Cardiometabolic multimorbidity prevalence and mortality risks in Chinese old-old population: real-world evidence from continuing care retirement community
Authors' conclusion
Among Chinese old-old population, hypertension was the most prevalent cardiometabolic condition, with hypertension-diabetes being the most prevalent CMM pattern. Uncomplicated hypertension or diabetes without organ damage was associated with limited increase in mortality risk when well-managed, whereas HF as the greatest risk factor warrant more proactive follow-up interventions.
Study context
- Population
- Very elderly Chinese in Taikang Community (continuing care retirement community); median age 83.3 years
- Participants
- 20,360 participants
- Outcome
- Prevalence of cardiometabolic diseases (hypertension, DM, CHD, stroke, HF) and CMM patterns
Methodological detailsreal-world, continuing care retirement community
- Real-world
- Continuing care retirement community
Main finding
As reported in the abstract
Hypertension prevalence (most prevalent cardiometabolic condition)
78.8%
Overall cardiometabolic multimorbidity (CMM) prevalence
51.8%
Hypertension-DM (most prevalent CMM pattern)
16.5%
Observational data: associations, not effects.
Further findings
Disease management achievement rates (subgroup with follow-up)
- Hypertension
- 54.6%
- DM
- 70.0%
- CHD
- 18.1%
Mortality risk (weighted logistic regression)
- Independent mortality risk in descending order: Heart failure (HF), CHD, stroke, DM, hypertension
- DM as comorbidity of hypertension had minimal influence on mortality risk
Original publication
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