Related Experiment Videos
Prevalence and Influencing Factors of Chronic Disease Multimorbidity Among Elderly Inpatients in a General Practice
Xiaoyong Chen1, Guoqiang Zhang2, Yan Liang1
1Department of General Medicine, The Affiliated Bozhou Hospital of Anhui Medical University (The People's Hospital Bozhou), Bozhou, Anhui, China.
Background:
Chronic disease multimorbidity is increasingly common among older adults and poses substantial challenges to disease management and healthcare delivery.
Aims:
This study aimed to investigate the prevalence and associated factors of chronic disease multimorbidity among elderly inpatients in a general medicine department.
Methods:
Elderly inpatients admitted between January 2022 and December 2024 were included. Demographic data and chronic disease information were collected. Ordinal logistic regression was used to identify factors associated with multimorbidity.
Results:
The mean age of the patients was 71.5 ± 8.2 years, and 58.56% were male. Among all participants, 5.78% had no chronic disease, 15.67% had one chronic disease, and 78.55% had multimorbidity. The five most prevalent chronic diseases were hypertension (65.33%), diabetes or elevated blood glucose (53.11%), heart disease (46.89%), cerebrovascular disease (42.33%), and gastric or digestive system disorders (38.00%). Patients with neurocognitive and neurological disorders had the highest comorbidity burden (4.57 ± 1.46 conditions). Common two-disease combinations included heart disease plus hypertension (8.08%), while the most frequent three-disease cluster was hypertension combined with heart disease and cerebrovascular disease (7.44%). Ordinal logistic regression analysis showed that sex (OR = 0.684, P = 0.023), age (OR = 0.537, P = 0.012), occupation (OR = 0.296, P < 0.001; OR = 0.589, P = 0.050), and length of hospital stay (OR = 1.118, P < 0.001) were significantly associated with chronic disease multimorbidity among elderly inpatients.
Conclusion:
Hypertension, diabetes, heart disease, and cerebrovascular disease commonly co-occurred as major multimorbidity patterns, highlighting the need for targeted management. Female sex, age 60-65 years, and employment were associated with a lower likelihood of multimorbidity.
Related Concept Videos
Factors Affecting Illness
For instance, risk factors are connected to illness, disability,...
Drug Dosing: Geriatric Patients
Development of Human Microbiota
Dimensions of Health and Illness
Chronic Obstructive Pulmonary Disease-V: Management
Smoking Cessation
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD: