Top

Published in:

01-10-2020 | IM - COMMENTARY

Administrative data for exploring multimorbidity in hospitalised patients

Authors: Marco Vincenzo Lenti, Gino Roberto Corazza

Published in: Internal and Emergency Medicine | Issue 7/2020

Excerpt

Multimorbidity, is certainly one of the most relevant and challenging issues in medicine, for both health-care professionals and policymakers [1]. Despite this, the research advances in multimorbidity are fraught with difficulties for many reasons, mainly related to the lack of knowledge about its aetiology, epidemiology, risk factors, and, most importantly, best treatment and care [2]. Ageing is certainly a key determinant of the multimorbidity pandemic, as more than 90% of individuals aged 65 years and greater suffer from this condition [3]. However, multimorbidity is not only confined to the elderly population, and many adult patients are multimorbid in terms of absolute numbers [4]. …

Boyd CM, Fortin M (2010) Future of multimorbidity research: how should understanding of multimorbidity inform health system design? Public Health Rev 32:451–474CrossRef

Fortin M, Soubhi H, Hudon C, Bayliss EA, van den Akker M (2007) Multimorbidity’s many challenges. BMJ 334:1016–1017CrossRef

Violan C, Foguet-Boreu Q, Flores-Mateo G et al (2014) Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One 9:e102149CrossRef

Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B (2012) Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380:37–43CrossRef

Aubert CE, Schnipper JL, Fankhauser N et al (2020) Patterns of multimorbidity in medical inpatients: a multinational retrospective cohort study. Intern Emerg Med. https://doi.org/10.1007/s11739-020-02306-2CrossRefPubMed

Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project (HCUP). Chronic Condition Indicator (CCI) for ICD-9-CM. https://www.hcupus.ahrq.gov/toolssoftware/chronic/chronic.jsp

Agency for Healthcare Research and Quality (AHRQ), Clinical Classifications Software (CCS) for ICD-9-CM. https://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp

Marengoni A, Bonometti F, Nobili A et al (2010) In-hospital death and adverse clinical events in elderly patients according to disease clustering: the REPOSI study. Rejuvenation Res 13:469–477CrossRef

Wong A, Boshuizen HC, Schellevis FG, Kommer GJ, Polder JJ (2011) Longitudinal administrative data can be used to examine multimorbidity, provided false discoveries are controlled for. J Clin Epidemiol 64:1109–1117CrossRef

10.

Schneider F, Kaplan V, Rodak R, Battegay E, Holzer B (2012) Prevalence of multimorbidity in medical inpatients. Swiss Med Wkly 142:w13533PubMed

11.

van Deursen VM, Urso R, Laroche C et al (2014) Co-morbidities in patients with heart failure: an analysis of the European Heart Failure Pilot Survey. Eur J Heart Fail 16:103–111CrossRef

12.

Corrao S, Natoli G, Nobili A et al (2019) Comorbidity does not mean clinical complexity: evidence from the RePoSI register. Intern Emerg Med. https://doi.org/10.1007/s11739-019-02211-3CrossRefPubMed

13.

Almagro P, Ponce A, Komal S et al (2020) Multimorbidity gender patterns in hospitalized elderly patients. PLoS One 15:e0227252CrossRef

14.

Corazza GR, Formagnana P, Lenti MV (2019) Bringing complexity into clinical practice: an internistic approach. Eur J Intern Med 61:9–14CrossRef

15.

Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL (2007) Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards. Circulation 115:1518–1527CrossRef

16.

Tugwell P, Knottnerus JA (2019) Multimorbidity and comorbidity are now separate MESH headings. J Clin Epidemiol 105:vi–viii. https://doi.org/10.1016/j.jclinepi.2018.11.019CrossRefPubMed

17.

Nicholson K, Makovski TT, Griffith LE, Raina P, Stranges S, van den Akker M (2019) Multimorbidity and comorbidity revisited: refining the concepts for international health research. J Clin Epidemiol 105:142–146CrossRef

18.

Richardson WS, Doster LM (2014) Comorbidity and multimorbidity need to be placed in the context of a framework of risk, responsiveness, and vulnerability. J Clin Epidemiol 67:244–246CrossRef

Title: Administrative data for exploring multimorbidity in hospitalised patients
Authors: Marco Vincenzo Lenti
Gino Roberto Corazza
Publication date: 01-10-2020
Publisher: Springer International Publishing
Published in: Internal and Emergency Medicine / Issue 7/2020
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI: https://doi.org/10.1007/s11739-020-02307-1

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 7/2020

Patterns of multimorbidity in medical inpatients: a multinational retrospective cohort study

Bronchoalveolar lavage findings in severe COVID-19 pneumonia

A giant right coronary artero-venous fistula revealed by an integrated multimodality imaging approach

Orthostatic hypotension among elderly patients in Italian internal medicine wards: an observational study—comment

Orthostatic hypotension among elderly patients in Italian internal medicine wards: an observational study: comment

Epidemiology of right ventricular systolic dysfunction in patients with sepsis and septic shock in the emergency department

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials