| Autor: |
Murali KP; School of Nursing, Columbia University, New York, NY, USA., Yu G; Rory Meyers College of Nursing, New York University, New York, NY, USA., Merriman JD; Rory Meyers College of Nursing, New York University, New York, NY, USA., Vorderstrasse A; College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA., Kelley AS; Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Brody AA; Rory Meyers College of Nursing, New York University, New York, NY, USA.; Hartford Institute for Geriatric Nursing, NYU Rory Meyers College of Nursing, New York, NY, USA. |
| Abstrakt: |
The objective of this study was to characterize multiple chronic conditions (MCCs) among seriously ill adults receiving palliative care at the end of life. A latent class analysis was conducted to identify latent subgroups of seriously ill older adults based on a baseline Charlson comorbidity index (CCI) measurement, a measure of comorbidity burden, and mortality risk. The three latent subgroups were: (1) low to moderate CCI with MCC, (2) high CCI with MCC, and (3) high CCI and metastatic cancer. The "low to moderate CCI and MCC" subgroup included older adults with chronic obstructive pulmonary disease (COPD), cardiovascular disease, congestive heart failure, myocardial infarction, dementia, diabetes, and lymphoma. A "high CCI and MCC" subgroup included individuals with severe illness including liver or renal disease among other MCCs. A "high CCI and metastatic cancer" included all participants with metastatic cancer. This study sheds light on the MCC profile of seriously ill adults receiving palliative care. |
