Assessment of multimorbidity burden in elderly hypertensive patients

The level and severity of multimorbidity were studied in 250 hypertensive patients aged 60-89 years. The analysis includes diseases and syndromes according to the ICD 10 classification, which was presented in the medical histories of patients with uncomplicated essential hypertension (EH) and 80 hypertensives with stroke in anamnesis (SEH). Transnosologic multimorbidity level, the Charlson Comorbidity Indexes, CIRS-G scoring, the Lee index and derivated prognostic score were calculated. The level of transnosological M does not adequately characterise its severity, since it includes pathologies that are categorically different in terms of consequences for functional decline, disability and mortality. Despite the high level of M, its severity by CCI and CACI scales is low in uncomplicated EH and doubles in SEH. To a greater extent, the severity of M is described by prognostic models that, in addition to age and clinically significant concomitant pathology, considered the functional state: the Leet 4-year mortality was 4 times higher in SEH compared to uncomplicated EH.