Predicting poorer health outcomes in older community-dwelling patients with multimorbidity: prospective cohort study assessing the accuracy of different multimorbidity definitions.

ABSTRACT:

Purpose

Multimorbidity is commonly defined and measured using condition counts. The UK National Institute for Health Care Excellence Guidelines for Multimorbidity suggest that a medication-orientated approach could be used to identify those in need of a multimorbidity approach to management.

Objectives

To compare the accuracy of medication-based and diagnosis-based multimorbidity measures at higher cut-points to identify older community-dwelling patients who are at risk of poorer health outcomes.

Design

A secondary analysis of a prospective cohort study with a 2-year follow-up (2010-2012).

Setting

15 general practices in Ireland.

Participants

904 older community-dwelling patients.

Exposure

Baseline multimorbidity measurements based on both medicat

SUBMITTER: Sasseville M 

PROVIDER: S-EPMC6326333 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature