ArticleBMC health services research2016
The impact of multiple chronic diseases on hospitalizations for ambulatory care sensitive conditions.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between multimorbidity and hospitalization in older adults: systematic review and meta-analysis.Age and ageing · 2022Pooled it
- Person-Centered Care Planning: Palliative Symptom Management in Multiple Chronic Conditions.Learning health systems · 2026Article
- Assessment of potentially avoidable hospitalizations in Ningxia, China: application of a China-specific ACSCs list.Frontiers in public health · 2026Article
- Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021-2023).Addictive behaviors reports · 2025Article
- Rehospitalizations for ambulatory care sensitive conditions in sepsis survivors- a nationwide cohort study using health claims data 2016-2019.Infection · 2025Article
- A study protocol for a predictive model to assess population-based avoidable hospitalization risk: Avoidable Hospitalization Population Risk Prediction Tool (AvHPoRT).Diagnostic and prognostic research · 2024Article
- Changing inequity in health service utilization and financial burden among patients with hypertension in China: evidence from China Health and Retirement Longitudinal Study (CHARLS), 2011-2018.International journal for equity in health · 2023Article
- Article
- Racial/Ethnic Differences in Risk Factors Associated With Severe COVID-19 Among Older Adults With ADRD.Journal of the American Medical Directors Association · 2023Observational
- Potentially Avoidable Hospitalizations by Asthma and COPD in Switzerland from 1998 to 2018: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Impoverishing effects of out-of-pocket healthcare expenditures in India.Journal of family medicine and primary care · 2022Article
- Development of indicators to assess quality and patient pathways in interdisciplinary care for patients with 14 ambulatory-care-sensitive conditions in Germany.BMC health services research · 2022Review
- Trends in avoidable hospitalizations in a developed City in eastern China: 2015 to 2018.BMC health services research · 2022Article
- The importance of chronic conditions for potentially avoidable hospitalizations among non-Hispanic Black and non-Hispanic White older adults in the US: a cross-sectional observational study.BMC health services research · 2022Observational
- Patients' Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire.International journal of environmental research and public health · 2022Article
- Patient safety culture improvements depend on basic healthcare education: a longitudinal simulation-based intervention study at two Danish hospitals.BMJ open quality · 2022Article
- Hospitalization for ambulatory care sensitive conditions: What conditions make inter-country comparisons possible?Health policy OPEN · 2021Article
- Economic and financial crisis based on Troika's intervention and potentially avoidable hospitalizations: an ecological study in Portugal.BMC health services research · 2021Article
- How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease.NPJ primary care respiratory medicine · 2021Article
- Risk of Hospital Readmission among Older Patients Discharged from the Rehabilitation Unit in a Rural Community Hospital: A Retrospective Cohort Study.Journal of clinical medicine · 2021Article
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4 authors.
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Abstract
backgroundThe high financial burden of avoidable hospitalizations has led to an increase of the study of hospitalizations for ambulatory care sensitive conditions (ACSC). There is limited information on the impact of secondary diagnoses on these hospitalizations, although patients' social and demographic characteristics, as well as the coexistence of multiple diseases are often identified in the literature as risk factors for avoidable hospitalizations. This study explores the impact of chronic conditions on the likelihood of hospitalizations for ACSC.
methodsData were extracted from the Portuguese hospital discharge database. Avoidable hospitalizations were identified according to the Canadian Institute for Healthcare Information, and chronic conditions were identified according to criteria set by the Agency for Healthcare Research and Quality. A retrospective study analysing all patients hospitalized for an ACSC and all patients hospitalized for non-ACSC was made, using multiple logistic regression models to identify the impact of chronic conditions on the risk of admission.
resultsThe risk of an avoidable hospitalization increases by a factor of 1.35 (95 % CI [1.34;1.35]) for each additional chronic condition, and 1.55 (95 % CI [1.55;1.56]) for each additional body system affected. The respiratory and circulatory systems have the most impact on the risk of ACSC, increasing the risk by 8.72 (95 % CI [8.58;8.86]) and 3.01 (95 % CI [2.95;3.06]), respectively.
conclusionsThe number of chronic conditions and the body systems affected increase the risk of hospital admissions for ACSC.
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