Volume 22 Issue 6
Jun.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 903-906
TANG Mingqiu, SHI Jianwei, ZHOU Liang, GONG Xin, SUN Chaojun, ZHOU Ying. Exploring comorbidity patterns in coronary heart disease patients in Jiading district of Shanghai based on medical big datasets[J]. Chinese Journal of General Practice, 2024, 22(6): 903-906. doi: 10.16766/j.cnki.issn.1674-4152.003531
Citation: TANG Mingqiu, SHI Jianwei, ZHOU Liang, GONG Xin, SUN Chaojun, ZHOU Ying. Exploring comorbidity patterns in coronary heart disease patients in Jiading district of Shanghai based on medical big datasets[J]. Chinese Journal of General Practice, 2024, 22(6): 903-906. doi: 10.16766/j.cnki.issn.1674-4152.003531
shu

Exploring comorbidity patterns in coronary heart disease patients in Jiading district of Shanghai based on medical big datasets

doi: 10.16766/j.cnki.issn.1674-4152.003531
  • 1.

    Zhenxin Community Health Care Center of Jiading District, Shanghai 201842, China

Funds:

 72204187

 2021SQ05

  • Received Date: 2023-11-26
    Available Online: 2024-07-22
    Abstract
  •   Objective  This study aims to explore the comorbidities associated with CHD and support its precise management.  Methods  Data on CHD patients from all medical institutions in Jiading District, Shanghai, from December 2020 to December 2021 were analyzed. The Apriori algorithm was used to identify key comorbidities, and 2-STEP clustering method was used to explore patterns of multimorbidity.  Results  Among 192 060 CHD patients, 166 969 (86.94%) exhibited comorbidities, with a higher rate in women (98 802, 87.18%) than in men (68 167, 86.59%, χ2=695.555, P < 0.001). The proportion of comorbidity increased significantly along with the age increase: 73.46% in the 18-60 age group (18 017), 86.94% in the 61-75 age group (87 180), and 91.85% in the over 75 age group (61 772, Z=-13.704, P < 0.001). CHD typically presents with 2-4 comorbidities, with hypertension (71.59%) and chronic gastroenteritis (49.96%) being the primary comorbidities identified through association rule analysis. Five distinct multimorbidity patterns were identified by 2-STEP clustering analysis: triggers, complications, cardiovascular-metabolic, circulatory system, and multi-system mixed.  Conclusion  CHD patients exhibit high comorbidity rates and diverse patterns of co-existing diseases, indicating the need for differentiated management strategies. These strategies should focus on proactive health measures, managing polypharmacy, and delaying progression to effectively address multimorbidity.

     

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    • References(19)
  • [1]
    国家心血管病中心. 中国心血管健康与疾病报告2021[M]. 北京: 科学出版社, 2022.

    National Cardiovascular Center. Report on Cardiovascular Health and Diseases in China 2021[M]. Beijing: Science Press, 2022.
    [2]
    国家卫生健康委员会. 2022中国卫生健康统计年鉴[M]. 北京: 中国协和医科大学出版社, 2022.

    National Health Commission of China. China Health Statistics Yearbook 2022[M]. Beijing: Peking Union Medical College Press, 2022.
    [3]
    杨翔, 陈阳希, 张瑗, 等. 918例80岁以上老年人共病调查及特点分析[J]. 中华保健医学杂志, 2020, 22(4): 364-368. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJB202004007.htm

    YANG X, CHEN Y, ZHANG Y, et al. Surveying and characteristics of comorbidities in senile people: report of 918 cases[J]. Chinese Journal of Health Care and Medicine, 2020, 22(4): 364-368. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJB202004007.htm
    [4]
    穆晓敏. 老年慢性病共病模式挖掘与防控策略研究[D]. 长春: 吉林大学, 2021.

    MU X M. Multimorbidity pattern mining and prevention and control mode of chronic diseases in the elderly[D]. Jilin: Jilin University, 2021.
    [5]
    王增武. 老年心血管病多学科诊疗共识[J]. 中国合理用药探索, 2022, 19(11): 1-32. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYS202211001.htm

    WANG Z W. Consensus on multidisciplinary diagnosis and treatment of cardiovascular diseases in the elderly[J]. Chinese Journal of Rational Drug Use, 2022, 19(11): 1-32. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYS202211001.htm
    [6]
    胡世莲, 王静, 程翠, 等. 中国居民慢性病的流行病学趋势分析[J]. 中国临床保健杂志, 2020, 23(3): 289-294. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202003004.htm

    HU S L, WANG J, CHENG C, et al. Epidemiological analysis of chronic diseases in Chinese residents[J]. Chinese Journal of Clinical Healthcare, 2020, 23(3): 289-294. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202003004.htm
    [7]
    彭德荣, 陈晨, 喻梦珠, 等. 基于数据挖掘的社区高血压患者共病现状及关联规则分析[J]. 中华全科医学, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012

    PENG D R, CHEN, YU M Z, et al. Data mining-based analysis of comorbidity status and association rules of hypertensive patients in the community[J]. Chinese Journal of General Practice, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012
    [8]
    张琪, 金玲玲, 田秀梅, 等. 南京市玄武区老年人慢性病共病现状及其影响因素[J]. 职业与健康, 2020, 36(11): 1496-1499. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202011016.htm

    ZHANG Q, JIN L L, TIAN X M, et al. Prevalence and influencing factors of comorbidity of chronic diseases among elderly People in Xuanwu District of Nanjing City[J]. Occupation and Health, 2020, 36(11): 1496-1499. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202011016.htm
    [9]
    刘培艳, 何金鑫, 刘铮然, 等. 内蒙古东部牧区中老年蒙古族居民慢性病共病现状及影响因素研究[J]. 现代预防医学, 2020, 47(23): 4303-4306, 4316. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202023019.htm

    LIU P Y, HE J X, LIU Z R, et al. Current status and related factors of chronic diseases and co-morbidities among middle-aged and old Mongolian residents in eastern pastoral areas of lnner Mongolia[J]. Modern Preventive Medicine, 2020, 47(23): 4303-4306, 4316. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202023019.htm
    [10]
    孙丹丹, 黄蓉, 索靖东, 等. 中国老年人慢性病共病对其健康状况的影响[J]. 武汉大学学报(医学版), 2022, 43(2): 302-306. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYK202202026.htm

    SUN D D, HUANG R, SUO J D, et al. Influence of multiple chronic conditions on the health status of the elderly in China[J]. 武汉大学学报(医学版), 2022, 43(2): 302-306. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYK202202026.htm
    [11]
    朱仁敏, 赵慧华. 老年患者共病现状及其健康管理的研究进展[J]. 护士进修杂志, 2020, 35(6): 521-524. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202006009.htm

    ZHU R M, ZHAO H H. Research Progress on the Current Status of Comorbidity and Health Management Among Elderly Patients[J]. Journal of Nurses Training, 2020, 35(6): 521-524. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202006009.htm
    [12]
    黎艳娜, 王艺桥. 我国老年人慢性病共病现状及模式研究[J]. 中国全科医学, 2021, 24(31): 3955-3962, 3978. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202131007.htm

    LI Y N, WANG Y J. Prevalence and Patterns of Multimorbidity among Chinese Elderly People[J]. Chinese General Practice, 2021, 24(31): 3955-3962, 3978. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202131007.htm
    [13]
    李沙沙, 王培席, 李俊晴, 等. 冠心病住院患者共病现状及其对住院时间的影响[J]. 名医, 2021, 5(7): 48-49. https://www.cnki.com.cn/Article/CJFDTOTAL-MGYI202107029.htm

    LI S S, WANG P X, LI J Q, et al. The Current Status of Comorbidity Among Hospitalized Patients with Coronary Heart Disease and Its Impact on Hospital Stay[J]. Renowned Doctor, 2021, 5(7): 48-49. https://www.cnki.com.cn/Article/CJFDTOTAL-MGYI202107029.htm
    [14]
    国家心血管病中心. 《中国心血管健康与疾病报告》2021(冠心病部分内容)[J]. 心肺血管病杂志, 2022, 41(12): 1205-1211. https://www.cnki.com.cn/Article/CJFDTOTAL-XFXZ202312019.htm

    National Cardiovascular Center. "Report on Cardiovascular Health and Diseases in China 2021" (Partial Content on Coronary Heart Disease)[J]. Journal of Cardiovascular and Pulmonary Diseases, 2022, 41(12): 1205-1211. https://www.cnki.com.cn/Article/CJFDTOTAL-XFXZ202312019.htm
    [15]
    李越, 李颖菲, 郭丽芳, 等. 河南省老年人常见慢性病共病现状分析[J]. 现代预防医学, 2020, 47(15): 2797-2800. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202015030.htm

    LI Y, LI Y F, GUO L F, et al. Common chronic comorbidity in the elderly, Henan[J]. Modern Preventive Medicine, 2020, 47(15): 2797-2800. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202015030.htm
    [16]
    刘恒, 马浇, 黄浩, 等. 陕西成年人慢性病共病现状及其影响因素和共病模式研究[J]. 西安交通大学学报(医学版), 2023, 44(3): 473-480. https://www.cnki.com.cn/Article/CJFDTOTAL-XAYX202303022.htm

    LIU H, MA J, HUANG H, et al. Prevalence, associated factors and patterns of multimorbidity of noncommunicable diseases among adults in Shaanxi Province[J]. Journal of Xi' an Jiao tong University (Medical Sciences), 2023, 44(3): 473-480. https://www.cnki.com.cn/Article/CJFDTOTAL-XAYX202303022.htm
    [17]
    潘晔, 刘志辉, 胡倩倩, 等. 中国老年人慢性病多病共存模式的研究[J]. 中国全科医学, 2023, 26(29): 3608-3615. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202329020.htm

    PAN Y, LIU Z H, HU Q Q, et al. Patterns of Coexistence of Multiple Chronic Conditions among Chinese Elderly[J]. Chinese General Practice, 2023, 26(29): 3608-3615. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202329020.htm
    [18]
    杨涛, 邱忠民, 黄雷, 等. 家庭医生强化心理疏导对社区"1+1+1"签约原发性高血压患者焦虑抑郁情绪的影响[J]. 中华全科医学, 2022, 20(11): 1897-1900. doi: 10.16766/j.cnki.issn.1674-4152.002730

    YANG T, QIU Z M, HUANG L, et al. The influence of family doctors' intensive psychological counseling on the anxiety and depression of patients with essential hypertension contracted by "1+1+1" in the community[J]. Chinese Journal of General Practice, 2022, 20(11): 1897-1900. doi: 10.16766/j.cnki.issn.1674-4152.002730
    [19]
    房静远, 杜奕奇, 刘文忠, 等. 中国慢性胃炎诊治指南(2022年, 上海)[J]. 胃肠病学, 2023, 28(3): 149-180. https://www.cnki.com.cn/Article/CJFDTOTAL-WIEC202303004.htm

    FANG J Y, DU Y Q, LIU W Z, et al. Guidelines for Diagnosis and Treatment of Chronic Gastritis in China(2022, Shanghai)[J]. Chinese Journal of Gastroenterology, 2023, 28(3): 149-180. https://www.cnki.com.cn/Article/CJFDTOTAL-WIEC202303004.htm
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