Apr 2, 2020

Evaluation and characterization of multimorbidity profiles, resource consumption and healthcare needs in extremely elderly people

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Laisa Socorro Briongos-FigueroJuan Carlos Martín-Escudero

Abstract

Spanish population lifespan is one of the longest in the world. Moreover, it is known that elderly people have less chronic illnesses associated with aging. Our aims were to determine how Clinical Risk Group (CRG) predicts future use of healthcare resources in extremely elderly people without diabetes (T2DM) and to explore CRG correlation with health conditions. Prospective cross-sectional study. Rio Hortega University Hospital. Hospitalized patients >80 years old without T2DM, during 2017. Mental status was evaluated using Pfeiffer test (SPMQS), Basic Activities of Daily Living (BADLs) and Instrumental Activities of Daily Living (IADLs) were estimated using the Older Americans Resources and Services questionnaire. Comorbidity was evaluated using Charlson index (CI) and health-related quality of life (HRQoL) with EuroQoL (EQ5D3L). CRG classification system was obtained from electronic clinical records. Data were analyzed using SPSS v.15.0. In total, 305 patients were identified (59% women), mean age 88 ± 5 and 38% were aged >90. Estimated HRQoL was 0.43 ± 0.33 for EQ5D3L-index-value. Mean dependence level was 6.2 ± 5 for BADLs and 9.2 ± 5 for IADLs. In total, 31.6% of patients had severe cognitive impairment with a mean score o...Continue Reading

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Mentioned in this Paper

Cross-Sectional Studies
EuroQOL (Assessment Scale)
Gail Risk Model
Hospital Admission
Diabetes
Clinical Root of Tooth
World
Electronic Health Records
Health Care
Impaired Cognition

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