Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults
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...
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doaj-fb51da269b154c4c93d0f366c7fd937e2020-12-11T00:04:42ZengMDPI AGJournal of Clinical Medicine2077-03832020-12-0194001400110.3390/jcm9124001Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older AdultsRoselyne Akugizibwe0Amaia Calderón-Larrañaga1Albert Roso-Llorach2Graziano Onder3Alessandra Marengoni4Alberto Zucchelli5Debora Rizzuto6Davide L. Vetrano7Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 17165 Solna, SwedenAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 17165 Solna, SwedenFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, SpainDepartment of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanità, 00161 Rome, ItalyAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 17165 Solna, SwedenDepartment of Information Engineering, University of Brescia, 25123 Brescia, ItalyAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 17165 Solna, SwedenAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 17165 Solna, SwedenThe 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 <i>unspecific</i> multimorbidity pattern, those in the <i>cardiovascular diseases, anaemia and dementia</i> pattern, the <i>psychiatric disorders</i> pattern and the <i>metabolic and sleep disorders</i> pattern presented with a higher hazard of first unplanned hospitalisation (hazard ratio range: 1.49–2.05; <i>p</i> < 0.05 for all), number of unplanned hospitalisations (incidence rate ratio (IRR) range: 1.89–2.44; <i>p</i> < 0.05 for all), in-hospital days (IRR range: 1.91–3.61; <i>p</i> < 0.05 for all), and 30-day unplanned readmissions (IRR range: 2.94–3.65; <i>p</i> < 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.https://www.mdpi.com/2077-0383/9/12/4001hospitalisationmultimorbidityolder adultsperson-centred care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Roselyne Akugizibwe Amaia Calderón-Larrañaga Albert Roso-Llorach Graziano Onder Alessandra Marengoni Alberto Zucchelli Debora Rizzuto Davide L. Vetrano |
spellingShingle |
Roselyne Akugizibwe Amaia Calderón-Larrañaga Albert Roso-Llorach Graziano Onder Alessandra Marengoni Alberto Zucchelli Debora Rizzuto Davide L. Vetrano Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults Journal of Clinical Medicine hospitalisation multimorbidity older adults person-centred care |
author_facet |
Roselyne Akugizibwe Amaia Calderón-Larrañaga Albert Roso-Llorach Graziano Onder Alessandra Marengoni Alberto Zucchelli Debora Rizzuto Davide L. Vetrano |
author_sort |
Roselyne Akugizibwe |
title |
Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults |
title_short |
Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults |
title_full |
Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults |
title_fullStr |
Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults |
title_full_unstemmed |
Multimorbidity Patterns and Unplanned Hospitalisation in a Cohort of Older Adults |
title_sort |
multimorbidity patterns and unplanned hospitalisation in a cohort of older adults |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-12-01 |
description |
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 <i>unspecific</i> multimorbidity pattern, those in the <i>cardiovascular diseases, anaemia and dementia</i> pattern, the <i>psychiatric disorders</i> pattern and the <i>metabolic and sleep disorders</i> pattern presented with a higher hazard of first unplanned hospitalisation (hazard ratio range: 1.49–2.05; <i>p</i> < 0.05 for all), number of unplanned hospitalisations (incidence rate ratio (IRR) range: 1.89–2.44; <i>p</i> < 0.05 for all), in-hospital days (IRR range: 1.91–3.61; <i>p</i> < 0.05 for all), and 30-day unplanned readmissions (IRR range: 2.94–3.65; <i>p</i> < 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. |
topic |
hospitalisation multimorbidity older adults person-centred care |
url |
https://www.mdpi.com/2077-0383/9/12/4001 |
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