Chronic diseases spectrum and multimorbidity in elderly inpatients based on a 12-year epidemiological survey in China

作者：Shan Gao, Shasha Sun, Ting Sun, Tingting Lu, Yan Ma, Hebin Che, Miao Liu, Wanguo Xue, Kunlun He, Yabin Wang, Feng Cao · 发表于：BMC Public Health · 年份：2024 · DOI：10.1186/s12889-024-18006-x · 被引用次数：33 · 研究领域：Chronic Disease Management Strategies、Healthcare Systems and Reforms、Primary Care and Health Outcomes

BACKGROUND: The number and proportion of the elderly population have been continuously increasing in China, leading to the elevated prevalence of chronic diseases and multimorbidity, which ultimately brings heavy burden to society and families. Meanwhile, the status of multimorbidity tends to be more complex in elderly inpatients than community population. In view of the above concerns, this study was designed to investigate the health status of elderly inpatients by analyzing clinical data in Chinese People's Liberation Army (PLA) General Hospital from 2008 to 2019, including the constitution of common diseases, comorbidities, the status of multimorbidity, in-hospital death and polypharmacy among elderly inpatients, so as to better understand the diseases spectrum and multimorbidity of elderly inpatients and also to provide supporting evidence for targeted management of chronic diseases in the elderly. METHODS: A clinical inpatients database was set up by collecting medical records of elderly inpatients from 2008 to 2019 in Chinese PLA General Hospital, focusing on diseases spectrum and characteristics of elderly inpatients. In this study, we collected data of inpatients aged ≥ 65 years old, and further analyzed the constitution of diseases, multimorbidity rates and mortality causes in the past decade. In addition, the prescriptions were also analyzed to investigate the status of polypharmacy in elderly inpatients. RESULTS: A total of 210,169 elderly patients were hospitaliz...