老年心血管疾病患者的多病共存。
Multimorbidity in Older Adults With Cardiovascular Disease.
机构信息
Department of Medicine, Section of Geriatric Cardiology, Veterans Affairs Geriatric Research Education, and Clinical Center, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York.
出版信息
J Am Coll Cardiol. 2018 May 15;71(19):2149-2161. doi: 10.1016/j.jacc.2018.03.022.
Abstract
Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients.
摘要
多发病发生在各个年龄段的成年人中，但随着年龄的增长，合并症的数量和复杂性通常会增加，因此老年人的心血管疾病（CVD）通常发生在多发病的背景下。目前的临床实践和研究主要针对特定疾病的单一治疗，而不考虑同时存在的疾病带来的复杂性。本文综述了 CVD 合并多发病的新观念，包括将多发病纳入临床决策的建议、关键知识空白和研究重点，以优化复杂老年患者的护理。
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