Deconstructing Complex Multimorbidity in the Very Old: Findings from the Newcastle 85+ Study
المؤلفون المشاركون
Collerton, Joanna
Jagger, Carol
Yadegarfar, Mohammad E.
Davies, Karen
Parker, Stuart G.
Robinson, Louise
Kirkwood, Thomas B. L.
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-15، 15ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-01-13
دولة النشر
مصر
عدد الصفحات
15
التخصصات الرئيسية
الملخص EN
Objectives.
To examine the extent and complexity of the morbidity burden in 85-year-olds; identify patterns within multimorbidity; and explore associations with medication and healthcare use.
Participants.
710 men and women; mean (SD) age 85.5 (0.4) years.
Methods.
Data on 20 chronic conditions (diseases and geriatric conditions) ascertained from general practice records and participant assessment.
Cluster analysis within the multimorbid sample identified subgroups sharing morbidity profiles.
Clusters were compared on medication and healthcare use.
Results.
92.7% (658/710) of participants had multimorbidity; median number of conditions: 4 (IQR 3–6).
Cluster analysis (multimorbid sample) identified five subgroups sharing similar morbidity profiles; 60.0% (395/658) of participants belonged to one of two high morbidity clusters, with only 4.9% (32/658) in the healthiest cluster.
Healthcare use was high, with polypharmacy (≥5 medications) in 69.8% (459/658).
Between-cluster differences were found in medication count ( p = 0.0001 ); hospital admissions ( p = 0.022 ); and general practitioner ( p = 0.034 ) and practice nurse consultations ( p = 0.011 ).
Morbidity load was related to medication burden and use of some, but not all, healthcare services.
Conclusions.
The majority of 85-year-olds had extensive and complex morbidity.
Elaborating participant clusters sharing similar morbidity profiles will help inform future healthcare provision and the identification of common underlying biological mechanisms.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Collerton, Joanna& Jagger, Carol& Yadegarfar, Mohammad E.& Davies, Karen& Parker, Stuart G.& Robinson, Louise…[et al.]. 2016. Deconstructing Complex Multimorbidity in the Very Old: Findings from the Newcastle 85+ Study. BioMed Research International،Vol. 2016, no. 2016, pp.1-15.
https://search.emarefa.net/detail/BIM-1099132
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Collerton, Joanna…[et al.]. Deconstructing Complex Multimorbidity in the Very Old: Findings from the Newcastle 85+ Study. BioMed Research International No. 2016 (2016), pp.1-15.
https://search.emarefa.net/detail/BIM-1099132
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Collerton, Joanna& Jagger, Carol& Yadegarfar, Mohammad E.& Davies, Karen& Parker, Stuart G.& Robinson, Louise…[et al.]. Deconstructing Complex Multimorbidity in the Very Old: Findings from the Newcastle 85+ Study. BioMed Research International. 2016. Vol. 2016, no. 2016, pp.1-15.
https://search.emarefa.net/detail/BIM-1099132
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1099132
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر