Stephen Spencer
sspencer.bsky.social
Stephen Spencer
@sspencer.bsky.social
@WellcomeTrust Clinical PhD Fellow in global health research @MLWTrust & @LSTMnews. Intensive care & acute medicine registrar
This work builds on our earlier systematic review @whobulletin.bsky.social:
- We found lots of data on individual diseases in SSA hospitals (and estimated their prevalence and disease control)
- But evidence on multimorbidity in this context was sparse

pmc.ncbi.nlm.nih.gov/articles/PMC...
June 26, 2025 at 9:21 AM
Our adapted UpSet plot presents a rich description of multimorbidity patterns:
- Combinations and prevalence of HIV, diabetes, hypertension, CKD, etc.
- We also found a correlation between the number of conditions and 90-day mortality.
June 26, 2025 at 9:21 AM
Key findings:
- 47% of adults admitted acutely to medical wards had multimorbidity (≥2 long-term conditions).
- This was linked to higher mortality, poorer health-related quality of life, and greater financial burden.

#Multimorbidity #NCDs
June 26, 2025 at 9:21 AM