Multimorbidity Profiles in German Centenarians: A Latent Class Analysis of Health Insurance Data.

Abstract:

OBJECTIVES:Multimorbidity in centenarians is common; although investigations of the prevalence of morbidity in centenarians are accumulating, research on profiles of co-occurrence of morbidities is still sparse. Our aim was to explore profiles of comorbidities in centenarians. METHOD:Health insurance data from 1,121 centenarians comprising inpatient and outpatient diagnoses from the past 5 years (2009-2013) were analyzed using latent class analysis with adjustments for sex, age, hospitalization, and long-term care. RESULTS:Four distinct comorbidity profiles emerged from the data: 36% of centenarians were categorized as "age-associated"; 18% had a variety of comorbidities but were not diabetic were labeled "multimorbid without diabetes"; 9% were labeled "multimorbid with diabetes"; and 36% "low morbidity." CONCLUSION:Patterns of comorbidities describe the complexity of geriatric multimorbidity more appropriately than an approach focused on a single disease. The profiles described by this specific research may inform clinicians and health care planners for the oldest old.

journal_name

J Aging Health

authors

Gellert P,von Berenberg P,Zahn T,Neuwirth J,Kuhlmey A,Dräger D

doi

10.1177/0898264317737894

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

580-594

issue

4

eissn

0898-2643

issn

1552-6887

journal_volume

31

pub_type

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