The Influence of Multimorbidity on Leading Causes of Death in Older Adults With Cognitive Impairment

Details

• Alternative Title:
  J Aging Health
• Personal Author:
  Schiltz, Nicholas K. ; Warner, David F. ; Sun, Jiayang ; Smyth, Kathleen A. ; Gravenstein, Stefan ; Stange, Kurt C. ; Koroukian, Siran M.
• Description:
  Objective:
  
  The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity.
  
  Method:
  
  This is a population-based study using data from the linked 1992-2010 Health and Retirement Study and National Death Index (n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death.
  
  Results:
  
  Multimorbidity is common in the study population. Heart disease is the leading cause in all groups, but with a larger percentage of deaths in the mild and moderate/severe cognitively impaired groups than among the noncognitively impaired. The different “paths” down the regression trees show that the distribution of causes of death changes with different combinations of multimorbidity.
  
  Discussion:
  
  Understanding the considerable heterogeneity in chronic conditions, functional limitations, geriatric syndromes, and causes of death among people with cognitive impairment can target care management and resource allocation.
  
  
• Subjects:
  Article Cause Of Death Cognitive Status Comorbidity Mortality
• Source:
  J Aging Health. 31(6):1025-1042
• Pubmed ID:
  29347865
• Pubmed Central ID:
  PMC6295271
• Document Type:
  Journal Article
• Funding:
  KL2 TR000440/TR/NCATS NIH HHS/United States ; R21 HS023113/HS/AHRQ HHS/United States ; U48 DP005030/DP/NCCDPHP CDC HHS/United States ; UL1 TR000439/TR/NCATS NIH HHS/United States
• Volume:
  31
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ad824e2233970b06873cceca7ad8f48bff390455542d078540a20305e40fd311
• Download URL:
  https://stacks.cdc.gov/view/cdc/61322/cdc_61322_DS1.pdf
• File Type:
  [PDF - 288.69 KB ]