Comorbidity: Difference between revisions
imported>Howard C. Berkowitz (New page: {{subpages}} In medicine, a '''comorbidity'' exists when one or more relevant disorders coexist with the disease of primary interest. While comorbidities complicate diagnosis and treat...) |
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In [[medicine]], a '''comorbidity'' exists when one or more relevant disorders coexist with the disease of primary interest. While comorbidities complicate diagnosis and treatment, they also have predictive value, and guide both the avoidance and preference of particular therapies. | In [[medicine]], a '''comorbidity''' exists when one or more relevant disorders coexist with the disease of primary interest. While comorbidities complicate diagnosis and treatment, they also have predictive value, and guide both the avoidance and preference of particular therapies. | ||
==Function and survival== | ==Function and survival== | ||
Comorbidity may affect the ability of affected individuals to function and also their survival | Comorbidity may affect the ability of affected individuals to function and also their survival. | ||
==Prognostic value== | ==Prognostic value== | ||
It may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.<ref>{{MeSH}}</ref> | |||
==Drug selection== | ==Drug selection== | ||
A comorbidity variously may make a particular treatment inadvisable, or recommend a different one. For [[hypertension]], there are perhaps four basic drug classes that can be used for initial therapy. If the patient has comorbid [[asthma]], [[beta-adrenergic antagonist]]s would be contraindicated. If that same hypertensive patient had [[diabetes]], an [[ACE inhibitor]] both treats hypertension and protects against renal damage of diabetes. | A comorbidity variously may make a particular treatment inadvisable, or recommend a different one. For [[hypertension]], there are perhaps four basic drug classes that can be used for initial therapy. If the patient has comorbid [[asthma]], [[beta-adrenergic antagonist]]s would be contraindicated. If that same hypertensive patient had [[diabetes]], an [[ACE inhibitor]] both treats hypertension and protects against renal damage of diabetes. | ||
==References== | |||
{{reflist}} | |||
Revision as of 19:58, 15 August 2010
In medicine, a comorbidity exists when one or more relevant disorders coexist with the disease of primary interest. While comorbidities complicate diagnosis and treatment, they also have predictive value, and guide both the avoidance and preference of particular therapies.
Function and survival
Comorbidity may affect the ability of affected individuals to function and also their survival.
Prognostic value
It may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.[1]
Drug selection
A comorbidity variously may make a particular treatment inadvisable, or recommend a different one. For hypertension, there are perhaps four basic drug classes that can be used for initial therapy. If the patient has comorbid asthma, beta-adrenergic antagonists would be contraindicated. If that same hypertensive patient had diabetes, an ACE inhibitor both treats hypertension and protects against renal damage of diabetes.
References
- ↑ Anonymous (2024), Comorbidity (English). Medical Subject Headings. U.S. National Library of Medicine.