The British journal of general practice : the journal of the Royal College of General Practitioners
-
Multicenter Study
Multimorbidity and risk among patients with established cardiovascular disease: a cohort study.
Most patients managed in primary care have more than one condition. Multimorbidity presents challenges for the patient and the clinician, not only in terms of the process of care, but also in terms of management and risk assessment. ⋯ Level of multimorbidity is an independent predictor of prognosis among patients with established cardiovascular disease. In such patients, the presence of chronic kidney disease carries a similar mortality risk to diabetes. Multimorbidity may be a useful factor in prioritising management of patients in the community with significant cardiovascular risk.