Geriatric syndromes and subsequent health-care utilization among older community dwellers in Stockholm

Jette Möller, Christian Rausch, Lucie Laflamme and Yajun Liang ()
Additional contact information
Jette Möller: Karolinska Institutet
Christian Rausch: Karolinska Institutet
Lucie Laflamme: Karolinska Institutet
Yajun Liang: Karolinska Institutet

European Journal of Ageing, 2022, vol. 19, issue 1, No 3, 19-25

Abstract: Abstract Little is known about the long-term effect of geriatric syndromes on health-care utilization. This study aims to determine the association between geriatric syndromes and health-care utilization during a four-year period among older community dwellers. Based on the Stockholm Public Health Cohort study, a total number of 6700 community dwellers aged ≥65 years were included. From a baseline survey in 2006, geriatric syndromes were defined as having at least one of the following: insomnia, functional decline, urinary incontinence, depressive symptoms and vision impairment. Health-care utilization was identified by linkages at individual level with register data with a four-year follow-up. Cox regression was performed to estimate the associations. Compared to those without geriatric syndromes, participants with any geriatric syndromes had a higher prevalence of frequent hospitalizations, long hospital stays, frequent outpatient visits and polypharmacy in each of the follow-up years. After controlling for covariates, having any geriatric syndromes was associated with higher levels of utilization of inpatient and outpatient care as well as polypharmacy. The association was stable over time, and the fully adjusted hazard ratio (95% confidence interval) remained stable in frequent hospitalizations (from 1.89 [1.31, 2.73] in year 1 to 1.70 [1.23, 2.35] in year 4), long hospital stay (from 1.75 [1.41, 2.16] to 1.49 [1.24, 1.78]), frequent outpatient visits (from 1.40 [1.26, 1.54] to 1.33 [1.22, 1.46]) and polypharmacy (from 1.63 [1.46, 1.83] to 1.53 [1.37, 1.71]). Having any geriatric syndromes is associated with higher levels of health-care utilization among older community dwellers, and the impact of geriatric syndromes is stable over a four-year period.

Keywords: Geriatric syndromes; Inpatient care; Outpatient care; Polypharmacy (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s10433-021-00600-2 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:eujoag:v:19:y:2022:i:1:d:10.1007_s10433-021-00600-2

Ordering information: This journal article can be ordered from
https://www.springer ... iences/journal/10433

DOI: 10.1007/s10433-021-00600-2

Access Statistics for this article

European Journal of Ageing is currently edited by Marja Aartsen, Susanne Iwarsson and Prof. Dr. Matthias Kliegel

More articles in European Journal of Ageing from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().