Functional status and annual hospitalization in multimorbid and non-multimorbid older adults: a cross-sectional study in Southern China

Health and Quality of Life Outcomes

Xu-Jia Chen¹  Xiao-Xiao Wang²  Xiao Wu²  Ling-Ling Huang²  Li-Ying Fu²  Pei-Xi Wang²  Xiao-Yue Song³  Zhao-Bin Chen⁴ 

[1] Community health service management center, Luohu hospital group;Institute of Public Health, School of Nursing and Health, Henan University;The Nursing College Of Zhengzhou University;West China School of Public Health, Sichuan University;

关键词: Hospitalization;    Functional status;    Multimorbidity;    Older adults;    Cross-sectional study;    China;   

DOI  :  10.1186/s12955-018-0864-4

来源: DOAJ

【 摘 要 】

Abstract Background Hospitalization over the last one year, an indicator of health service utilization, is an important and costly resource in older adult care. However, data on the relationship between functional status and annual hospitalization among older Chinese people are sparse, particularly for those with and without multimorbidity. In this study,we aimed to examine the association between functional status and annual hospitalization among community-dwelling older adults in Southern China, and to explore the independent contributions of socio-demographic variables, lifestyle and health-related factors and functional status to hospitalization in multimorbid and non-multimorbid groups. Methods This cross-sectional, community-based survey, studied 2603 older adults aged 60 years and above. Functional status was assessed by Functional Independence Measure (FIM). The outcome variable was any hospitalization over the last one year (annual hospitalization). Clustered logistic regression was used to analyze the independent contributions of FIM domains to annual hospitalization. Results Only in the multimorbid group, did the risk of annual hospitalization decrease significantly with increasing FIM score in walk domain (adjusted OR = 0.80 per SD increase, 95% CI = 0.70–0.91, P = 0.001) and its independent contribution accounted for 24.62%, more than that of socio-demographic variables (18.46%). However, among individuals without multimorbidity, there were no significant associations between FIM domains and annual hospitalization; thus, no independent contribution to the risk of hospitalization was observed. Conclusions There exist some degree of correlation between functional status and annual hospitalization among older adults in Southern China, which might be due to the presence of multimorbidity with advanced age.

【 授权许可】

Unknown