Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults
Akugizibwe, Roselyne (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Calderón-Larrañaga, Amaia (Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University)
Roso-Llorach, Albert (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Onder, Graziano (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Marengoni, Alessandra (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Zucchelli, Alberto (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Rizzuto, Debora (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Vetrano, Davide L. (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	The presence of multiple chronic conditions (i. e. , multimorbidity) increases the risk of hospitalisation in older adults. We aimed to examine the association between different multimorbidity patterns and unplanned hospitalisations over 5 years. To that end, 2,250 community-dwelling individuals aged 60 years and older from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K) were studied. Participants were grouped into six multimorbidity patterns using a fuzzy c-means cluster analysis. The associations between patterns and outcomes were tested using Cox models and negative binomial models. After 5 years, 937 (41. 6%) participants experienced at least one unplanned hospitalisation. Compared to participants in the unspecific multimorbidity pattern, those in the cardiovascular diseases, anaemia and dementia pattern, the psychiatric disorders pattern and the metabolic and sleep disorders pattern presented with a higher hazard of first unplanned hospitalisation (hazard ratio range: 1. 49-2. 05; p < 0. 05 for all), number of unplanned hospitalisations (incidence rate ratio (IRR) range: 1. 89-2. 44; p < 0. 05 for all), in-hospital days (IRR range: 1. 91-3. 61; p < 0. 05 for all), and 30-day unplanned readmissions (IRR range: 2. 94-3. 65; p < 0. 05 for all). Different multimorbidity patterns displayed a differential association with unplanned hospital care utilisation. These findings call for a careful primary care follow-up of older adults with complex multimorbidity patterns.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Hospitalisation ; Multimorbidity ; Older adults ; Person-centred care
Published in:	Journal of clinical medicine, Vol. 9 (december 2020) , ISSN 2077-0383

DOI: 10.3390/jcm9124001
PMID: 33321977

11 p, 606.6 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Research articles
Articles > Published articles