Role of musculoskeletal disorders as concurrent chronic conditions: are they underestimated in the discharge?

Gerontology. 2009;55(6):666-73. doi: 10.1159/000240014. Epub 2009 Sep 17.

Abstract

Background: Differences in recording concurrent chronic conditions (CCs) could change the weight of the influence of the different CCs on health status.

Objectives: To determine the role of musculoskeletal disorders as concurrent CCs.

Methods: Cross-sectional study. Discharged patients with CCs were selected by random stratification. Sociodemographic and clinical variables, health status (SF-36), type and number of self-reported and hospital discharge summary CCs were recorded. Relationships were analyzed using linear regression models.

Results: In the 227 patients included, mean self-reported CCs were 6.22 (SD 3.37) and mean hospital discharge CCs were 3.1 (SD 1.95). The most-frequent self-reported CCs were hypertension 48.4%, back pain 40.4%, neck pain 39.6%, and musculoskeletal disorders 38.4%. The most frequent discharge CCs were arterial hypertensive disease 38.3%, all cancers 22.0%, ischemic heart diseases, and angina 15.9%. Musculoskeletal disorders had the greatest negative influence on SF-36 dimensions (p < 0.05).

Conclusions: Musculoskeletal disorders were underestimated in the discharge summary in comparison with those reported by patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Back Pain / epidemiology
  • Cardiovascular Diseases / epidemiology
  • Chronic Disease / epidemiology*
  • Cross-Sectional Studies
  • Female
  • Health Status*
  • Humans
  • Hypertension / epidemiology
  • Linear Models
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology*
  • Neck Pain / epidemiology
  • Neoplasms / epidemiology
  • Patient Discharge / statistics & numerical data*
  • Rheumatic Diseases / epidemiology
  • Spain / epidemiology