Defining Multimorbidity in Older Surgical Patients.

ABSTRACT:

Background

There are numerous definitions of multimorbidity (MM). None systematically examines specific comorbidity combinations accounting for multiple testing when exploring large datasets.

Objectives

Develop and validate a list of all single, double, and triple comorbidity combinations, with each individual qualifying comorbidity set (QCS) more than doubling the odds of mortality versus its reference population. Patients with at least 1 QCS were defined as having MM.

Research design

Cohort-based study with a matching validation study.

Subjects

All fee-for-service Medicare patients between age 65 and 85 without dementia or metastatic solid tumors undergoing general surgery in 2009-2010, and an additional 2011-2013 dataset.

Measures

30-day all-location

SUBMITTER: Silber JH 

PROVIDER: S-EPMC6086592 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature