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October 17, 2019BMC Health Services ResearchOpen Access

Multimorbidity and healthcare resource utilization in Switzerland: a multicentre cohort study

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Why the study?

Multimorbidity is linked to higher healthcare resource utilization, but data on the association of specific combinations of comorbidities with healthcare resource utilization are lacking.

Which combinations of chronic comorbidities are associated with the highest healthcare resource utilization among multimorbid medical inpatients?

Population

33,871 multimorbid medical inpatients discharged from three Swiss hospitals in 2010-2011

Comparison

Specific combinations of chronic comorbidities

Design

Multicentre retrospective cohort study

Follow-up

30 days

Authors

CACarole E. AubertNFNiklaus FankhauserPMPedro Marques‐Vidal

Discussion

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Overview

Specific comorbidity combinations may identify high-utilization inpatients for closer monitoring; leaves open whether targeted interventions improve outcomes in prospective studies.

Structured PICO

Which combinations of chronic comorbidities are associated with the highest healthcare resource utilization among multimorbid medical inpatients?

P
Population
33,871 multimorbid (≥2 chronic diseases) medical inpatients discharged from three Swiss hospitals in 2010-2011, median age 68, 56.6% men.
I
Intervention
Specific combinations of chronic comorbidities (e.g., acute and unspecified renal failure combined with solid malignancy; miscellaneous mental health disorders combined with mood disorders)
C
Comparator
Patients without the specific combinations of comorbidities
O
Outcome
30-day potentially avoidable readmission (PAR) to any department of the same hospital

Specific combinations of comorbidities, particularly those involving kidney disease for readmission and mental health disorders for length of stay, are strongly associated with increased healthcare resource utilization in multimorbid inpatients.

Limitations

  • Diagnoses subject to coding quality that may lead to underreporting
  • Diagnoses assessed using hospital records only

Cite This Study

Aubert et al. (2019) studied this question.

synapsesocial.com/papers/6a70ab992163a0a01bc4e307https://doi.org/10.1186/s12913-019-4575-2
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