[Changes in age distribution and frequency of comorbidities in patients in the occupational insurance association treatment process].
Veränderung der Altersstruktur und Häufigkeit von Komorbiditäten bei Patienten im bg-lichen Heilverfahren.
Adolescent
Adult
Age Distribution
Age Factors
Aged
Aged, 80 and over
Child
Child, Preschool
Comorbidity
Female
Germany
/ epidemiology
Hospitalization
/ statistics & numerical data
Hospitals, University
/ statistics & numerical data
Humans
Male
Middle Aged
Rehabilitation
/ statistics & numerical data
Retrospective Studies
Trauma Centers
/ statistics & numerical data
Wounds and Injuries
/ epidemiology
Young Adult
Elderly patients
Multimorbidity
Obesity
Pre-existing disease
Workmanship compensation
Journal
Der Unfallchirurg
ISSN: 1433-044X
Titre abrégé: Unfallchirurg
Pays: Germany
ID NLM: 8502736
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
pubmed:
12
10
2018
medline:
27
9
2019
entrez:
12
10
2018
Statut:
ppublish
Résumé
Due to the demographic development the proportion of older patients has increased. These show at least a higher rate of comorbidities, which affects the length of inpatient hospital stay. Until now no uniform recording exists for such comorbidities within the occupational insurance association system even if the clinical relevance is beyond dispute. Adaptations within the system with increased interdisciplinary treatment are necessary. The aim of this study was to analyze changes in the age distribution and the frequency of comorbidities in patients in the occupational insurance association system. The study was a retrospective analysis of age distribution and comorbidities of all operatively treated occupational insurance association patients in 2005 (n = 631), 2010 (n = 1180) and 2015/2016 (n = 2315). A comparison of the age groups ≤29 years, 30-49 years, 50-65 years and ≥66 years was performed. The proportion of patients aged 50-65 years showed a significant increase: 2005 (26.5%), 2010 (30.5%) and 2015/2016 (37.3%) (p < 0.001) and an increased proportion of patients with at least 1 comorbidity: 2005 (38.7%), 2010 (52.5%) and 2015/2016 (52.9%) (p = 0.01). This was statistically significant (p < 0.001, p = 0.005) within the age group 30-49 years (2005: 31.1%, 2015/2016: 49.0%) and the age group 50-65 years (2005: 55.7%, 2015/2016: 67.1%). Significant changes were found for arterial hypertension, morbid obesity, thyroid and respiratory diseases. In addition, there was an increase in multimorbid patients. A changing age distribution with a tendency to an increased number of older patients and an increased frequency of comorbidities could be determined. In the present documentation system of the occupational insurance association treatment procedure these comorbidities are insufficiently recorded and considered, even though their clinical relevance is indisputable. Adaptations with respect to intensified interdisciplinary cooperation are necessary.
Sections du résumé
BACKGROUND
BACKGROUND
Due to the demographic development the proportion of older patients has increased. These show at least a higher rate of comorbidities, which affects the length of inpatient hospital stay. Until now no uniform recording exists for such comorbidities within the occupational insurance association system even if the clinical relevance is beyond dispute. Adaptations within the system with increased interdisciplinary treatment are necessary.
OBJECTIVE
OBJECTIVE
The aim of this study was to analyze changes in the age distribution and the frequency of comorbidities in patients in the occupational insurance association system.
METHODS
METHODS
The study was a retrospective analysis of age distribution and comorbidities of all operatively treated occupational insurance association patients in 2005 (n = 631), 2010 (n = 1180) and 2015/2016 (n = 2315). A comparison of the age groups ≤29 years, 30-49 years, 50-65 years and ≥66 years was performed.
RESULTS
RESULTS
The proportion of patients aged 50-65 years showed a significant increase: 2005 (26.5%), 2010 (30.5%) and 2015/2016 (37.3%) (p < 0.001) and an increased proportion of patients with at least 1 comorbidity: 2005 (38.7%), 2010 (52.5%) and 2015/2016 (52.9%) (p = 0.01). This was statistically significant (p < 0.001, p = 0.005) within the age group 30-49 years (2005: 31.1%, 2015/2016: 49.0%) and the age group 50-65 years (2005: 55.7%, 2015/2016: 67.1%). Significant changes were found for arterial hypertension, morbid obesity, thyroid and respiratory diseases. In addition, there was an increase in multimorbid patients.
DISCUSSION
CONCLUSIONS
A changing age distribution with a tendency to an increased number of older patients and an increased frequency of comorbidities could be determined. In the present documentation system of the occupational insurance association treatment procedure these comorbidities are insufficiently recorded and considered, even though their clinical relevance is indisputable. Adaptations with respect to intensified interdisciplinary cooperation are necessary.
Identifiants
pubmed: 30306216
doi: 10.1007/s00113-018-0569-5
pii: 10.1007/s00113-018-0569-5
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
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