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Epidemiology of Multimorbidity in Older Adults with Cardiovascular Disease
Susan P Bell1, Avantika A Saraf1
1Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medicine Center, Nashville, TN, USA; Division of Geriatric Medicine, Center for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, USA.
Insights
Multimorbidity significantly impacts older adults, especially those with cardiovascular disease. Care must shift from single-disease approaches to patient-centered models to meet the needs of an aging population.
Area of Science:
- Geriatric Medicine
- Cardiovascular Disease Research
- Health Services Research
Background:
- Multimorbidity is a primary health concern for older adults, affecting all aspects of healthcare.
- The prevalence of multimorbidity increases with age and significantly impacts cardiovascular disease management.
- Current evidence-based treatments primarily focus on single cardiovascular conditions.
Purpose of the Study:
- To highlight the profound impact of multimorbidity on cardiovascular disease presentation, diagnosis, management, and patient preferences.
- To advocate for a paradigm shift in healthcare delivery for an aging population with multiple chronic conditions.
Main Methods:
- Review of existing literature on multimorbidity and cardiovascular disease in older adults.
- Analysis of the implications of multimorbidity on current healthcare practices and patient-centered care.
Main Results:
- Multimorbidity complicates cardiovascular disease presentation and management.
- Existing therapeutic strategies are often disease-specific, inadequately addressing complex patient needs.
- A significant increase in the older adult population is projected, exacerbating the need for integrated care.
Conclusions:
- A patient-centered care framework is essential to address the complexities of multimorbidity in older adults.
- Healthcare systems must adapt to manage multiple chronic conditions effectively.
- Future research and clinical practice should prioritize holistic, patient-centered approaches for geriatric populations.
Abstract:
Multimorbidity is the most significant condition affecting older adults, and it impacts every component of health care management and delivery. Multimorbidity significantly increases with age. For individuals with a diagnosis of cardiovascular disease, multimorbidity has a significant effect on the presentation of the disease and the diagnosis, management, and patient-centered preferences in care. Evidence-based therapeutics have focused on cardiovascular focused morbidity. Over the next 25 years, the proportion of adults aged 65 and older is estimated to increase three-fold. The needs of these patients require a fundamental shift in care from single disease practices to a more patient-centered framework.
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