TY - JOUR
T1 - Multiple Chronic Conditions among Seriously Ill Adults Receiving Palliative Care
AU - Murali, Komal P.
AU - Yu, Gary
AU - Merriman, John D.
AU - Vorderstrasse, Allison
AU - Kelley, Amy S.
AU - Brody, Abraham A.
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2023/1
Y1 - 2023/1
N2 - 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.
AB - 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.
KW - Comorbidities
KW - Multiple chronic conditions
KW - Palliative care
KW - Serious illness
UR - http://www.scopus.com/inward/record.url?scp=85113556212&partnerID=8YFLogxK
U2 - 10.1177/01939459211041174
DO - 10.1177/01939459211041174
M3 - Article
AN - SCOPUS:85113556212
SN - 0193-9459
VL - 45
SP - 14
EP - 24
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
IS - 1
ER -