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Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults

This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five cardiometab...

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Autores principales: Gao, Ke, Li, Bo-Lin, Yang, Lei, Zhou, Dan, Ding, Kang-Xi, Yan, Ju, Gao, Ya-Jie, Huang, Xiao-Rui, Zheng, Xiao-Pu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8032763/
https://www.ncbi.nlm.nih.gov/pubmed/33833338
http://dx.doi.org/10.1038/s41598-021-87444-z
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author Gao, Ke
Li, Bo-Lin
Yang, Lei
Zhou, Dan
Ding, Kang-Xi
Yan, Ju
Gao, Ya-Jie
Huang, Xiao-Rui
Zheng, Xiao-Pu
author_facet Gao, Ke
Li, Bo-Lin
Yang, Lei
Zhou, Dan
Ding, Kang-Xi
Yan, Ju
Gao, Ya-Jie
Huang, Xiao-Rui
Zheng, Xiao-Pu
author_sort Gao, Ke
collection PubMed
description This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five cardiometabolic diseases were assessed including hypertension, dyslipidemia, diabetes, cardiac diseases and stroke. Frailty status was based on five criteria: slowness, weakness, exhaustion, inactivity, and shrinking. Participants were deemed frailty if they met at least three criteria. As the number of cardiometabolic diseases increased, so did the prevalence of frailty, and the proportion of healthcare utilization, including outpatient visit and inpatient visit. Moreover, the total healthcare expenditure and the odds of catastrophic health expenditure were increased with the number of cardiometabolic disorders. After adjusting for covariates, cardiometabolic diseases were positively associated with higher odds of frailty, incurring outpatient and inpatient visit. And individuals with 2 or more cardiometabolic diseases had a higher odds of catastrophic health expenditure than persons with non-cardiometabolic disease. Participants who were frailty were more likely to report higher odds of healthcare utilization. These findings suggest that both cardiometabolic diseases and frailty assessment may improve identification of older adults likely to require costly, extensive healthcare.
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spelling pubmed-80327632021-04-09 Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults Gao, Ke Li, Bo-Lin Yang, Lei Zhou, Dan Ding, Kang-Xi Yan, Ju Gao, Ya-Jie Huang, Xiao-Rui Zheng, Xiao-Pu Sci Rep Article This study investigated associations between cardiometabolic diseases, frailty, and healthcare utilization and expenditure among Chinese older adults. The participants were 5204 community-dwelling adults aged at least 60 years from the China Health and Retirement Longitudinal Study. Five cardiometabolic diseases were assessed including hypertension, dyslipidemia, diabetes, cardiac diseases and stroke. Frailty status was based on five criteria: slowness, weakness, exhaustion, inactivity, and shrinking. Participants were deemed frailty if they met at least three criteria. As the number of cardiometabolic diseases increased, so did the prevalence of frailty, and the proportion of healthcare utilization, including outpatient visit and inpatient visit. Moreover, the total healthcare expenditure and the odds of catastrophic health expenditure were increased with the number of cardiometabolic disorders. After adjusting for covariates, cardiometabolic diseases were positively associated with higher odds of frailty, incurring outpatient and inpatient visit. And individuals with 2 or more cardiometabolic diseases had a higher odds of catastrophic health expenditure than persons with non-cardiometabolic disease. Participants who were frailty were more likely to report higher odds of healthcare utilization. These findings suggest that both cardiometabolic diseases and frailty assessment may improve identification of older adults likely to require costly, extensive healthcare. Nature Publishing Group UK 2021-04-08 /pmc/articles/PMC8032763/ /pubmed/33833338 http://dx.doi.org/10.1038/s41598-021-87444-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Gao, Ke
Li, Bo-Lin
Yang, Lei
Zhou, Dan
Ding, Kang-Xi
Yan, Ju
Gao, Ya-Jie
Huang, Xiao-Rui
Zheng, Xiao-Pu
Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_full Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_fullStr Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_full_unstemmed Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_short Cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling Chinese older adults
title_sort cardiometabolic diseases, frailty, and healthcare utilization and expenditure in community-dwelling chinese older adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8032763/
https://www.ncbi.nlm.nih.gov/pubmed/33833338
http://dx.doi.org/10.1038/s41598-021-87444-z
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