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Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong.
- Source :
-
BMJ open [BMJ Open] 2020 Feb 20; Vol. 10 (2), pp. e027279. Date of Electronic Publication: 2020 Feb 20. - Publication Year :
- 2020
-
Abstract
- Purpose: This is an ongoing prospective cohort aiming to examine the biopsychosocial health profiles and predictors of health outcomes of older patients with multimorbidity in primary care in Hong Kong.<br />Participants: From April 2016 to October 2017, 1077 patients aged 60+ years with at least two chronic diseases were recruited in four public primary care clinics in the New Territories East Region of Hong Kong.<br />Findings to Date: After weighting, the patients had 4.1 (1.8) chronic conditions and 2.5 (1.9) medications on average; 37% forgot taking medication sometimes; 71% rated their health as fair or poor; 17% were frail; 73% reported one (21%) or two or more (52%) body pain areas; 62% were overweight/obese; 23% reported chewing difficulty, 18% reported incontinence; 36% had current stage 1/2 hypertension; 38% had handgrip strength below the cut-off; 10% screened positive in sarcopenia; 17% had mild or severer cognitive impairment; 17% had mild to severe depression; 16% had mild to severe anxiety; 50% had subthreshold to severe insomnia; 28% indicated being lonely; 12% needed help in at least one out of the five daily functions and the EuroQoL-5-Dimensions-5-Level index score was 0.81 (0.20) and its Visual Analogue Scale (VAS) score was 67.6 (14.6). In the past 12 months, 17% were hospitalised, 92% attended general outpatient clinics, 70% attended specialist outpatient clinics and 10% used elderly daycare centre services, the median out-of-pocket health cost was HK$1000 (US$150). Female and male patients showed significant differences in many biopsychosocial health aspects.<br />Future Plans: With assessments and clinical data, the cohort can be used for understanding longitudinal trajectories of biopsychosocial health profiles of Chinese older patients with multimorbidity in primary care. We are also initially planning cohort studies on factors associated with various health outcomes, as well as quality of life and healthcare use.<br />Cohort Registration Number: ChiCTR-OIC-16008477.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Aged
Asian People
Cohort Studies
Data Collection
Female
Functional Status
Health Services Accessibility statistics & numerical data
Hong Kong epidemiology
Humans
Male
Middle Aged
Prospective Studies
Health Services for the Aged supply & distribution
Health Status Disparities
Models, Biopsychosocial
Multiple Chronic Conditions epidemiology
Multiple Chronic Conditions psychology
Multiple Chronic Conditions therapy
Primary Health Care methods
Primary Health Care statistics & numerical data
Quality of Life
Subjects
Details
- Language :
- English
- ISSN :
- 2044-6055
- Volume :
- 10
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- BMJ open
- Publication Type :
- Academic Journal
- Accession number :
- 32086349
- Full Text :
- https://doi.org/10.1136/bmjopen-2018-027279