Differential characteristics in polypathological inpatients in internal medicine departments and acute geriatric units: The PLUPAR study

European Journal of Internal Medicine

Volumn 24, Issue 8, 2013, Pages 767-771

  Díez Manglano, Jesús ^a,b   De Escalante Yangüela, Begoña ^b,c   García Arilla Calvo, Ernesto ^d   Ubis Díez, Elena ^e   Munilla López, Eulalia ^a   Clerencia Sierra, Mercedes ^f   Revillo Pinilla, Paz ^b,f   Omiste Sanvicente, Teresa ^g  

^a HOSPITAL ROYO VILLANOVA   (Spain)

^b INSTITUTO ARAGONÉS DE CIENCIAS DE LA SALUD   (Spain)

^c HOSPITAL CLÍNICO UNIVERSITARIO LOZANO BLESA   (Spain)

^d Hospital Nuestra Senora de Gracia   (Spain)

^e HOSPITAL UNIVERSITARI SAGRAT COR   (Spain)

^f HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

^g HOSPITAL SAN JORGE   (Spain)

Author keywords

Cognitive impairment; Dependence; Geriatrics; Internal medicine; Multimorbidity; Polypathological patient

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; FEMALE; GASTROINTESTINAL DISEASE; GERIATRICS; HEART DISEASE; HEMATOLOGIC MALIGNANCY; HOSPITAL CARE; HOSPITAL DEPARTMENT; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICINE; SCORING SYSTEM; SEX DIFFERENCE;

COGNITIVE IMPAIRMENT; DEPENDENCE; GERIATRICS; INTERNAL MEDICINE; MULTIMORBIDITY; POLYPATHOLOGICAL PATIENT;

AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; COMORBIDITY; CROSS-SECTIONAL STUDIES; FEMALE; GERIATRICS; HOSPITAL DEPARTMENTS; HOSPITAL UNITS; HOSPITALIZATION; HUMANS; INTERNAL MEDICINE; MALE; SEX DISTRIBUTION; SPAIN;

EID: 84889640475     PISSN: 09536205     EISSN: 18790828     Source Type: Journal    
DOI: 10.1016/j.ejim.2013.07.010     Document Type: Article

References (30)

1. M. Van den Akker, F. Buntinx, S. Roos, S. Roos, and J.A. Knottnerus Comorbidity or multimorbidity: what́s in a name? A review of the literature Eur J Gen Pract 2 1996 65 70
2. K. Barnett, S.W. Mercer, M. Norbury, G. Watt, S. Wyke, and B. Guthrie Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study Lancet 380 2012 37 43
3. A. Prados-Torres, B. Poblador-Plou, A. Calderón-Larrañaga, L.A. Gimeno-Feliu, F. González-Rubio, and A. Poncel-Falcó Multimorbidity patterns in primary care: interactions among chronic diseases using factor analysis PLoS One 7 2012 e32190
4. M. Ollero-Baturone, M. Alvarez, B. Barón-Franco, M. Bernabéu-Wittel, A. Codina, and A. Fernández-Moyano Atención al paciente pluripatológico Proceso Asistencial Integrado. Sevilla: Public Health Direction of Andalusian Autonomus Government Second esd. 2007 (Available at: http://www.juntadeandalucia.es/salud/servicios/ contenidos/procesos/docs/pluri.pdf)
5. M. Bernabeu-Wittel, M. Ollero-Baturone, L. Moreno-Gaviño, B. Barón-Franco, A. Fuertes, and J Murcia-Zaragoza Development of a new predictive model for polypathological patients. The PROFUND index Eur J Intern Med 22 2011 311 317
6. F.I. Mahoney, and D.W. Barthel Functional evaluation: the Barthel Index Md State Med J 4 1965 61 65
7. M.P. Lawton, and E.M. Brody Assessment of older people: self maintaining and instrumental activities of daily living Gerontologist 9 1969 179 186
8. M.E. Charlson, P. Pompei, K.L. Ales, and C.R. MacKenzie A new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chronic Dis 40 1987 373 383
9. J. Martínez de la Iglesia, R. Dueñas Herrero, M. Onís Vilches, C. Aguado Taberné, C. Albert Colomer, and R. Luque Luque Spanish language adaptation and validation of the Pfeiffeŕs questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age Med Clin (Barc) 117 2001 129 134
10. T. Alarcón, and J.I. González-Montalvo La escala sociofamiliar de Gijón, elemento útil en el hospital general Rev Esp Geriatr Gerontol 33 1998 178 179
11. Aragonese Statistics Institute Aragón basic data Available at: http://www.aragon.es/DepartamentosOrganismosPublicos/Organismos/ InstitutoAragonesEstadistica/AreasTematicas/Demografia/IndicadoresDemograficos/ IndicadoresEstructuraDemografica/ci.PoblaciónTotal.detalleDepartamento? channelSelected=448c2135fc5fa210VgnVCM100000450a15acRCR (accesed 2012/11/28)
12. Eurostat Median age of population. Population on 1 January: Structure indicators Available at: http://appsso.eurostat.ec.europa.eu/nui/show.do? dataset=demo-pjanind&lang=en (accessed 2012/11/28)
13. J.S. García-Morillo, M. Bernabeu-Wittel, M. Ollero-Baturone, M. Aguilar-Guisad, N. Ramírez-Duque, N. Ramírez-Duque, and M.A. González de la Puente Incidence and clinical features of patients with comorbidity attended in internal medicine areas Med Clin (Barc) 125 2005 5 9
14. J.L. Zambrana García, M.J. Velasco Malagón, F. Díez Gacía, G. Cruz Caparrós, M.D. Martín Escalante, and M.D. Adarraga Cansino en nombre del grupo para el estudio de la actividad de medicina interna en Andalucía. Characteristics of patients with multiple disease hospitalized in Internal Medicine services Rev Clin Esp 205 2005 413 417
15. M. Bernabeu-Wittel, B. Barón-Franco, J. Murcia-Zaragoza, A. Fuertes-Martín, C. Ramos-Cantos, and A. Fernández-Moyano A multi-institutional, hospital-based assessment of clinical, functional, sociofamilial and health-care characteristics of polypathological patients (PP) Arch Gerontol Geriatr 53 2010 284 291
16. M. Bernabeu-Wittel, A. Jadad, L. Moreno-Gaviño, C. Hernández-Quiles, F. Toscano, and M. Cassani Peeking through the cracks: an assessment of the prevalence, clinical characteristics and health-related quality of life (HRQoL) of people with polypathology in a hospital setting Arch Gerontol Geriatr 51 2010 185 191
17. B.M. Buurman, J.G. Hoogerduijn, R.J. de Haan, A. Abu-Hanna, A.M. Lagaay, and H.J. Verhaar Geriatric conditions in acutely hospitalized older patients: prevalence and one-year survival and functional decline PLoS One 6 2011 e26951
18. C.M. Boyd, C.S. Landefeld, S.R. Counsell, R.M. Palmer, R.H. Fortinsky, and D. Kresevic Recovery of activities of daily living in older adults after hospitalization for acute medical illness J Am Geriatr Soc 56 2008 2171 2179
19. S.K. Inouye, Y. Zhang, L. Han, L. Leo-Summers, R. Jones, and E. Marcantonio Recoverable cognitive dysfunction at hospital admission in older persons during acute illness J Gen Intern Med 21 2006 1276 1281
20. S. Joray, V. Wietlisbach, and C.J. Bula Cognitive impairment in elderly medical inpatients: detection and associated six-month outcomes Am J Geriatr Psychiatry 12 2004 639 647
21. S.K. Inouye, J.T. Rushing, M.D. Foreman, R.M. Palmer, and P. Pompei Does delirium contribute to poor hospital outcomes? A three-site epidemiological study J Gen Intern Med 13 1998 234 242
22. B.J. Anía-Lafuente, and J.L. Suárez-Almenar Los pacientes pluripatológicos y el papel de las especialidades de medicina interna y geriatría Rev Esp Geriatr Gerontol 41 2006 142 144
23. Rodríguez A. Sánchez Comorbidity patients: the need of a coordinated and global care Med Clin (Barc) 125 2005 12 13
24. B.J. Fontecha Gómez, T. Casanova i Querol, Reig Puig Ll, and P. Sánchez Ferrín Geriatrics and patients with multiple diseases Rev Clin Esp 206 2006 534
25. D.B. Reuben, J. Zwanzinger, T.B. Bradley, A. Fink, S.H. Hirsch, and A.P. Williams How many physicians will be needed to provide medical care for older persons? Physician manpower needs for the twenty-first century J Am Geriatr Soc 41 1993 444 453
26. L.S. Libow From Nascher to now. Seventy-five years of United States geriatrics J Am Geriatr Soc 38 1990 79 83
27. C.S. Landefeld, C.M. Callahan, and N. Woolard General Internal Medicine and Geriatrics: building a foundation to improve the training of general internists in the care of older adults Ann Intern Med 139 2003 607 614
28. R.A. Fox, A.M. Clarfield, and D.B. Hogan Competencies required for the practice of geriatric medicine as a consultant physician CMAJ 141 1989 1045 1048
29. C. Büla, and G. Waeber General internal medicine and geriatrics in the acute care setting: opportunities for collaboration Rev Med Suisse 2 2006 2540 2543
30. N. Martínez Velilla, and F. Formiga Pérez Care of older patients: towards collaboration between Internal Medicine and Geriatrics Med Clin (Barc) 139 2012 694