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Symptom trajectory and symptom burden in older people with multimorbidity, secondary outcome from the RCT AGe-FIT study
Linkoping Univ, Fac Med & Hlth Sci, Dept Social & Welf Studies, S-58183 Linkoping, Sweden..
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
Helsingborg Hosp, Dept Res & Educ, Geriatr Med, Helsingborg, Sweden.;Karolinska Inst, Dept Neurobiol Caring Sci & Soc, Div Clin Geriatr, Stockholm, Sweden..ORCID iD: 0000-0001-8677-176X
Linkoping Univ, Fac Med & Hlth Sci, Dept Social & Welf Studies, Caring Sci, S-58183 Linkoping, Sweden..ORCID iD: 0000-0002-4197-4026
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, 2773-2783 p.Article in journal (Refereed) Published
Abstract [en]

Aim. The aim of this study was to follow the symptom trajectory of community-dwelling older people with multimorbidity and to explore the effect on symptom burden from an ambulatory geriatric care unit, based on comprehensive geriatric assessment. Background. Older community-dwelling people with multimorbidity suffer from a high symptom burden with a wide range of co-occurring symptoms often resulting to decreased health-related quality of life. There is a need to move from a single-disease model and address the complexity of older people living with multimorbidity. Design. Secondary outcome data from the randomized controlled Ambulatory Geriatric Assessment Frailty Intervention Trial (AGe-FIT). Methods. Symptom trajectory of 31 symptoms was assessed with the Memorial Symptom Assessment Scale. Data from 247 participants were assessments at baseline, 12 and 24 months, 2011-2013. Participants in the intervention group received care from an ambulatory geriatric care unit based on comprehensive geriatric assessment in addition to usual care. Results. Symptom prevalence and symptom burden were high and stayed high over time. Pain was the symptom with the highest prevalence and burden. Over the 2-year period 68-81% of the participants reported pain. Other highly prevalent and persistent symptoms were dry mouth, lack of energy and numbness/tingling in the hands/feet, affecting 38-59% of participants. No differences were found between the intervention and control group regarding prevalence, burden or trajectory of symptoms. Conclusions. Older community-dwelling people with multimorbidity had a persistent high burden of symptoms. Receiving advanced interdisciplinary care at an ambulatory geriatric unit did not significantly reduce the prevalence or the burden of symptoms.

Place, publisher, year, edition, pages
Hoboken, NJ, USA: Wiley-Blackwell, 2016. Vol. 72, no 11, 2773-2783 p.
Keyword [en]
community care, nurses, nursing, older people, quality of care, symptom management
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-65077DOI: 10.1111/jan.13032ISI: 000386079500019PubMedID: 27222059OAI: oai:DiVA.org:kau-65077DiVA: diva2:1154381
Available from: 2017-11-02 Created: 2017-11-02 Last updated: 2017-11-03Bibliographically approved

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