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[Health issues of patients aged 65 years or over managed in general practice: which associations are remarkable?]

Authors :
Elodie Vandroz
Fabien Subtil
Laurent Letrilliart
Marc Bonnefoy
Collège Universitaire de Médecine Générale [Lyon] (CUMG)
Université de Lyon
Service de Biostatistique-Bioinformatique [Lyon]
Pôle de Santé Publique [Lyon]
Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL)
Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE)
Université Claude Bernard Lyon 1 (UCBL)
Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)
Lyon Sud Hosp Ctr
Hospices Civils de Lyon (HCL)
Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN)
Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)
Research on Healthcare Performance (RESHAPE - Inserm U1290 - UCBL1)
Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)
Source :
Gériatrie et psychologie & neuropsychiatrie du vieillissement, Gériatrie et psychologie & neuropsychiatrie du vieillissement, 2021, 19 (4), pp.366-374. ⟨10.1684/pnv.2021.0970⟩
Publication Year :
2021
Publisher :
HAL CCSD, 2021.

Abstract

International audience; Introduction: We aimed at identifying the associations of health issues managed in general practice encounters with patients aged 65 years or over, according to their sex. Methods: Ancillary study of the ECOGEN study on the consultation practice of French general practitioners. We have studied the 15 most frequent health issues managed in patients aged 65 years or over and identified the pairs most frequently and strongly associated. Results: The sample included 5,782 encounters corresponding to 17,182 health issues managed. Each encounter involved an average of 3.0 [2.9-3.0] health issues. The strongest associations mainly included cardio-metabolic conditions. The most frequent and strong pair (OR: 3.8 [3.3-4.4]) associated non-complicated arterial hypertension with lipid disorder. Some associations were specific to patient sex. Conclusion: The remarkable associations identified may enable to improve the management of elderly patients with multimorbidity by favouring synergic treatments.

Details

Language :
French
ISSN :
21158789 and 21157863
Database :
OpenAIRE
Journal :
Gériatrie et psychologie & neuropsychiatrie du vieillissement, Gériatrie et psychologie & neuropsychiatrie du vieillissement, 2021, 19 (4), pp.366-374. ⟨10.1684/pnv.2021.0970⟩
Accession number :
edsair.doi.dedup.....0c3ae5431360fe478e84ed854fb32566
Full Text :
https://doi.org/10.1684/pnv.2021.0970⟩