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Comorbidities

Treat the whole patient

Now, more than ever, clinical teams need to adopt an integrated approach to patient care. This means recognising a patient’s comorbidities – and how they interact. Simple to say, but how do we put this principle into practice?

Well, help is at hand. BMJ Best Practice Comorbidities is a clinical decision support tool that helps professionals treat the whole patient. In fact, it is the only such clinical decision support tool available.

Explore Comorbidities Topics

In the acute hospital setting, healthcare professionals need fast access to the latest clinical information. And that’s exactly what BMJ Best Practice Comorbidities provides.

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Explore over 25,500 guideline combinations.

The Comorbidities tool has been incorporated over 50 topics within BMJ Best Practice, providing more than 25,500 different guideline combinations. These include:

  • Acute appendicitis in adults
  • Acute asthma exacerbation in adults
  • Acute cervical spine trauma in adults
  • Acute cholangitis
  • Acute cholecystitis
  • Acute exacerbation of COPD
  • Acute heart failure
  • Acute kidney injury
  • Acute pancreatitis
  • Acute pyelonephritis
  • Alcohol withdrawal
  • Anaphylaxis
  • Bacterial meningitis in adults
  • Carbon monoxide poisoning
  • Cellulitis and erysipelas
  • Cholelithiasis (gallstones)
  • Community-acquired pneumonia

 

  • Coronavirus disease 2019 (COVID-19)
  • Diabetic ketoacidosis
  • Epistaxis
  • Heat stroke in adults
  • Hip fracture
  • Hospital-acquired pneumonia
  • Hyperosmolar hyperglycaemic state
  • Ischaemic stroke
  • Large bowel obstruction
  • Mild traumatic brain injury
  • Nephrolithiasis
  • New-onset atrial fibrillation
  • Non-ST-elevation myocardial infarction
  • Osteomyelitis
  • Paracetamol overdose in adults
  • Peptic ulcer disease

 

  • Pneumothorax
  • Pulmonary embolism
  • Salicylate poisoning
  • Schizophrenia
  • Sepsis in adults
  • Septic arthritis
  • Shock
  • Skull fractures
  • Small bowel obstruction
  • ST-elevation myocardial infarction
  • Status epilepticus
  • Stroke due to spontaneous intracerebral haemorrhage
  • Subarachnoid haemorrhage
  • Transient ischaemic attack
  • Unstable angina
  • Urinary tract infections in women
  • Viral gastroenteritis in adults
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Chronic obstructive pulmonary disease (COPD) is a long-term condition that affects a patient’s lungs.

It causes the airways to become narrow, trapping air in the chest and making it difficult to exhale.

An acute exacerbation of COPD (AECOPD) is a type of clinical diagnosis that occurs when patients with COPD experience a sustained increase in dyspnea, sputum production, and or cough. It is important to note that comorbidities have a significant impact on the treatment considerations for AECOPD.

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The COVID-19 pandemic has made the impact of comorbidities clear to everyone.

Patients with COVID-19 and pre-existing illnesses are much more likely to become seriously ill and require hospitalisation.
A meta-analysis by Espinosa and colleagues found that 42% of patients with COVID-19 had comorbidities; 61% of those admitted to the Intensive Care Unit had comorbidities; and 77% of those who died had comorbidities. (1)

To support clinical decision-making during the coronavirus pandemic, we have made Comorbidities tool on COVID-19 freely available.
  1. Espinosa OA, Zanetti ADS, Antunes EF, Longhi FG, Matos TA, Battaglini PF. Prevalence of comorbidities in patients and mortality cases affected by SARS-CoV2: a systematic review and meta-analysis. Rev Inst Med Trop Sao Paulo. 2020;62:e43. Published 2020 Jun 22. doi:10.1590/S1678-9946202062043
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adults suffer from multiple chronic conditions.

97%

of healthcare professionals would consider using the tool to improve the care that they give in the future.

77%

of healthcare professionals said the guidance from the tool changed the care they give to patients.

Watch the Comorbidities tool in action

An 82-year-old man comes to the ER with an acute exacerbation of COPD. See how the Comorbidities tool prompts the clinician to consider his Type 2 Diabetes alongside his acute condition. The result is a tailored treatment plan based on evidence and expert opinion.

Access anywhere

Treating patients with multiple chronic conditions is complicated. It is a balancing act, requiring careful consideration of the acute illness that might have precipitated a patient’s hospital admission and their pre-existing conditions.

That is why we have made it as simple as possible to access the Comorbidities tool. Available on website and offline-capable mobile app, the latest clinical information is available 24-7 whenever and wherever you need it.

Comorbidities Renders Across Devices

Ranked one of the best clinical decision support tools for health professionals worldwide.*

Written by leading specialists, BMJ Best Practice takes you quickly and accurately to the latest evidence-based information, whenever and wherever you need it.

Where evidence is scarce and guidance therefore hard to supply, we have assembled a leading team of experts to draw on their experience in their fields.

We support you in implementing good practice.

*Journal of Medical Internet Research

Evidence
Based

Regularly updated, BMJ Best Practice draws on the latest evidence-based research.

Earn
CME Points

Earn credits while searching for answers to your clinical questions.

Access
Anywhere

The right information, whenever and wherever you need it.

Testimonials

Don’t just take our word for it. Listen to your fellow professionals. 

I’d like to see BMJ Best Practice Comorbidities usage ingrained into our practice, both as a learning resource and as a practical resource for checking and verifying decisions made on the ward.”

Dr Tim Mossad

Consultant in Emergency Medicine, Chesterfield Royal Hospital,

“BMJ Best Practice Comorbidities provides a logical approach to an area that could become hugely complex. When I chose a single comorbidity, the information was relevant, useful, and pragmatic.”

Dr Colin Mitchell

Consultant Geriatrician and Head of Specialty

“BMJ Best Practice Comorbidities is an immensely helpful resource in helping medical students and junior doctors to understand the complexities of medicine.”

Dr Duncan Forsyth

Geriatrician, Cambridge University Hospital

When faced with the complexity of a clinical case, I see many students focus on the acute reason for a patient’s admittance to hospital, rather than considering the patient’s pre-existing conditions. But, it’s this integration of knowledge that appears to make the biggest difference between the most and least effective doctors”.

Prof. John Sanders

Professor of Medical Education at Edge Hill University