My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
FERNANDEZ-BOSCH, Alba et al. Influence of multipathology and comorbidity on hospital admission in a cohort of patients from a Primary-Internal continuous care unit. Rev Clin Med Fam [online]. 2022, vol.15, n.2, pp.99-105. Epub Sep 19, 2022. ISSN 2386-8201.
Objective:
to estimate the frequency of multiple pathologies and comorbidity in patients followed up in a Primary-Internal care continuity unit (PICCU), and to ascertain their clinical characteristics and degree of association between multiple pathologies and comorbidity with hospital admission.
Design:
retrospective case-control observational study.
Site:
Primary Care and Internal Medicine Continuity of Care Unit (UCAPI) of Albacete Teaching Hospital.
Participants:
a total of 1591 patients treated in a PICCU (292 with a hospital admission in the last year and 1299 without admission) were analyzed.
Main measurements:
age, sex, health problems, Charlson index, drug use and use of health services in the previous three years.
Results:
of the total sample, 18.4% (95% CI: 16.4-20.3) were cases with an admission; 23.3% had multiple pathologies (95% CI: 21.1-25.4) and comorbidity (Charlson index ≥ 2) 32.6% (95% CI: 30.2-34.9). Variables independently associated with hospital admission were multiple pathologies (OR: 2.51; 95% CI: 1.64-3.83; P <0.001), comorbidity (Charlson ≥ 2) (OR: 1.81; 95% CI): 1.18-2.78; P = 0.006), more than three health problems (OR: 1.49; 95% CI: 1.07-2.07; P = 0.017), a higher number of primary care consultations (OR: 1.01; 95% CI: 1.00-1.02; P = 0.005), Hospital (1.03; 95% CI: 1.01-1.05), P < 0.001) and making more visits to the hospital accident and emergency department (OR: 1.12, 95% CI: 1.07-1.17).
Conclusions:
almost a quarter of patients followed up in a care continuity unit between internal and family medicine presented multiple pathologies and a third presented comorbidity. Multiple pathologies and comorbidity are predictive characteristics of hospital admission together with a greater use of health services.
Keywords : comorbidity; health services; hospitalization; multimorbidity.