Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot210910.32687/0869-866X-2023-31-s2-1219-1224Научная статьяANALYZING THE IMPACT OF HEALTH-SAVING TECHNOLOGIES ON THE LIFE QUALITY OF THE ELDERLY URBAN POPULATION WITH MULTIMORBIDITY (EXEMPLIFIED BY PATIENTS WITH ACUTE LOWER LIMB ISCHEMIA)StasevichN. Yu.YagovkinaN. V.AbdullinI. I.SarkisyanA. D.KuznetsovaM. A.SaprykinaA. I.0212202331\S21219122405082025Copyright © 1970,1970As the population ages, the prevalence of chronic diseases increases and, accordingly, the probability of simultaneous occurrence of many chronic diseases among the elderly population increases, which affects the dynamics and prognoses of the underlying disease. Prevention of complications of concomitant semantics for the underlying disease seems to be a complex medical problem, the solution to which is aimed at improving the quality of life of patients. Based on the data obtained, the effect of polymorbidity on the course of acute lower limb ischemia (ALLI) was studied in the elderly urban population. The purpose of the study is to analyze the effect of multimorbidity on the life quality of the elderly urban population, exemplified by patients with acute lower limb ischemia.age-related semantic features of health of the elderly population, Charlson comorbidity index, acute lower limb ischemia, multimorbidityвозрастные семантические особенности здоровья населения старшего возрастаиндекс коморбидности Чарлсонаострая ишемия нижних конечностеймультиморбидность[Бокерия Л. А., Покровский А. В., Сокуренко Г. Ю. с соавт. Национальные рекомендации по ведению пациентов с заболеваниями брахиоцефальных артерий // Российский согласительный документ. 2013][Васильева А.В,, Караваева Т. А., Мизинова Е. Б., Ташлыков В. А., Чехлатый Е. И. Разработка конструкта внутренней картины болезни для оптимизации медико-психологической реабилитации. Экология человека. -2019.- №12. С. 32—39. DOI: 10.33396/1728-0869-2019-12-32-39][Ingram E, Ledden S, Beardon S, et al. Household and area-level social determinants of multimorbidity: a systematic review. J Epidemiol Community Health. 2021;75(3):232—241. doi:10.1136/jech-2020-214691][Шабунова А. А., Калачиков О. Н., Леонидова Г. В., Смолева Е. О. Эксклюзия как критерий выделения социально уязвленных групп населения. Экономические и социальные перемены: факты, тенденции, прогноз. — 2016. — №2 (44). — С. 29—43. DOI: 10.15838/esc/2016.2.44.2][Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. BMJ. 2011;342:d3514. doi: 10.1136/bmj.d3514.][Violan C, Foguet-Boreu Q, Flores-Mateo G, Salisbury C, Blom J, Freitag M, et al. Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One. 2014;9:e102149. doi: 10.1371/journal.pone.0102149.][Gunn JM, Ayton DR, Densley K, Pallant JF, Chondros P, Herrman HE. The association between chronic illness, multimorbidity and depressive symptoms in an Australian primary care cohort. Soc Psychiatry Psychiatr Epidemiol. 2012;47(2):175—184. doi: 10.1007/s00127-010-0330-z.][Bao XY, Xie YX, Zhang XX, et al. The association between multimorbidity and health-related quality of life: a cross-sectional survey among community middle-aged and elderly residents in southern China. Health Qual Life Outcomes. 2019;17(1):107. doi:10.1186/s12955-019-1175-0][Vetrano D. L., Palmer K., Marengoni A., Marzetti E., Lattanzio F., Roller-Wirnsberger R., Lopez Samaniego L., Rodríguez-Mañas L., Bernabei R., Onder G., et al. Frailty and Multimorbidity: A Systematic Review and Meta-analysis. J. Gerontol. Ser. A. 2019;74:659—666. doi: 10.1093/gerona/gly110.][Wang A, Rand K, Yang Z, Brooks R, Busschbach J. The remarkably frequent use of EQ-5D in non-economic research. Eur J Health Econ. 2022;23(6):1007—1014. doi:10.1007/s10198-021-01411-z][Van Wilder L, Devleesschauwer B, Clays E, et al. QALY losses for chronic diseases and its social distribution in the general population: results from the Belgian Health Interview Survey. BMC Public Health. 2022; 22 (1):1304. doi:10.1186/s12889-022-13675-y][Salari P, Henrard S, O'Mahony C, et al. Healthcare Costs and Health-Related Quality of Life in Older Multimorbid Patients After Hospitalization. Health Serv Insights. 2023;16. doi:10.1177/11786329231153278][Papanicolas I, Marino A, Lorenzoni L, Jha A. Comparison of Health Care Spending by Age in 8 High-Income Countries. JAMA Netw Open. 2020;3(8):e2014688. doi:10.1001/jamanetworkopen.2020.14688][Chowdhury SR, Chandra Das D, Sunna TC, Beyene J, Hossain A. Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis. EClinicalMedicine. 2023;57:101860. Published 2023 Feb 16. doi:10.1016/j.eclinm.2023.101860][Nguyen H, Manolova G, Daskalopoulou C, Vitoratou S, Prince M, Prina AM. Prevalence of multimorbidity in community settings: A systematic review and meta-analysis of observational studies. J Comorb. 2019;9:2235042X19870934. Published 2019 Aug 22. doi:10.1177/2235042X19870934][Ho IS, Azcoaga-Lorenzo A, Akbari A, et al. Variation in the estimated prevalence of multimorbidity: systematic review and meta-analysis of 193 international studies. BMJ Open. 2022;12(4):e057017. doi:10.1136/bmjopen-2021-057017][Nascimento BR, Brant LCC, Yadgir S, et al. Trends in prevalence, mortality, and morbidity associated with high systolic blood pressure in Brazil from 1990 to 2017: estimates from the «Global Burden of Disease 2017» (GBD 2017) study. Popul Health Metr. 2020;18(Suppl 1):17. Published 2020 Sep 30. doi:10.1186/s12963-020-00218-z][Lee SR, Park CS, Choi EK, et al. Hypertension Burden and the Risk of New-Onset Atrial Fibrillation: A Nationwide Population-Based Study. Hypertension. 2021;77(3):919—928. doi:10.1161/HYPERTENSIONAHA.120.16659][Bao XY, Xie YX, Zhang XX, et al. The association between multimorbidity and health-related quality of life: a cross-sectional survey among community middle-aged and elderly residents in southern China. Health Qual Life Outcomes. 2019;17(1):107. Published 2019 Jun 24. doi:10.1186/s12955-019-1175-0][Pati S, Swain S, Knottnerus JA, Metsemakers JFM, van den Akker M. Health related quality of life in multimorbidity: a primary-care based study from Odisha, India. Health Qual Life Outcomes. 2019;17(1):116. Published 2019 Jul 5. doi:10.1186/s12955-019-1180-3][Park B, Ock M, Lee HA, et al. Multimorbidity and health-related quality of life in Koreans aged 50 or older using KNHANES 2013—2014. Health Qual Life Outcomes. 2018;16(1):186. Published 2018 Sep 15. doi:10.1186/s12955-018-1016-6][Aramrat C, Choksomngam Y, Jiraporncharoen W, et al. Advancing multimorbidity management in primary care: a narrative review. Prim Health Care Res Dev. 2022;23:e36. Published 2022 Jul 1. doi:10.1017/S1463423622000238][Fortin M, Stewart M, Poitras ME, Almirall J, Maddocks H. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology. Ann Fam Med. 2012;10:142—151. doi: 10.1370/afm.1337][Harrison C, Britt H, Miller G, Henderson J. Examining different measures of multimorbidity, using a large prospective cross-sectional study in Australian general practice. BMJ Open. 2014;4:e004694. doi: 10.1136/bmjopen-2013-004694]