Bernabeu-Wittel et al listed conditions used to define polypathology in a patient. The authors are from multiple hospitals in Spain.
A patient was defined as being a polypathology patients if s/he had 2 or more chronic disorders in the listed clinical categories.
|
Category |
Conditions |
|
A |
chronic heart failure >= Stage II NYHA AND/OR coronary artery disease |
|
B |
vasculitis or systemic autoimmune disorder AND/OR chronic renal disease (elevated creatinine and/or proteinuria) |
|
C |
chronic lung disease with any of the following: dyspnea >= Stage 2 MRC, FEV1 < 65% of predicted, basal oxygen saturation <= 90% |
|
D |
chronic inflammatory bowel disease AND/OR chronic liver disease with portal hypertension |
|
E |
stroke (cerebrovascular disease) AND/OR a neurological disorder with permanent motor deficit causing severe deficit in activities of daily living AND/OR a neurological disease with permanent moderate to severe cognitive impairment |
|
F |
symptomatic peripheral artery disease AND/OR diabetes mellitus with neuropathy or proliferative retinopathy |
|
G |
chronic anemia AND/OR solid organ active neoplasia AND/OR hematologic active neoplasia |
|
H |
chronic osteoarticular disease with severe impairment in activities of daily living (ADL) |
where:
• Chronic renal failure: creatinine > 1.4 mg/dL in male, creatinine > 1.3 mg/dL in female for >= 3 months.
• Proteinuria >= 3 months: albumin to creatinine ratio > 300 mg/g, microalbuminuria > 3 mg/dL, albumin > 300 mg/day, or albuminuria > 200 micrograms per minute.
• Chronic anemia: hemoglobin < 10 g/dL for >= 3 months
• Most of the conditions were associated with significant impairment in activities of daily living (ADL).
Patients with polypathology tend:
(1) to be highly complex
(2) to have a high symptom load
(3) to be clinically vulnerable
(4) to be functionally impaired
(5) to be dependent on their caregivers
(6) to have limited social resources
Purpose: To determine if a patient has polypathology based on the criteria of Bernabeu-Wittel et al.
Objective: criteria for diagnosis, complications
ICD-10: ,
