Increasing Burden of Complex Multimorbidity Across Gradients of Cognitive Impairment.

TitleIncreasing Burden of Complex Multimorbidity Across Gradients of Cognitive Impairment.
Publication TypeJournal Article
Year of Publication2017
AuthorsKoroukian, SM, Schiltz, NK, Warner, Jr., DF, Stange, KC, Smyth, KA
JournalAmerican Journal of Alzheimer's Disease and Other Dementias
ISSN Number1938-2731
KeywordsCognitive Ability, Comorbidity, Functional limitations
Abstract

INTRODUCTION: This study evaluates the burden of multimorbidity (MM) across gradients of cognitive impairment (CI).

METHODS: Using data from the 2010 Health and Retirement Study, we identified individuals with no CI, mild CI, and moderate/severe CI. In addition, we adopted an expansive definition of complex MM by accounting for the occurrence and co-occurrence of chronic conditions, functional limitations, and geriatric syndromes.

RESULTS: In a sample of 18 913 participants (weighted n = 87.5 million), 1.93% and 1.84% presented with mild and moderate/severe CI, respectively. The prevalence of most conditions constituting complex MM increased markedly across the spectrum of CI. Further, the percentage of individuals presenting with 10 or more conditions was 19.9%, 39.3%, and 71.3% among those with no CI, mild CI, and moderate/severe CI, respectively.

DISCUSSION: Greater CI is strongly associated with increased burden of complex MM. Detailed characterization of MM across CI gradients will help identify opportunities for health care improvement.

DOI10.1177/1533317517726388
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/28871795?dopt=Abstract

Alternate JournalAm J Alzheimers Dis Other Demen
Citation Key9294
PubMed ID28871795