P-576: Multimorbidity in elderly patients: cross mach study in PHI Gerontology Institute 13 November Skopje

摘要

Multimorbidity is defined as presence of two or more chronic medical conditions in an individual. Multimorbidity is associated with decreased quality of life, increased healthcare utilisation. Multimor-bididy is common in elderly patients. PHI Gerontology Institute 13 November in Skopje is institution where are hospitalized elderly patients above 65 years or younger patients with chronic progresive disease. We create epidemiological cross-mach study and the aim of the study is to show number of patients hospitalized in PHI Gerontology Institute 13 November in Skopje, number and nature of their chronic medical conditions. Results: 191 patients, 65 males and 126 females were hospitalized in institution during this stady. Averrage age of the patients was 77.4 years (from 27 years to 96 years). Most of the patients have presence of two or more chronic medical conditions (94.7%). Most comon conditions were arterial hypertension present in 58% of the patients, chronic hearth faliure present in 54.9%, dementia present in 37.1%, fracture (most common hip fracture) present in 29.8%, diabetes melitus and stroke present in 28.2%. Other conditions like anemia, chronic kidney faliure, chronic pulmonary disease, cancer, pressure ulcers, other neurological conditions etc were less represented. In average patients have around 4 chronic medical conditions. It was noted that patients above 80 years have more chronic medical conditions than younger adults. Multimorbidity in elderly patients is associated with poor functional status, poor quality of life, polypharmacy and elevated risk of death.