使用情况和死亡率。多种疾病预测这些结局的程度取决于许多因素，但部分取决于所研究的人群以及衰弱和残疾的存在情况。
多种疾病是一个新出现的公共卫生问题，与残疾和衰弱相关且可预测残疾和衰弱。
