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Comorbidity in General Practice

Comorbidity in General Practice. Elective for SSM 2/ SS 2004 Medizinische Universität Wien. Authors. Supervisor: Univ.- Prof. Dr. M. Maier Participants:

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Comorbidity in General Practice

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  1. Comorbidity in General Practice Elective for SSM 2/ SS 2004 Medizinische Universität Wien

  2. Authors • Supervisor: Univ.- Prof. Dr. M. Maier • Participants: Angerer Katalin, Grömmer Martina, Gutschelhofer Sigrid, Kastenberger Reinhard, Nowak Martina, Sattelberger Kathrin, Schweifer Christina, Smretschnig Eva, Waller Karina, Willner Lea

  3. Research Questions • Which of the chronic diseases frequently occur together? • Is there a relationship to gender, social status, lifestile and quality of life? • Is the incidence of comorbidity higher in elderly patients?

  4. Agenda • Literatur search • Studyplan • Questionaire • Interviews of patients in GP- practices • Documentation and analysis of data in SPSS • Presentation of results

  5. Methods • Questionaire with 18 questions • Personal interviews in 6 GP- practices • Data collection, documentation(double checked) and analysis • Definition of variables • Illustration of data and results by diagrams, tables, graphs, plots, histograms, etc

  6. Results:sample description • 121 patients interviewed • 118 questionaires returned • 2 patients had not enough time • 1 patient refused

  7. HÄUFIGKEITEN der chronischen ERKRANKUNGEN 1…RR (50) 2…Chol (46) 3…Diabetes (11) 4…Rheuma (20) 5…KHK (26) 6…COPD,… (6) 7…Allergien (31) 8…Neuro (5) 9…SD-Erkr. (28) 10…Depress.,… (20) 11…Sonstige (64)

  8. SONSTIGE ERKRANKUNGEN • 13 x Bandscheibenprobleme • 8 x Arthrose • 6 x Osteoporose • 4 x chronische Gastritis • 3 x Karzinom 2 x Gicht, Tinnitus, grauer Star

  9. Häufigkeiten von Mehrfacherkrankungen

  10. In der allgmeinmedizinischen Praxis zu erwartenden Comorbiditätshäufigkeiten

  11. Fühlen sich mehrfach erkrankte Patienten krankheitsbedingt eingeschränkt?

  12. Frequenz der Arztbesuche Frauen Männer

  13. Patienten mit Bluthochdruck gehen häufiger zum Arzt

  14. Zusammenhang des Komorbiditätsgrades mit der Anzahl der Hausarztbesuche

  15. Hausarztbesuche Häufigkeit Prozent wöchentlich 12 10,2 monatlich 37 31,4 1x im Quartal 36 30,5 sehr selten 33 28,0 Facharztbesuche Häufigkeit Prozent monatlich 9 7,6 1x im Quartal 39 33,1 sehr selten 70 59,3 ARZTBESUCHEim Vergleich stationäreKrankenhausaufenthalte HäufigkeitProzent sehr selten bis nie 98 83,1 1-3 mal 14 11,9 4-6 mal 1 0,8 öfter 5 4,2

  16. Zusammenhang von Komorbidität und Anzahl der eingenommenen Medikamente

  17. Summary • Every 5th patient shows a comorbidity of hypertension and hyperlipidemia • These conditions are frequently combined with cardiovascular disease • The comorbidity of Diabetes and cardiovascular disease was found in only 6.75% of patients • Almost 2/3 of all patients in General Practice have either cardiovascular disease, hypertension or hyperlipidemia

  18. Summary • 2 of 3 patients were female • More than 50% have a partner • 30% of patients smoke regularely or on and off • GP is consulted once per month, specialists and hospital rather seldom • Approximately 70% take drugs regularely- in most cases 1-3 different medications

  19. Thank you for your attention!!

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