Chronic conditions and multimorbidity in a primary care population: a study in the Swiss Sentinel Surveillance Network (Sentinella).

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_22C24100F972
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chronic conditions and multimorbidity in a primary care population: a study in the Swiss Sentinel Surveillance Network (Sentinella).
Journal
International journal of public health
Author(s)
Gnädinger M., Herzig L., Ceschi A., Conen D., Staehelin A., Zoller M., Puhan M.A.
ISSN
1661-8564 (Electronic)
ISSN-L
1661-8556
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
63
Number
9
Pages
1017-1026
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To provide estimates of the prevalence of chronic conditions in Swiss primary care.
In total, 175 general practitioners (GP) or pediatricians (PED) reporting to the Swiss Sentinel Surveillance Network collected morbidity data.
In 26,853 patient contacts, mean (± SD) age was 55.8 ± 21.6 or 6.1 ± 5.7 years (in GPs vs. PEDs, respectively) and 47% were males. In GP patients, median Thurgau Morbidity Index was 2 (IQR 1-3). The median numbers of chronic conditions and permanently used prescribed drugs were 2 (0-5) and 2 (1-4), respectively; in PEDs medians were 0. Out of all patients, 16.7 and 7.0% of the PED patients were hospitalized during the previous year; patients cared by family/proxies or community nurses were hospitalized significantly more often than patients living in homes (50.1 vs. 35.4%, OR 1.41, p < 0.001). Out of patients over 80 years of age, 51.5% were care dependent and 45.5% of the patients over 90 years were living in homes for the elderly.
In a representative sample of Swiss primary care patients, a substantial part shows multimorbidity with a high prevalence of chronic diseases, multiple drug treatment, and care dependency. These data may serve to be compared with other patient groups or other primary care systems. Trial registration www.clinicaltrials.gov NCT0229537, national study registry www.kofam.ch SNCTP000001207.
Keywords
Adult, Aged, Aged, 80 and over, Chronic Disease/drug therapy, Chronic Disease/epidemiology, Comorbidity, Drug Therapy, Combination/statistics & numerical data, Female, General Practice/statistics & numerical data, Homes for the Aged/statistics & numerical data, Hospitalization/statistics & numerical data, Humans, Male, Middle Aged, Nursing Homes/statistics & numerical data, Pediatrics/statistics & numerical data, Prescription Drugs/therapeutic use, Prevalence, Primary Health Care/statistics & numerical data, Risk Factors, Sentinel Surveillance, Switzerland, Care dependency, Drug treatment, Hospitalization, Morbidity, Primary health care
Pubmed
Web of science
Open Access
Yes
Create date
24/05/2018 16:43
Last modification date
20/08/2019 13:00
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