A multi-institutional, hospital-based assessment of clinical, functional, sociofamilial and health-care characteristics of polypathological patients (PP)

Archives of Gerontology and Geriatrics

Volumn 53, Issue 3, 2011, Pages 284-291

  Bernabeu Wittel, M ^a   Baron Franco B ^b   Murcia Zaragoza, J ^c   Fuertes Martin A ^d   Ramos Cantos, C ^e   Fernandez Moyano A ^f   Galindo, F J ^a   Ollero Baturone, M ^a  

^a HOSPITAL UNIVERSITARIO VIRGEN DEL ROCÍO   (Spain)

^b HOSPITAL JUAN RAMÓN JIMÉNEZ   (Spain)

^c HOSPITAL VEGA BAJA   (Spain)

^d HOSPITAL UNIVERSITARIO DE SALAMANCA   (Spain)

^e Especialidad en Oftalmología Hospital Comarcal de la Axarquía Vélez Málaga Málaga   (Spain)

^f HOSPITAL SAN JUAN DE DIOS DEL ALJARAFE   (Spain)

Author keywords

Comorbidity; Dependence of elderly; Frailty; Multimorbidity; Polypathology

Indexed keywords

AGED; AGING; ARTICLE; ASSISTED LIVING FACILITY; BARTHEL INDEX; BODY MASS; CAREGIVER; CHARLSON COMORBIDITY INDEX; CHRONIC DRUG ADMINISTRATION; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ASSESSMENT; CLINICAL FEATURE; COMMUNITY LIVING; COMORBIDITY; CROSS-SECTIONAL STUDY; DAILY LIFE ACTIVITY; DELIRIUM; DIABETES MELLITUS; DYSPNEA; FALLING; FEMALE; FUNCTIONAL STATUS; HEALTH STATUS; HEART DISEASE; HEART FAILURE; HOME OXYGEN THERAPY; HOSPITAL ADMISSION; HOUSING; HUMAN; HYPERTENSION; HYPOALBUMINEMIA; KIDNEY DISEASE; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; METASTASIS; MORBID OBESITY; NEOPLASM; NEUROLOGIC DISEASE; NYHA CLASS; OBESITY; OSTEOARTHROPATHY; OUTPATIENT; PATIENT; PATIENT ASSESSMENT; PATIENT CARE; PEPTIC ULCER; PFEIFFER INDEX; POLYPATHOLOGICAL PATIENT; POLYPHARMACY; PRIORITY JOURNAL; RELATIVE; SCORING SYSTEM; SEX DIFFERENCE; SOCIAL INTERACTION; SOCIAL NETWORK; SOCIAL PROBLEM; SOCIAL SECURITY;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; CAREGIVERS; CHRONIC DISEASE; COMORBIDITY; CROSS-SECTIONAL STUDIES; FAMILY; FEMALE; GERIATRIC ASSESSMENT; HOSPITALIZATION; HUMANS; INPATIENTS; INTERPERSONAL RELATIONS; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; SPAIN; STRESS, PSYCHOLOGICAL;

EID: 80051666569     PISSN: 01674943     EISSN: 18726976     Source Type: Journal    
DOI: 10.1016/j.archger.2010.12.006     Document Type: Article

References (38)

1. Alarcón T., González-Montalvo J.I. La escala sociofamiliar de Gijón, elemento útil en el hospital general. Rev. Esp. Geriatr. Gerontol. 1998, 33:178-179.
2. Bernabeu-Wittel M., Jadad A., Moreno-Gaviño L., Hernández-Quiles C., Toscano F., Cassani M., Ramírez N., Ollero-Baturone M. Peeking through the cracks: an assessment of the prevalence, clinical characteristics and health-related quality of life of people with polypathology in a hospital setting. Arch. Gerontol. Geriatr. 2010, 51:185-191.
3. Bestall J.C., Paul E.A., Garrod R., Garnham R., Jones P.W., Wedzicha J.A. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999, 54:581-586.
4. Cabré M., Serra-Prat M., Force L.l., Palomera E., Pallarés R. Functional status as a risk factor for mortality in very elderly patients with pneumonia. Med. Clin. (Barc.) 2008, 131:167-170.
5. Cederholm T., Jagren C., Hellstrom K. Outcome of protein-energy malnutrition in elderly medical patients. Am. J. Med. 1995, 98:67-74.
6. Charlson M.E., Pompei P., Ales K.L., MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chronic Dis. 1987, 40:373-383.
7. Davis R.B., Lezzoni L.I., Phillips R.S., Reiley P., Coff-man G.A., Safran C. Predicting in-hospital mortality: the importance of functional status. Med. Care 1995, 33:906-921.
8. Department of Health, 2005. Supporting People with Long term Conditions. An NHS and Social Care Model to support local innovation and integration. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_dig-ital-assets/@%20dh/@en/documents/digitalasset/dh_4122574.pdf.
9. Dickstein K., Cohen-Solal A., Filippatos G., McMurray J.J., Ponikowski P., Poole-Wilson P.A., Strömberg A., Van Veldhuisen D.J., Atar D., Hoes A.W., Keren A., Mebazaa A., Nieminen M., Priori S.G., Swedberg K. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur. J. Heart Fail. 2008, 10:933-989. ESC Committee for Practice Guidelines (CPG).
10. Europe in figures, 2009. EUROSTAT Year Book 2009. EUROSTAT. Available from: http://ec.europa.eu/eurostat.
11. Fillenbaum G.G., Pieper C.F., Cohen H.J., Cornoni-Huntley J.C., Guralnik J.M. Comorbidity of five chronic health conditions in elderly community residents: determinants and impact on mortality. J. Gerontol. A: Biol. Sci. Med. Sci. 2000, 55:M84-M89.
12. García-Morillo J.S., Bernabeu-Wittel M., Ollero-Baturone M., Aguilar-Guisad M., Ramírez-Duque N., González de la Puente M.A., Limpo P., Romero-Carmona S., Cuello-Contreras J.A. Incidence and clinical features of patients with comorbidity attended in internal medicine areas. Med. Clin. (Barc.) 2005, 125. (in Spanish).
13. García-Morillo J.S., Bernabeu-Wittel M., Ollero-Baturone M., Gonzalez de la Puente M.A., Cuello-Contreras J.A. Risk factors associated to mortality and functional deterioration in pluripathologic patients with heart failure. Rev. Clin. Esp. 2007, 207. (in Spanish).
14. García-Morillo J.S., Bernabeu-Wittel M., Cassani M., Rincón M., Yerro Páez V., Ollero-Baturone M. Influence of biopsychosocial assessment on degree of doctor-patient empathy in a cohort of patients with multiple diseases. Rev. Clin. Esp. 2007, 207. (in Spanish).
15. Gijsen R., Hoeymans N., Schellevis F.G., Ruwaard D., Satariano W.A., Van den Bos G.A.M. Causes and consequences of comorbidity: a review. J. Clin. Epidemiol. 2001, 54:661-674.
16. Guigoz Y., Lauque S., Vellas B.J. Identifying the elderly at risk for malnutrition. The mini nutritional assessment. Clin. Geriatr. Med. 2002, 18:737-757.
17. Hunt S.A., Abraham W.T., Chin M.H., Feldman A.M., Francis G.S., Ganiats T.G., Jessup M., Konstam M.A., Mancini D.M., Michl K., Oates J.A., Rahko P.S., Silver M.A., Stevenson L.W., Yancy C.W., Antman E.M., Smith, Adams C.D., Anderson J.L., Faxon D.P., Fuster V., Halperin J.L., Hiratzka L.F., Jacobs A.K., Nishimura R., Ornato J.P., Page R.L., Riegel B. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation 2005, 112:e154-e235. American College of Cardiology; American Heart Association Task Force on Practice Guidelines; American College of Chest Physicians; International Society for Heart and Lung Transplantation; Heart Rhythm Society.
18. Inouye S.K., Peduzzi P.N., Robison J.T., Hughes J.S., Horwitz R.I., Concato J. Importance of functional measures in predicting mortality among older hospitalized patients. J. Am. Med. Assoc. 1998, 279:1187-1193.
19. Inouye S.K., Bogardus, Vitagliano G., Desai M.M., Williams C.S., Grady J.N., Williams C.S., Grady J.N., Scinto J.D. Burden of illness score for elderly persons: risk adjustment incorporating the cumulative impact of diseases, physiologic abnormalities, and functional impairments. Med. Care 2003, 41:70-83.
20. Lawton M.P., Brody E.M. Assessment of older people: self maintaining and instrumental activities of daily living. Gerontologist 1969, 9:179-186.
21. Mahoney F.I., Barthel D.W. Functional evaluation: the Barthel index. Md. State Med. J. 1965, 4:61-65.
22. Marrie T.J., Wu L. Factors influencing in-hospital mortality in community-acquired pneumonia: a prospective study of patients not initially admitted to the ICU. Chest 2005, 127:1260-1270.
23. Martínez de la Iglesia J., Dueñas Herrero R., Onís Vilches M.C., Aguado Taberné C., Albert Colomer C., Luque Luque R. Spanish language adaptation and validation of the Pfeiffer's questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age. Med. Clin. (Barc.) 2001, 117:129-134. (in Spanish).
24. McWhirter J.P., Pennington C.R. The incidence and recognition of malnutrition in hospital. Br. Med. J. 1994, 308:948.
25. Menotti A., Mulder I., Nissinen A., Giampaoli S., Feskens E.J., Kromhout D. Prevalence of morbidity and multimorbidity in elderly male populations and their impact on 10-year all-cause mortality: the FINE study (Finland, Italy, Netherlands, Elderly). J. Clin. Epidemiol. 2001, 54:680-686.
26. Mody L., Sun R., Bradley S.F. Assessment of pneumonia in older adults: effect of functional status. J. Am. Geriatr. Soc. 2006, 54:1062-1067.
27. Moreno-Gaviño L., Bernabeu-Wittel M., Álvarez-Tello M., Rincón M., García-Morillo S., Cassani M., Ollero-Baturone M. Overload felt by the figure of the main caregiver in a cohort of patients with multiple pathologies. Aten. Primaria 2008, 40:193-198.
28. Ollero-Baturone, M., Alvarez, M., Barón-Franco, B., Bernabéu-Wittel, M., Codina, A., Fernández-Moyano, A., Garrido-Porras, E., Ortiz-Camúñez, MA., Rojas, J., Romero-Alonso, A., Romero, S., Sanz-Amores, A., 2007. Atención al paciente pluripatológico. Proceso Asistencial Integrado. Sevilla: Public Health Direction of Andalusian Autonomus Government, second edition. Available from: http://www.juntadeandalucia.es/salud/servicios/contenidos/procesos/docs/pluri.pdf.
29. Pugh R.N., Murray-Lyon I.M., Dawson J.L., Pietroni M.C., Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br. J. Surg. 1973, 60:646-649.
30. Ramírez-Duque N., Ollero-Baturone M., Bernabeu-Wittel M., Rincón-Gómez M., Ortiz-Camuñez M.A., García-Morillo S. Clinical, functional, mental and sociofamiliar features in polypathological patients. One-year prospective study in Primary Health Care. Rev. Clin. Esp. 2008, 208:4-11.
31. Rincón-Gómez, M., Bernabeu-Wittel, M., Bohorquez-Colombo, P., Moreno-Gaviño, L., Cassani-Garza, M., Ortiz-Camuñez, M.A., Ollero-Baturone, M., 2010. Perceived quality of healthcare in a multicenter community-based population of polypathological patients. Arch. Gerontol. Geritar. (Epub. ahead of print). doi:10.1016/j.archger.2010.03.003.
32. Sullivan D.H., Sun S., Walls R.C. Protein-energy undernutrition among elderly hospitalised patients. A prospective study. J. Am. Med. Assoc. 1999, 281:2013-2019.
33. Tinetti M.E., Bogardus S.T., Agostini J.V. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N. Engl. J. Med. 2004, 351:27.
34. Torres O.H., Muñoz J., Ruiz D., Ris J., Gich I., Coma E., Gurguí M., Vázquez G. Outcome predictors of pneumonia in elderly patients: importance of functional assessment. J. Am. Geriatr. Soc. 2004, 52:1603-1609.
35. Westert G.P., Satariano W.A., Schellevis F.G., Van den Bos G.A.M. Patterns of comorbidity and the use of the health services in the Dutch population. Eur. J. Publ. Health 2001, 11:365-372.
36. WHO (World Health Organization), 2000. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. WHO, Geneva.
37. World Health Organization, 2008. Atlas of Health in Europe, 2nd Edition. World Health Organization. Available from: http://www.euro.who.int/Document/E91713.pdf.
38. Zambrana J.L., Velasco Malagón M.J., Díez García F., Cruz Caparrós G., Martín Escalante M.D., Adarraga Cansino M.D. Características clínicas diferenciales de los enfermos pluripatológicos hospitalizados en servicios de medicina interna. Rev. Clin. Esp. 2005, 205. (in Spanish).