University:
The University Of Western Ontario
Course:
Epidemiology 9515B | Epidemiology of Major Diseases
Academic year:

2023
Views:

152

Pages:

2
Author:

Kyuwon J.

Comorbidity ● One or more additional disease ○ One primary index of disease ○ Followed by multiple side diseases ● Main condition and other disease alongside ● Used to manage primary disease clinically while also being aware of related conditions ● Adjust risk in medical care ex) person with diabetes will also have heart disease and hypertensions ex) patients with depression will also have anxiety or overuse of substance Multi-Morbidity ● Coexistence of multiple disease within the same individual ○ 2-3 more chronic disease within ○ One diseases is not major than the other ○ One facilitates more holistic and patience centered approach ● In medical care, focuses on patient as a whole not just focused on one disease ● Used to design treatment methods ex) Patient have arthritis, kidney disease , and diabetes ex) Elder individual has osteoporosis, hearing loss and cataracts These are not theory or model! Health system ● Measuring burden of disease ○ How many people with multiple condition? ● Identifying illness patterns ○ Could Diabetes and depression happen together? ■ They do ● Create prediction model ○ Charlson Comorbidity index ● Used to calculate patient’s 10 year mortality rates ○ Higher CGI value = higher risk of death ○ Predict surgical plans Comorbidity Descriptive framework Managing a primary disease with co-conditions Multimorbidity Descriptive framework Treating the whole person with many conditions