Quintí Foguet?Boreu|Concepció Violan|Albert Roso-Llorach|Teresa Rodríguez-Blanco|Mariona Pons?Vigués|Miguel Ángel Muñoz|Enriqueta Pujol?Ribera|José M Valderas
Impact of multimorbidity: acute morbidity, area of residency and use of health services across the life span in a region of south Europe
Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Universitat Autònoma de Barcelona|University of Exeter
concurrent diseases multiple pathologies multimorbidity patterns topics increased interest worlds population ages explore impact multimorbidity affected patients consequences health services designed study describe multimorbidity sex lifestage large population sample assess association acute morbidity area residency use health services crosssectional study conducted catalonia spain participants 1749710 patients aged 19 years 251 primary care teams primary outcome multimorbidity 2 chronic diseases secondary outcome number new events acute disease variables number acute diseases per patient sex age group 1924 2544 4564 6579 80 years urbanrural residence number visits 2010 multimorbidity present 468 95 ci 467468 sample increased age increased higher women rural areas prevalent pair chronic diseases hypertension lipid disorders patients older 45 years infections mainly upper respiratory infection common acute diagnoses women highest significant rr multimorbidity vs nonmultimorbidity found teethgum disease aged 1924 acute upper respiratory infection men rr positive significant teethgum disease aged 6579 adjusted analysis showed strongly positive association multimorbidity oldest women 80 years acute diseases women aged 6579 3 acute diseases compared patients acute diseases ranged 116 199 p 0001 living rural area significantly associated lower probability multimorbidity odds multimorbidity increased sharply number visits increased reaching highest probability aged 6579 years multimorbidity related greater use health care services higher incidence acute diseases increasing burden primary care services differences related sex lifestage observed multimorbidity acute diseases suggest research multimorbidity stratified according factors