Investigation and prognostic analysis of chronic disease co-morbidity in the elderly population
10.3969/j.issn.1006-2483.2024.03.024
- VernacularTitle:老年人群慢性病共病病因调查及预后分析
- Author:
Qun ZHENG
1
;
Shengqi LIU
2
;
Lingli XIE
1
Author Information
1. Health Management and Physical Examination Center , Chengdu Fifth People's Hospital , Chengdu , Sichuan 611130 , China
2. Department of Pathology , Chengdu Second People''s Hospital , Chengdu , Sichuan 6100021 , China
- Publication Type:Journal Article
- Keywords:
Elderly;
Chronic disease;
Co-morbidity;
Prognosiss
- From:
Journal of Public Health and Preventive Medicine
2024;35(3):103-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the investigation of co-morbidity etiology and prognosis analysis of chronic diseases in the elderly population. Methods The data of 1 475 elderly patients who were seen and treated in Chengdu Fifth People's Hospital from January 2019 to December 2021 were screened to analyze their disease status, co-morbidity combinations and patterns, co-morbidity influencing factors, and prognosis. Results The top four prevalence rates among 1 475 elderly patients with chronic diseases were hypertension 555 (37.63%), gastric or gastrointestinal diseases 445 (30.17%), arthritis or rheumatism 427 (28.95%), and diabetes 329 (26.58%). 1034 co-morbidities were found in 1475 elderly patients with chronic diseases, with a co-morbidity rate of 70.10%. The binary disease combination accounted for 58.41% and the ternary disease combination accounted for 41.59%. Female, age >70 years, family history of chronic diseases, overweight/obesity, daily physical inactivity, history of alcohol/smoking, poor sleep quality, and poor dietary habits were the independent influencing factors for co-morbidity in elderly patients with chronic diseases (ORfemale=2.413, ORage ≥ 70=1.670, ORhistory of alcohol consumptionfamily history of chronic diseases=2.846, ORhistory of alcohol consumptionoverweight/obesity=2.570, ORdaily inactivity=1.802, ORhistory of alcohol consumption=3.543, ORhistory of smoking=1.784, ORpoor sleep quality=2.128, ORunhealthy dietary habits=2.085, all P<0.05). Compared with elderly patients with chronic diseases without co-morbidity, patients with co-morbidity had higher odds of exacerbation of the original disease/acute readmission and lower odds of new chronic disease (χ2primary exacerbation/emergency readmission=10.726, χ2new chronic disease=5.873 , all P<0.05). Conclusion Gender, age, chronic disease history, BMI, and lifestyle habits are important factors influencing co-morbidity in elderly patients with chronic diseases, and patients with co-morbidity have a relatively poor prognosis.
