Table 1
Characteristics of the 141 patients, who entered the Clinic for Multimorbidity at Silkeborg Regional Hospital between May 2012 to November 2017.
| n | %1 | ||
|---|---|---|---|
| Total | 141 | (100) | |
| Gender | |||
| Male | 57 | 40.4 | |
| Female | 84 | 59.6 | |
| Age (years) | Median = 70 | (IQI, 63–77) | |
| <60 | 25 | 17.7 | |
| 60–69 | 43 | 30.5 | |
| 70–79 | 48 | 34.0 | |
| ≥80 | 25 | 17.7 | |
| Working status | |||
| Working | 11 | 7.8 | |
| Pension | 116 | 85.8 | |
| Social benefits | 3 | 2.1 | |
| Studying | 2 | 1.4 | |
| Missing | 9 | 6.4 | |
| Educational level1 | |||
| <10 years | 24 | 17.0 | |
| 10–15 years | 54 | 38.3 | |
| >15 years | 23 | 16.3 | |
| Missing | 40 | 28.4 | |
| Civil status | |||
| Living with partner | 76 | 54.9 | |
| Living alone | 61 | 44.5 | |
| Missing | 4 | 2.8 | |
| Body Mass Index | Median = 28.2 | (IQI, 24–32) | |
| Number of diagnoses | Median = 9 | (IQI, 7–11) | |
| <5 | 25 | 17.7 | |
| 5–9 | 70 | 49.7 | |
| ≥10 | 39 | 29.1 | |
| Missing | 7 | 2.8 | |
| Diagnoses, most frequent* | |||
| Hypertension [DI10] | 72 | 51.1 | |
| Diabetes, type 2 [DE11] | 50 | 35.5 | |
| Atrial fibrillation and flutter [DI148] | 42 | 29.8 | |
| Chronic obstructive lung disease [DJ44] | 42 | 29.8 | |
| Dyslipidaemia [DE78] | 37 | 26.2 | |
| Chronic ischemic heart disease [DI25] | 35 | 24.8 | |
| Drug usage3 (N = 128) | Median = 11 | (IQI, 7–15) | |
| Drugs related to | N of drugs | N with drugs | |
| Digestive organs and metabolism | 219 | 96 | 68.7 |
| Blood and blood-forming organs | 108 | 81 | 57.5 |
| Cardiovascular system | 398 | 121 | 85.8 |
| Dermatological system | 24 | 24 | 17.0 |
| Urogenital system and gender hormones | 40 | 32 | 22.7 |
| Hormones, systematic use | 76 | 61 | 43.3 |
| Infectious diseases, systematic use | 112 | 65 | 46.1 |
| Antineoplastic and immunomodulatory drugs | 8 | 8 | 5.7 |
| Musculoskeletal system | 71 | 63 | 44.7 |
| Nerve system4 | 288 | 93 | 66.0 |
| Antiparasitic products, insecticides, and repellents | 6 | 6 | 4.3 |
| Respiratory system | 174 | 63 | 44.7 |
| Sensory organs | 30 | 21 | 14.9 |
| Others | 35 | 35 | 24.8 |
| Tobacco usage | |||
| Smoker | 26 | 18.4 | |
| On occasions | 3 | 2.1 | |
| Former smoker | 58 | 41.3 | |
| Never | 31 | 22.0 | |
| Missing | 8 | 5.7 | |
| Alcohol consumption, daily | |||
| 0–1 | 51 | 36.2 | |
| 2–10 | 14 | 9.9 | |
| >10 | 10 | 7.1 | |
| Missing | 66 | 46.8 | |
| Health status, scored by SF-12 | 78 | 55.3 | |
| Physical well-being | Median = 25.7 | (IQI, 19.6–32.4) | |
| Mental well-being | Median = 42.3 | (IQI, 33.3–48.9) | |
[i] 1 May not add up to 100% due to missing values or rounding.
2 Based on most frequent diseases by International Classification of Diseases, 10th revision.
3 As grouped in the Anatomical Therapeutic Chemical Classification System (ATC codes).
4 Including pain medication. IQI: Interquartile Interval.
Table 2
Examinations related to the consultation in the Clinic for Multimorbidity for 141 patients who entered between May 2012 and November 2017.
| n | %1 | |
|---|---|---|
| Examinations | Median 4 | (IQI, 3–5) |
| Blood samples | 135 | 95.7 |
| Blood sugar testing × 4 within a week | 1 | 0.7 |
| Stool samples | 7 | 5.0 |
| Synacthen test | 5 | 3.6 |
| Lung function examination | 43 | 30.5 |
| Electrocardiogram | 111 | 78.7 |
| Holter monitoring | 8 | 5.7 |
| Echocardiogram | 41 | 29.1 |
| Ultrasound or X-ray | 20 | 14.2 |
| Bone density scan, Dexa | 7 | 5.0 |
| Urine analyses | 87 | 61.7 |
| Other2 | 4 | 2.8 |
[i] 1 May not add up to 100% due to missing values or rounding.
2 Others include one examination for each: orthostatic blood pressure measurement, biothesiometry, helicobacter breath test, and schirmer’s test. IQI: Interquartile interval.
Table 3
Characteristics of involvement before, during and after patients had entered the Clinic for Multimorbidity.
| n | %1 | ||
|---|---|---|---|
| N with examinations, 3 months after first visit2 | 90 | 63.8 | |
| N with visits in the Clinic, 3 months follow up | 69 | 48.9 | |
| Referring unit | |||
| GP | 117 | 83.0 | |
| Hospital | 24 | 17.0 | |
| Video conference involved | |||
| Yes | 11 | 8 | |
| No | 126 | 89.4 | |
| Missing | 4 | 3.0 | |
| Number of specialties involved | Median 5 (IQI, 3–5) | ||
| Endocrinology | 110 | 78.0 | |
| Gastroenterology | 50 | 35.5 | |
| Geriatric | 51 | 36.2 | |
| Hematologic | 4 | 2.8 | |
| Infection medicine | 4 | 2.8 | |
| Cardiology | 102 | 72.3 | |
| Pulmonology | 72 | 51.1 | |
| Nephrology | 21 | 14.9 | |
| Psychiatry | 25 | 17.7 | |
| Radiology | 1 | 0.7 | |
| Rheumatology | 95 | 67.4 | |
| Occupational therapy | 19 | 13.5 | |
| Pharmacist | 46 | 32.6 | |
| Physiotherapy | 23 | 16.3 | |
| Other | 4 | 2.8 | |
[i] 1 May not add up to 100% due to rounding. GP: General practitioner. IQI: Interquartile interval.
2 Initiated by the Clinic for Multimorbidity. GP: General practitioner.
| CM | Clinic for Multimorbidity |
| GP | General Practitioner |
| IQI | Interquartile Interval |
| MCS | Mental Component Score |
| PAS | Patient Administrative System |
| PCS | Physical Component Score |
| SF-12 | Short Form Health Survey, 12 items |