Clústeres de multimorbilidad de pacientes ingresados en servicios médicoscaracterización clínica

Abstract

Objective: To describe the clinical characteristics of hospitalized patients in the medical area and determine the existence of clusters of diseases. Method: Retrospective cohort study of patients admitted to the medical area of Hospital of Lugo between 2000 and 2015. The hospital CMBD was the data source both matrices under study: hospital admissions and patients. The correspondence analysis was employed in the confection of multimorbidity clusters. Results: 170,978 hospital admissions were studied in 74,220 patients. 70% of those hospitalized patients had at least 4 concomitant chronic diseases. Patients with multimorbidity have a higher age, a longer average stay, a higher disease burden and mortality. The patterns of multimorbidity are different according to sex. In women: dementia, depression, hypothyroidism, rheumatoid arthritis, atrial fibrillation, heart failure and in men: ischemic heart disease, COPD, alcohol dependence syndrome. Five gender and age related clusters of multimorbidity were defined which show differentiated clinical patterns and prognoses. Conclusions: Hospitalized patients in the medical area have high multimorbidity with non-casual association. We have defined 5 clusters of differenciated clinical behavior and prognosis.