Whether more precise quantification for those with multiple morbidities has a clinically meaningful impact on FI-AC scores is the focus of ongoing enquiries.
Such models inadequately equip a medical workforce to collaborate with patients to address multimorbidity when the sum of multiple morbidities can have effects greater than the constituent parts [ 3].
The majority of residents are female, in their mid-eighties, with multiple morbidities, and have a median life expectancy of 2 3 years in residential care and 1 2 years in nursing homes [ 3- 5].
Indeed, weighted multiple morbidity indexes have been shown to predict health care utilization [ 22].
TEMs are known to have proangiogenic functions both in vitro and in vivo (Coffelt et al, 2010; De Palma et al, 2005) but the activity of TEMs isolated from aged CLI patients with multiple co-morbidities has not previously been investigated.
Admission criteria for the GDH include patients with recent functional decline, multiple co-morbidities, having adequate physical endurance and cognitive capacity to tolerate a full-day rehabilitation program, motivation to participate, and the need for a multi-disciplinary team approach to care.
Multiple chronic illnesses are a particular problem, and a recent study [9] found that people with multiple physical co-morbidities had much poorer HRQOL and higher levels of psychological distress.
Older patients are more likely to have multiple morbidities for which they are prescribed numerous medications, increasing their risk of experiencing adverse drug events (ADEs) [ 5].
Many nursing home residents have multiple morbidities and are high consumers of healthcare, 42 which explains the prognostic ability of this variable.
Residents of LTC homes are a particularly vulnerable population as they often have multiple morbidities and cognitive impairment.[ 43] Although this study controlled for risk factors such as age, comorbidity and multiple drugs, cognitive impairment could be an unmeasured contributor.
