Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness

Lin, Cheng-Fu; Huang, Yuhui; Ju, Li-Ying; Weng, Shuo-Chun; Lee, Yu-Shan; Chou, Yin-Yi; Lin, Shih‐Yi

doi:10.3390/ijerph17155333

Cited by 13 publications

(10 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies reported development of novel or adapted instruments for people receiving palliative care in Canada [ 24 ] and for older people being discharged from hospitals in the USA, Ireland, and Switzerland [ 25 ]. Other studies from the UK [ 26 ], Netherlands [ 27 ], and France [ 28 ] evaluated instruments for conceptual overlap and convergent validity, while interrater comparison or outcome prediction studies were performed in Australia [ 29 ], UK [ 30 ], Sweden [ 31 ] and Taiwan [ 32 ]. Although developed as a condition-specific measure, the QoL-AD was included at this stage as one study examined its collection from participants who did not necessarily have cognitive impairment [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review and recommendations for prom instruments for older people with frailty in emergency care

Oppen

Alshibani

Coats

et al. 2022

J Patient Rep Outcomes

View full text Add to dashboard Cite

Introduction The current service metrics used to evaluate quality in emergency care do not account for specific healthcare outcome goals for older people living with frailty. These have previously been classified under themes of ‘Autonomy’ and ‘Functioning’. There is no person-reported outcome measure (PROM) for older people with frailty and emergency care needs. This study aimed to identify and co-produce recommendations for instruments potentially suitable for use in this population. Methods In this systematic review, we searched six databases for PROMs used between 2010 and 2021 by older people living with frailty receiving acute hospital care. Studies were reviewed against predefined eligibility criteria and appraised for quality using the COSMIN Risk of Bias checklist. Data were extracted to map instrument constructs against an existing framework of acute healthcare outcome goals. Instrument face and content validity were assessed by lay collaborators. Recommendations for instruments with potential emergency care suitability were formed through co-production. Results Of 9392 unique citations screened, we appraised the full texts of 158 studies. Nine studies were identified, evaluating nine PROMs. Quality of included studies ranged from ‘doubtful’ to ‘very good’. Most instruments had strong evidence for measurement properties. PROMs mainly assessed ‘Functioning’ constructs, with limited coverage of ‘Autonomy’. Five instruments were considered too burdensome for the emergency care setting or too specific for older people living with frailty. Conclusions Four PROMs were recommended as potentially suitable for further validation with older people with frailty and emergency care needs: COOP/WONCA charts, EuroQol, McGill Quality of Life (Expanded), and Palliative care Outcome Scale.

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review and recommendations for prom instruments for older people with frailty in emergency care

Oppen

Alshibani

Coats

et al. 2022

J Patient Rep Outcomes

View full text Add to dashboard Cite

show abstract

“…Patients’ general demographic data were obtained from patients’ medical records, and included age, sex, body mass index (BMI), lifestyle habits, education level, marital status, and socioeconomic status. We further assessed patients’ medical histories and comorbidities and recorded any diagnosed diseases, medications, and age-adjusted Charlson comorbidity index (ACCI) scores [ 9 ]. At both admission and discharge, all participants were evaluated by a comprehensive geriatric assessment (CGA), as previously described.…”

Section: Methodsmentioning

confidence: 99%

“…At both admission and discharge, all participants were evaluated by a comprehensive geriatric assessment (CGA), as previously described. [ 9 ] Cognitive status was measured using MMSE, with scored ranging from 0 to 30, that was conducted by well-trained nurses. The normal and abnormal cognitive function cut-off points, as defined according to Taiwanese–Mini-Mental State Examination (T–MMSE), was adjusted based on age and educational level.…”

Section: Methodsmentioning

confidence: 99%

Characteristics and Outcome Determinants of Hospitalized Older Patients with Cognitive Dysfunction

Chao

Kuo

Lee

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Cognitive dysfunction commonly occurs among older patients during admission and is associated with adverse prognosis. This study evaluated clinical characteristics and outcome determinants in hospitalized older patients with cognitive disorders. The main outcomes were length of stay, readmission within 30 days, Barthel index (BI) score at discharge, BI score change (discharge BI score minus BI score), and proportion of positive BI score change to indicate change of activities of daily living (ADL) change during hospitalization. A total of 642 inpatients with a mean age of 79.47 years (76–103 years) were categorized into three groups according to the medical history of dementia, and Mini-Mental State Examination (MMSE) scores at admission. Among them, 74 had dementia diagnosis (DD), 310 had cognitive impairment (CI), and 258 had normal MMSE scores. Patients with DD and CI generally had a higher risk of many geriatric syndromes, such as multimorbidities, polypharmacy, delirium, incontinence, visual and auditory impairment, fall history, physical frailty. They had less BI score, BI score change, and proportion of positive BI score change ADL at discharge. (DD 70.0%, CI 79.0%), suggesting less ADL change during hospitalization compared with those with normal MMSE scores (92.9%; p < 0.001). Using multiple regression analysis, we found that among patients with DD and CI, age (p = 0.008) and walking speed (p = 0.023) were predictors of discharge BI score. In addition, age (p = 0.047) and education level were associated with dichotomized BI score change (positive vs. non-positive) during hospitalization. Furthermore, the number and severity of comorbidities predicted LOS (p < 0.001) and readmission (p = 0.001) in patients with cognitive disorders. It is suggested that appropriate strategies are required to improve clinical outcomes in these patients.

show abstract

“…At admission, general demographic data of the participants, including lifestyle habits, age, gender, body mass index, social, and family histories and medical histories, including diagnosed diseases and medications, were recorded. Moreover, at baseline, and every 3 months thereafter, a Chinese version of CGA was conducted by the registered nurse for each participant to evaluate underlying geriatric problems and changes after DCS [ 13 ]. If the participants had medical, functional, and/or social difficulties, they were referred to geriatricians, dietitians, rehabilitation therapists, psychiatrists, or social workers, as appropriate.…”

Section: Methodsmentioning

confidence: 99%

Impact of day care services on physical and cognitive functions in old people with dementia in a medical center in central Taiwan

Lin

Huang

et al. 2021

Health Qual Life Outcomes

Self Cite

View full text Add to dashboard Cite

Background Day care service (DCS) provides various activities in a professional environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions. Methods This was a retrospective study that we used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center in Taiwan. The burden of the participants’ families was also assessed. Results The 18 participants with a median age of 80.9 (interquartile range (IQR) 75.2–86.6 y/o) were enrolled and followed up for 6 months. Based on the clinical dementia rating (CDR), disease stage was very mild in 3 participants, mild in 10, moderate in 3, and severe in 2. The activities of daily living (ADL) scores of the participants improved significantly from 75 (IQR 60.0–80.0) at baseline to 77.5 (IQR 65.0–90.0) at the 6 month (p < 0.001), and mini-mental state examination (MMSE) scores from 15 (IQR 11.5–20.0) to 18 (IQR 15.8–24.0) (p = 0.026). There was a positive correlation of baseline mini-nutritional assessment-short form score and the 3-level version of the European Quality of Life-5 dimensions utility index with both ADL and MMSE scores at the 6-month follow-up. In addition, the family burden scale was reduced from 22 to 15 (p = 0.002). Conclusions The physical and cognitive functions in old people with dementia who received DCS were maintained or partially improved, and their families’ stress burden was alleviated.

show abstract

Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness

Cited by 13 publications

References 27 publications

A systematic review and recommendations for prom instruments for older people with frailty in emergency care

A systematic review and recommendations for prom instruments for older people with frailty in emergency care

Characteristics and Outcome Determinants of Hospitalized Older Patients with Cognitive Dysfunction

Impact of day care services on physical and cognitive functions in old people with dementia in a medical center in central Taiwan

Contact Info

Product

Resources

About