Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults

Abstract This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five ca...

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Autores principales:	Ke Gao, Bo-Lin Li, Lei Yang, Dan Zhou, Kang-Xi Ding, Ju Yan, Ya-Jie Gao, Xiao-Rui Huang, Xiao-Pu Zheng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/322ea33e2b8c4738b7babb9a82d06453
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spelling	oai:doaj.org-article:322ea33e2b8c4738b7babb9a82d064532021-12-02T18:15:33ZCardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults10.1038/s41598-021-87444-z2045-2322https://doaj.org/article/322ea33e2b8c4738b7babb9a82d064532021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87444-zhttps://doaj.org/toc/2045-2322Abstract This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five cardiometabolic diseases were assessed including hypertension, dyslipidemia, diabetes, cardiac diseases and stroke. Frailty status was based on five criteria: slowness, weakness, exhaustion, inactivity, and shrinking. Participants were deemed frailty if they met at least three criteria. As the number of cardiometabolic diseases increased, so did the prevalence of frailty, and the proportion of healthcare utilization, including outpatient visit and inpatient visit. Moreover, the total healthcare expenditure and the odds of catastrophic health expenditure were increased with the number of cardiometabolic disorders. After adjusting for covariates, cardiometabolic diseases were positively associated with higher odds of frailty, incurring outpatient and inpatient visit. And individuals with 2 or more cardiometabolic diseases had a higher odds of catastrophic health expenditure than persons with non-cardiometabolic disease. Participants who were frailty were more likely to report higher odds of healthcare utilization. These findings suggest that both cardiometabolic diseases and frailty assessment may improve identification of older adults likely to require costly, extensive healthcare.Ke GaoBo-Lin LiLei YangDan ZhouKang-Xi DingJu YanYa-Jie GaoXiao-Rui HuangXiao-Pu ZhengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ke Gao Bo-Lin Li Lei Yang Dan Zhou Kang-Xi Ding Ju Yan Ya-Jie Gao Xiao-Rui Huang Xiao-Pu Zheng Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
description	Abstract This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five cardiometabolic diseases were assessed including hypertension, dyslipidemia, diabetes, cardiac diseases and stroke. Frailty status was based on five criteria: slowness, weakness, exhaustion, inactivity, and shrinking. Participants were deemed frailty if they met at least three criteria. As the number of cardiometabolic diseases increased, so did the prevalence of frailty, and the proportion of healthcare utilization, including outpatient visit and inpatient visit. Moreover, the total healthcare expenditure and the odds of catastrophic health expenditure were increased with the number of cardiometabolic disorders. After adjusting for covariates, cardiometabolic diseases were positively associated with higher odds of frailty, incurring outpatient and inpatient visit. And individuals with 2 or more cardiometabolic diseases had a higher odds of catastrophic health expenditure than persons with non-cardiometabolic disease. Participants who were frailty were more likely to report higher odds of healthcare utilization. These findings suggest that both cardiometabolic diseases and frailty assessment may improve identification of older adults likely to require costly, extensive healthcare.
format	article
author	Ke Gao Bo-Lin Li Lei Yang Dan Zhou Kang-Xi Ding Ju Yan Ya-Jie Gao Xiao-Rui Huang Xiao-Pu Zheng
author_facet	Ke Gao Bo-Lin Li Lei Yang Dan Zhou Kang-Xi Ding Ju Yan Ya-Jie Gao Xiao-Rui Huang Xiao-Pu Zheng
author_sort	Ke Gao
title	Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_short	Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_full	Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_fullStr	Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_full_unstemmed	Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_sort	cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling chinese older adults
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/322ea33e2b8c4738b7babb9a82d06453
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Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults

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