Multimorbidity and associated outcomes among older adult inpatients with neurological disorders
ABSTRACT Background: Multimorbidity is common among adults and associated with socioeconomic deprivation, polypharmacy, poor quality of life, functional impairment, and mortality. Objectives: To identify the frequency of multimorbidity among older adults inpatients with neurological disorders (NDs), stratify clusters of chronic comorbidities associated with NDs in degrees, and verify whether multimorbidity was associated with demographic data, readmission, long length of hospital stay (LOS), and hospital mortality in this population. Methods: We enrolled patients aged ≥60 years successively admitted to a tertiary medical center with NDs between January 1, 2009, and December 31, 2010. Results: Overall, 1,154 NDs and 2,679 comorbidities were identified among 798 inpatients aged ≥60 years (mean: 75.76±9.12). Women comprised 435 (54.51%) of patients. Multimorbidity was detected in 92.61% (739) of patients, with a mean of 3.88±1.67 (median: 4.0), ranging from 2 to 10 chronic diseases. Patients with epilepsy, dementia, and movement disorders had the highest degrees of clusters of chronic morbidities (>50% of them with ≥5 chronic disorders), followed by those with cerebrovascular and neuromuscular disorders. Multimorbidity was associated with long LOS (p<0.001) and readmission (p=0.039), but not with hospital mortality (p=0.999). Conclusions: Multimorbidity was preponderant among older adults inpatients with NDs, and NDs had a high degree of associated chronic comorbidities. Multimorbidity, but not isolated NDs, was associated with readmission and long LOS. These results support ward-based, neurohospitalist-directed, interdisciplinary care for older adults inpatients with NDs to face multimorbidity.
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Academia Brasileira de Neurologia - ABNEURO
2021
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000100030 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0004-282X2021000100030 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0004-282X20210001000302021-02-24Multimorbidity and associated outcomes among older adult inpatients with neurological disordersBACELLAR,AroldoASSIS,TelmaPEDREIRA,Bruno BacellarCÔRTES,LuanSANTANA,SilasNASCIMENTO,Osvaldo José Moreira do Multimorbidity Length of Stay Patient Readmission Burden of Illness Nervous System Diseases ABSTRACT Background: Multimorbidity is common among adults and associated with socioeconomic deprivation, polypharmacy, poor quality of life, functional impairment, and mortality. Objectives: To identify the frequency of multimorbidity among older adults inpatients with neurological disorders (NDs), stratify clusters of chronic comorbidities associated with NDs in degrees, and verify whether multimorbidity was associated with demographic data, readmission, long length of hospital stay (LOS), and hospital mortality in this population. Methods: We enrolled patients aged ≥60 years successively admitted to a tertiary medical center with NDs between January 1, 2009, and December 31, 2010. Results: Overall, 1,154 NDs and 2,679 comorbidities were identified among 798 inpatients aged ≥60 years (mean: 75.76±9.12). Women comprised 435 (54.51%) of patients. Multimorbidity was detected in 92.61% (739) of patients, with a mean of 3.88±1.67 (median: 4.0), ranging from 2 to 10 chronic diseases. Patients with epilepsy, dementia, and movement disorders had the highest degrees of clusters of chronic morbidities (>50% of them with ≥5 chronic disorders), followed by those with cerebrovascular and neuromuscular disorders. Multimorbidity was associated with long LOS (p<0.001) and readmission (p=0.039), but not with hospital mortality (p=0.999). Conclusions: Multimorbidity was preponderant among older adults inpatients with NDs, and NDs had a high degree of associated chronic comorbidities. Multimorbidity, but not isolated NDs, was associated with readmission and long LOS. These results support ward-based, neurohospitalist-directed, interdisciplinary care for older adults inpatients with NDs to face multimorbidity.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.79 n.1 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000100030en10.1590/0004-282x-anp-2020-0091 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
BACELLAR,Aroldo ASSIS,Telma PEDREIRA,Bruno Bacellar CÔRTES,Luan SANTANA,Silas NASCIMENTO,Osvaldo José Moreira do |
spellingShingle |
BACELLAR,Aroldo ASSIS,Telma PEDREIRA,Bruno Bacellar CÔRTES,Luan SANTANA,Silas NASCIMENTO,Osvaldo José Moreira do Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
author_facet |
BACELLAR,Aroldo ASSIS,Telma PEDREIRA,Bruno Bacellar CÔRTES,Luan SANTANA,Silas NASCIMENTO,Osvaldo José Moreira do |
author_sort |
BACELLAR,Aroldo |
title |
Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
title_short |
Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
title_full |
Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
title_fullStr |
Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
title_full_unstemmed |
Multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
title_sort |
multimorbidity and associated outcomes among older adult inpatients with neurological disorders |
description |
ABSTRACT Background: Multimorbidity is common among adults and associated with socioeconomic deprivation, polypharmacy, poor quality of life, functional impairment, and mortality. Objectives: To identify the frequency of multimorbidity among older adults inpatients with neurological disorders (NDs), stratify clusters of chronic comorbidities associated with NDs in degrees, and verify whether multimorbidity was associated with demographic data, readmission, long length of hospital stay (LOS), and hospital mortality in this population. Methods: We enrolled patients aged ≥60 years successively admitted to a tertiary medical center with NDs between January 1, 2009, and December 31, 2010. Results: Overall, 1,154 NDs and 2,679 comorbidities were identified among 798 inpatients aged ≥60 years (mean: 75.76±9.12). Women comprised 435 (54.51%) of patients. Multimorbidity was detected in 92.61% (739) of patients, with a mean of 3.88±1.67 (median: 4.0), ranging from 2 to 10 chronic diseases. Patients with epilepsy, dementia, and movement disorders had the highest degrees of clusters of chronic morbidities (>50% of them with ≥5 chronic disorders), followed by those with cerebrovascular and neuromuscular disorders. Multimorbidity was associated with long LOS (p<0.001) and readmission (p=0.039), but not with hospital mortality (p=0.999). Conclusions: Multimorbidity was preponderant among older adults inpatients with NDs, and NDs had a high degree of associated chronic comorbidities. Multimorbidity, but not isolated NDs, was associated with readmission and long LOS. These results support ward-based, neurohospitalist-directed, interdisciplinary care for older adults inpatients with NDs to face multimorbidity. |
publisher |
Academia Brasileira de Neurologia - ABNEURO |
publishDate |
2021 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000100030 |
work_keys_str_mv |
AT bacellararoldo multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders AT assistelma multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders AT pedreirabrunobacellar multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders AT cortesluan multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders AT santanasilas multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders AT nascimentoosvaldojosemoreirado multimorbidityandassociatedoutcomesamongolderadultinpatientswithneurologicaldisorders |
_version_ |
1756374825269460992 |