COMPARATIVE ANALYSIS OF THE ASSESSMENT METHODS OF COMORBID PATHOLOGY OF THE POPULATION OF THE KHANTY-MANSIYSK AUTONOMOUS DISTRICT
| Autor: | I M Petrov, R O Ragozin, A B Gudkov, E E Dyachkova, O N Popova |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pathology
medicine.medical_specialty education.field_of_study Health (social science) Ecology business.industry Population Public Health Environmental and Occupational Health Workload General Medicine Disease medicine.disease Affect (psychology) Comorbidity Acquired immunodeficiency syndrome (AIDS) Scale (social sciences) medicine Residence education business |
| Zdroj: | Ekologiya cheloveka (Human Ecology). 26:10-16 |
| ISSN: | 1728-0869 |
| DOI: | 10.33396/1728-0869-2019-3-10-16 |
| Popis: | The aim: The purpose of this study is to conduct a comparative analysis between the methods most commonly used in clinical studies to assess comorbidity, such as CIRS, Kaplan Index, Charlson Index, and the Ecological comorbidity index (ECI) in patients living in a northern region. Methods: To assess the index of ecological comorbidity, a scale is proposed that takes into account the geoclimatic, ecological and social characteristics of the region of residence. Results. The computer program "Calculator of Ecological Comorbidity" was created, the components of the calculator include the following variables: climatic burden, length of service coefficient. A score is awarded for the presence of a socially significant disease, namely: tuberculosis, sexually transmitted infections, hepatitis B and C, AIDS, malignant neoplasms, diabetes, mental disorders and behavioral disorders, diseases characterized by an increase in blood pressure. The presence of regional pathology implies adding another point, as well as the presence of occupational pathology as a social factor of comorbidity. All the above factors can not affect the ability to work, therefore, we consider it necessary to include in the overall workload pathology the presence or absence of disability in the form of the coefficient of disability. A variant of the age-related load is proposed, which covers all periods, and not only involutive ones. The presence of disease groups is assessed differentially, according to the frequency of occurrence of a group of diseases in a given region. Mental and behavioral disorders, AIDS and alcoholic illness are estimated at 1 point, as socially significant diseases. The Blend-Altman method shows a sufficiently high consistency of the proposed method with other comorbidity scales. Conclusion. The use of the concept of ecological comorbidity is advisable when assessing this phenomenon across Russia, given the variety of climatic zones, migration processes and shift works during development of new territories. |
| Databáze: | OpenAIRE |
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