Multimorbidity and Hospital Admissions in High-Need, High-Cost Elderly Patients

Alessandra Buja, Michele Rivera, Elisa De Battisti, Maria Chiara Corti, Francesco Avossa, Elena Schievano, Stefano Rigon, Vincenzo Baldo, Giovanna Boccuzzo, Mark H. Ebell

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Objective: The aim was to clarify which pairs or clusters of diseases predict the hospital-related events and death in a population of patients with complex health care needs (PCHCN). Method: Subjects classified in 2012 as PCHCN in a local health unit by ACG® (Adjusted Clinical Groups) System were linked with hospital discharge records in 2013 to identify those who experienced any of a series of hospital admission events and death. Number of comorbidities, comorbidities dyads, and latent classes were used as exposure variable. Regression analyses were applied to examine the associations between dependent and exposure variables. Results: Besides the fact that larger number of chronic conditions is associated with higher odds of hospital admission or death, we showed that certain dyads and classes of diseases have a particularly strong association with these outcomes. Discussion: Unlike morbidity counts, analyzing morbidity clusters and dyads reveals which combinations of morbidities are associated with the highest hospitalization rates or death.

Original languageEnglish (US)
Pages (from-to)259-268
Number of pages10
JournalJournal of Aging and Health
Issue number5-6
StatePublished - Jun 1 2020


  • chronic diseases
  • health care services
  • population health management

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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