How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease

Abstract Previous research had shown the number of comorbidities is a major factor influencing the burden of care for elderly patients with obstructive lung disease (OLD). This retrospective cohort study on a large population of elderly patients (age > 65 years) with OLD in northern Italy measure...

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Autores principales:	Alessandra Buja, Andrea Bardin, Giulia Grotto, Stefania Elvini, Pietro Gallina, Giulia Zumerle, Patrizia Benini, Domenico Scibetta, Vincenzo Baldo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/5f94e0ba9ad04c00aa2c01e9ad59bfec
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spelling	oai:doaj.org-article:5f94e0ba9ad04c00aa2c01e9ad59bfec2021-12-02T15:00:13ZHow different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease10.1038/s41533-021-00242-y2055-1010https://doaj.org/article/5f94e0ba9ad04c00aa2c01e9ad59bfec2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00242-yhttps://doaj.org/toc/2055-1010Abstract Previous research had shown the number of comorbidities is a major factor influencing the burden of care for elderly patients with obstructive lung disease (OLD). This retrospective cohort study on a large population of elderly patients (age > 65 years) with OLD in northern Italy measures the use of healthcare resources associated with the most frequent combinations of comorbidities and investigates the most common reasons for hospitalization. Total health costs, pharmacy costs, emergency department (ED) visits, outpatient visits, and hospital admissions are assessed for every subject. The most common causes of hospitalization by a number of comorbidities and the most common sets of three comorbidities are identified. For each comorbidity group, we rank a list of the most frequent causes of hospitalization, both overall and avoidable with effective ambulatory care. A small group of patients suffering from major comorbidities accounts for the use of most healthcare resources. The most frequent causes of hospitalization are respiratory failure, heart failure, chronic bronchitis, and bronchopneumonia. The most common conditions manageable with ambulatory care among causes of hospitalizations are heart failure, bacterial pneumonia, and COPD. The set of three comorbidities responsible for the highest average total costs, and the highest average number of hospitalizations and outpatient visits comprised hypertension, cardiac arrhythmias, and heart failure. The main reasons for hospitalization proved to remain linked to heart failure and acute respiratory disease, regardless of specific combinations of comorbidities. Based on these findings, specific public health interventions among patients with OLD cannot be advised on the basis of specific sets of comorbidities only.Alessandra BujaAndrea BardinGiulia GrottoStefania ElviniPietro GallinaGiulia ZumerlePatrizia BeniniDomenico ScibettaVincenzo BaldoNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Alessandra Buja Andrea Bardin Giulia Grotto Stefania Elvini Pietro Gallina Giulia Zumerle Patrizia Benini Domenico Scibetta Vincenzo Baldo How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
description	Abstract Previous research had shown the number of comorbidities is a major factor influencing the burden of care for elderly patients with obstructive lung disease (OLD). This retrospective cohort study on a large population of elderly patients (age > 65 years) with OLD in northern Italy measures the use of healthcare resources associated with the most frequent combinations of comorbidities and investigates the most common reasons for hospitalization. Total health costs, pharmacy costs, emergency department (ED) visits, outpatient visits, and hospital admissions are assessed for every subject. The most common causes of hospitalization by a number of comorbidities and the most common sets of three comorbidities are identified. For each comorbidity group, we rank a list of the most frequent causes of hospitalization, both overall and avoidable with effective ambulatory care. A small group of patients suffering from major comorbidities accounts for the use of most healthcare resources. The most frequent causes of hospitalization are respiratory failure, heart failure, chronic bronchitis, and bronchopneumonia. The most common conditions manageable with ambulatory care among causes of hospitalizations are heart failure, bacterial pneumonia, and COPD. The set of three comorbidities responsible for the highest average total costs, and the highest average number of hospitalizations and outpatient visits comprised hypertension, cardiac arrhythmias, and heart failure. The main reasons for hospitalization proved to remain linked to heart failure and acute respiratory disease, regardless of specific combinations of comorbidities. Based on these findings, specific public health interventions among patients with OLD cannot be advised on the basis of specific sets of comorbidities only.
format	article
author	Alessandra Buja Andrea Bardin Giulia Grotto Stefania Elvini Pietro Gallina Giulia Zumerle Patrizia Benini Domenico Scibetta Vincenzo Baldo
author_facet	Alessandra Buja Andrea Bardin Giulia Grotto Stefania Elvini Pietro Gallina Giulia Zumerle Patrizia Benini Domenico Scibetta Vincenzo Baldo
author_sort	Alessandra Buja
title	How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
title_short	How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
title_full	How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
title_fullStr	How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
title_full_unstemmed	How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
title_sort	how different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5f94e0ba9ad04c00aa2c01e9ad59bfec
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How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease

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