Мультиморбідність як клінічна проблема
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Анотація
Мультиморбідність – наявність у одного пацієнта кількох захворювань із хронічним перебігом. Наявність мультиморбідної патології має негативний вплив на якість життя пацієнтів, призводить до виникнення труднощів щодо діагностики і лікування, збільшення термінів госпіталізації та частоти непрофільної госпіталізації хворих, утруднює оцінку ефективності призначеного лікування. В огляді узагальнено інформацію щодо поширеності мультиморбідності, наведено перелік захворювань, які з найбільшою частотою трапляються в таких пацієнтів, зокрема за наявності серцево-судинних захворювань. Наведено опис організаційних засад надання медичної допомоги пацієнтам з мультиморбідністю, виходячи з рекомендацій ВООЗ, Американської асоціації геріатрів та клінічних настанов NICE (NG56). Серед питань, що потребують вирішення, важливу роль відіграє розроблення стандартизованих підходів до комплексної оцінки стану здоров’я пацієнтів з мультиморбідністю та критеріїв оцінки ефективності проведених у них медичних втручань.
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