Prevalence of Noncardiac Multimorbidity in Patients Admitted to Two Cardiac Intensive Care Units and Their Association with Mortality

Miller, Paul E.; Thomas, Alexander; Breen, Thomas; Chouairi, Fouad; Kunitomo, Yukiko; Aslam, Faisal; Damluji, Abdulla; Anavekar, Nandan S.; Murphy, Joseph G.; Diepen, Sean van; Barsness, Gregory W.; Brennan, Joseph; Jentzer, Jacob C.

doi:10.1016/j.amjmed.2020.09.035

Cited by 29 publications

(9 citation statements)

References 32 publications

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“… 1 Contemporary CICU patients frequently have primary cardiovascular problems in addition to multiple non-cardiovascular comorbidities or complications, diminishing the utility of standard diagnosis-specific risk scores derived from non-critically ill populations. 2 The development and validation of risk prediction models for common CICU conditions has been identified as a priority area of CICU research in the contemporary era. 3 …”

Section: Introductionmentioning

confidence: 99%

First 24-h Sardjito Cardiovascular Intensive Care (SCIENCE) admission risk score to predict mortality in cardiovascular intensive care unit (CICU)

Bagaswoto

Setianto

Ardelia

2022

Indian Heart Journal

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Section: Introductionmentioning

confidence: 99%

First 24-h Sardjito Cardiovascular Intensive Care (SCIENCE) admission risk score to predict mortality in cardiovascular intensive care unit (CICU)

Bagaswoto

Setianto

Ardelia

2022

Indian Heart Journal

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“…Так, в китайском многоцентровом регистре, включавшем 64395 пациентов из 27 клиник, мультиморбидность была выявлена у 93,1% больных ССЗ, а среди других наиболее часто встречающихся хронических некардиальных заболеваний были БОП (62%) и БОД (48%) [19]. В регистре, созданном на базе двух крупных многопрофильных клиник при университетах США, в котором изучали наличие хронической некардиальной патологии у больных ССЗ, наиболее частыми заболеваниями оказались СД (29,6%), ХБП (22,1%) и ХОБЛ (19,3%) [21].…”

Section: Discussionunclassified

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Lukyanov¹,

Andreenkо²,

Smirnov³

et al. 2023

Cardiovasc Ther Prev

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Aim. To describe the experience of creating the Outpatient-Polyclinic Register of the Multi-specialty Medical Center (TERRA) and the first results of the study.Material and methods. The TERRA registry included 32264 patients (age 44,0±15,3 years; 32,2% men) who applied to the multidisciplinary medical center from January 1, 2018 to December 31, 2021. Information from electronic outpatient records was evaluated. The data of patients with/without cardiovascular diseases (CVDs) in those who applied to general practitioners, cardiologists and other specialists, those with and without coronavirus disease 2019 (COVID-19) were compared.Results. There were 26,8% of patients with CVDs, while with ≥2 CVD — 8,1%, with CVD and/or chronic non-cardiac disease — 54,1%, their combination — 26%. Among those who consulted cardiologists, general practitioners and doctors of other specialties, hypertension was most often recorded — 64,8; 34,9 and 18,6%, coronary artery disease — 15,1, 6,2 and 3,2%, while from chronic non-cardiac diseases — diseases of the digestive system (64,4; 58,0 and 33,7%), kidneys (29,8; 24,9 and 13,2%), respiratory organs (28,4; 23,8 and 12,6%). The proportion of COVID-19 survivors was 8.2%, in patients with and without CVD — 14,8 and 5,1%, respectively (p<0,001). The proportion of CVD cases among survivors and non-survivors of COVID-19 was 58,0% and 25,2%, respectively (p<0,001). In addition, 88% of patients with CVDs consulted a cardiologist or general practitioner, of which 42% were observed by them together.Conclusion. The majority of patients at the multidisciplinary medical center had CVDs and chronic non-cardiac diseases, and more than a quarter had a combination of both. Patients with CVDs were more likely to have chronic non-cardiac diseases (2,2 times) and a history of COVID-19 (2,9 times). Among patients with a history of COVID-19, there was a higher proportion of cases of CVDs (by 2,3 times) and chronic non-cardiac pathology (by 1,8 times). Almost half of patients with CVD were observed jointly by a cardiologist and a general practitioner.

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“… 9 , 10 Common comorbidities in aging include hypertension, diabetes, chronic obstructive pulmonary disease, heart failure, cancer, and cognitive impairment. 10 Multimorbidity is associated with increased short- and long-term mortality among all ICU patients 11 and poses a significant risk for older populations. 12 The aging process and comorbidities in older adults increase the risk of developing frailty, a syndrome resulting from decline across multiple physiologic systems that decreases the body’s reserve for managing stressful events and increases vulnerability to adverse outcomes.…”

Section: Geriatric Syndromes and Comorbiditiesmentioning

confidence: 99%

Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges

Brunker

Boncyk

Rengel

et al. 2023

CIA

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There is a growing population of older adults requiring admission to the intensive care unit (ICU). This population outpaces the ability of clinicians with geriatric training to assist in their management. Specific training and education for intensivists in the care of older patients is valuable to help understand and inform clinical care, as physiologic changes of aging affect each organ system. This review highlights some of these aging processes and discusses clinical implications in the vulnerable older population. Other considerations when caring for these older patients in the ICU include functional outcomes and morbidity, as opposed to merely a focus on mortality. An overall holistic approach incorporating physiology of aging, applying current evidence, and including the patient and their family in care should be used when caring for older adults in the ICU.

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Prevalence of Noncardiac Multimorbidity in Patients Admitted to Two Cardiac Intensive Care Units and Their Association with Mortality

Cited by 29 publications

References 32 publications

First 24-h Sardjito Cardiovascular Intensive Care (SCIENCE) admission risk score to predict mortality in cardiovascular intensive care unit (CICU)

First 24-h Sardjito Cardiovascular Intensive Care (SCIENCE) admission risk score to predict mortality in cardiovascular intensive care unit (CICU)

Outpatient-Polyclinic Register of the Multidisciplinary Medical Center (TERRA): general characteristics and first results

Elderly Patients and Management in Intensive Care Units (ICU): Clinical Challenges

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