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Revista Cubana de Medicina
versión On-line ISSN 1561-302X
Resumen
VALDEZ, Pascual Rubén et al. Multicenter Study on Multimorbidity in Patients in Clinical Areas. Rev. Cuban de Med [online]. 2023, vol.62, n.4 Epub 07-Mar-2024. ISSN 1561-302X.
Introduction:
The study of comorbidity requires a multilateral approach with a view to improving the quality of care for these patients by the care system.
Objectives:
To explore the magnitude of the comorbidity of chronic diseases in adults admitted to hospitals.
Methods:
Prospective-observational-longitudinal-analytical study. Patients hospitalized in a medical clinic room or clinical patients in indiscriminate hospitalization rooms are included, Multicenter study in 42 centers, with 2 years of recruitment. Consecutive sampling. Descriptive, inferential and regression statistics.
Results:
5925 recruited, male gender 50,3%, age 60,66 ± 0,25 years, main origin from the guard 73%, stay 12,61 ± 0,24 days, longer in surgical (15,45 ± 0,67 vs 11,76 ± 0,23, p < 0,00001), 23% received surgical treatment. Main educational level: complete secondary school 21,6%. Economic difficulties: 20%, mortality 9,26%, prevalence of dyslipidemia, diabetes and hypertension: 22,53%, 28,82% and 51,86% with 473 new diagnoses in said pathologies, BMI: 27,88 ± 0,65, Global Charlson 2,09 ± 0,02 and in deaths 3,84 ± 0,11. The average number of pathologies per patient was 2,14 ± 0,01 and increased with age (p value for linear regression < 0,00001).
Conclusions:
Hypertension, diabetes and dyslipidemia represented the most prevalent entities in the clinical hospitalization room, cardiovascular, respiratory, infectious, oncological, neurological, metabolic and nephrological diseases were independent predictors of mortality.
Palabras clave : comorbidity; plurypathology; internal medicine; multimorbidity.