[Patients with multimorbidity in the hospital setting].
OBJECTIVE
Hospitals attend patients with multiple chronic diseases. The aim of the present study was to estimate the prevalence of these patients, as well as their main sociodemographic and management characteristics.


METHODS
We performed a descriptive study based on information from the minimum data set and a functional definition of patients with multimorbidity. Age, sex, admitting specialty, cause of admission, discharge and days of hospital stay were estimated for patients discharged from a university hospital in 2003.


RESULTS
Patients with multimorbidity represented 16.9% (95% CI: 15.8-18.1%) of admissions. These patients were mainly elderly men who tended to be admitted urgently to medical specialties. Discharge to home was less frequent and days of hospital stay tended to be longer.


CONCLUSIONS
Patients with multiple comorbidities have well-defined characteristics that allow them to be retrospectively identified through analysis of the minimum data set. Although nearly all services discharged these patients, most of them were discharged from medical specialties.
Fernández Miera
Manuel Francisco
MF
Unidad de Hospitalización Domiciliaria, Hospital Universitario Marqués de Valdecilla, Santander, Spain. mffmiera@terra.es
D000367:Age Factors; D000368:Aged; D002908:Chronic Disease / Q000453:epidemiology*; D015897:Comorbidity; D016001:Confidence Intervals; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D006748:Hospital Departments / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017678:Sex Distribution; D013030:Spain / Q000453:epidemiology