Multimorbidity Clinical Trial
Official title:
The Frequency of Family Physician Visits and the Extent of Family Difficulties Reported by Family Physicians Appear to be Decompensation Risk Factors for Multimorbid Outpatients in a Primary Care Feasibility Study
The European General Practitioners Research Network (EGPRN) designed and validated a
comprehensive definition of multimorbidity using a systematic literature review and
qualitative research throughout Europe. This definition was tested as a model to assess
decompensation in multimorbid outpatients.
The objective is to assess which criteria in the EGPRN concept of multimorbidity could
detect decompensating outpatients in a primary care cohort at a 6-month follow-up and to
assess whether a large scale cohort with FPs would be feasible.
Method: Family Physicians included a random sample of multimorbid patients who attended appointments in their offices from July to December 2014. Inclusion criteria were those of the EGPRN definition of Multimorbidity. Exclusion criteria were patients under legal protection and those unable to complete the 2-year follow-up. Decompensation was defined as the occurrence of death or hospitalization for more than seven days. Statistical analysis was undertaken with uni- and multivariate analysis at a 6-month follow-up using a combination of approaches including both automatic classification and expert decision making. A Multiple Correspondence Analysis (MCA) confirmed results consistency and completed the process with a projection of illustrative variables. A logistic regression was finally performed in order to identify and quantify risk factors for decompensation. ;
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