Predictors of quality of life in older people living at home and in institutions

Borowiak, Ewa; Kostka, Tomasz

doi:10.1007/bf03327386

Cited by 128 publications

(118 citation statements)

References 30 publications

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“…19) for the year prior to the survey; (ii) ICD-9 codes for most prevalent conditions in veterans [11]: chronic obstructive pulmonary disease (COPD), diabetes, depression, hypertension and heart disease for the year prior to the survey; (iii) Demographics including race, employment status, age and gender; (iv) Health care resource utilization data for 1 yr after the survey were obtained: number of inpatient visits and number and type of outpatient visits-primary, surgical, specialty medicine or mental health care.…”

Section: Data Sourcesmentioning

confidence: 99%

“…Regression analyses were not performed individually in patients with ReA due to small numbers. Potential confounders for multivariate analyses for predicting health care utilization were chosen based on reports in other medical conditions [17][18][19]: (i) demographics: age (in years), gender (male/female), race (white vs other), education level (<8 grade, 8-11 grade, high school graduate or college and beyond), employment status (employed, unemployed, retired, unknown), marital status (married, not married); (ii) comorbidity: sum of comorbidities including asthma/COPD, depression, diabetes, hypertension or heart disease (comorbidity scale ranging from 0 to 5); (iii) current smoking status (smoker vs non smoker; and (iv) ADL limitations, categorized as 'no': 0 ADLs, 'moderate': 1-2 ADLs; or 'severe limitations': !3 ADLs; similar to previous studies [14,20]. All analyses were performed using SPSS version 11.0.1 (Chicago, IL, USA).…”

Section: Analysesmentioning

confidence: 99%

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Health care utilization in patients with spondyloarthropathies

Singh¹,

Strand²

2008

Rheumatology

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Objective. To study health care utilization in veterans with SpAs. Methods. In a postal survey of 70 508 veterans in Veterans Integrated Service Network (VISN)-13 from 1 October 1996 to 31 March 1998, demographics, smoking status and performance of activities of daily living (ADLs) were queried. Databases provided ICD-9 codes for AS, PsA and ReA; comorbidities; demographics; and health care utilization post-survey in respondents. Multivariable linear/logistic regression compared out-and inpatient health care utilization in SpA vs non-SpA, and its predictors in SpA. Results. A total of 1001 veteran respondents had diagnoses of SpA: AS, n ¼ 154; PsA, n ¼ 814; ReA, n ¼ 33. Veterans with AS, PsA and ReA, respectively, had significantly higher adjusted annual medical specialty (2.8, 3.6 and 3 vs 1.5; P < 0.0001), surgical care (3.3, 2.7 and 3.2 vs 1.9; P < 0.0001) and primary care visits (3.4, 3.0 and 2.3 vs 2.7, P ¼ 0.024). Multivariable-adjusted analyses showed that more ADL limitations and higher comorbidity were associated with higher in-and outpatient health care utilization in PsA and none of the predictors were significantly associated with utilization in AS. Conclusions. After adjustment for differences in demographics and comorbidities, more outpatient health resource utilization was observed in SpA patients. Further studies should focus on what leads to this increase in utilization, and whether any modifiable factors can be introduced to reduce health care utilization in PsA patients.

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Section: Data Sourcesmentioning

confidence: 99%

Section: Analysesmentioning

confidence: 99%

Health care utilization in patients with spondyloarthropathies

Singh¹,

Strand²

2008

Rheumatology

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“…175,176 In home-dwelling elders, obesity was again one of the primary predictors of decreased quality of life. 177 …”

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confidence: 99%

The impact of obesity on the musculoskeletal system

et al. 2007

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Obesity is associated with a range of disabling musculoskeletal conditions in adults. As the prevalence of obesity increases, the societal burden of these chronic musculosketelal conditions, in terms of disability, health-related quality of life, and health-care costs, also increases. Research exploring the nature and strength of the associations between obesity and musculoskeletal conditions is accumulating, providing a better understanding of underlying mechanisms. Weight reduction is important in ameliorating some of the manifestations of musculoskeletal disease and improving function.

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“…The primary outcome measures are rates of accidental falls as a measure of the overall performance of the falls prevention program and health related quality of life as this is considered to be the key goal for health promotion in older people [18]. The EQ5D was chosen as the primary measure as it is a simple, easy to administer reliable and valid tool measuring five dimensions of health [19,20].…”

Section: Outcome Measuresmentioning

confidence: 99%

Domiciliary vs Centre-Based Rehabilitation of Older Community Dwellers: Randomised Trial with Economic Evaluation

Comans¹,

Brauer²,

Haines³

2009

TOGERIMJ

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Abstract:Background: Community rehabilitation services for older adults aim to address factors that lead to physical decline and falls and return people to their normal activities in the community. While community rehabilitation has been proven effective in reducing falls in the elderly, previous studies have not specified whether delivering services at home or in a centre-based format is the more appropriate method of service delivery.Aim: This study aims to compare a centre-based group program with a home-based program. The purpose of this study is to identify the most clinically effective way of delivering community rehabilitation services to older fallers and determine which service delivery setting is more economically efficient.Methods/Design: This paper describes the study design and methods of a randomised clinical trial. One group of participants will receive a centre-based community rehabilitation service, the other group a domiciliary (home-based) community rehabilitation service of near identical content. Participants in this study are those clients over 60 years of age referred to a community rehabilitation service. Patients referred to this service typically have had recent falls, poor or declining mobility, functional dependency, cognitive decline, and / or physical deconditioning.Clinical effectiveness will be primarily determined by comparison of health-related quality of life and rates of accidental falls. Secondary outcomes include the levels of participation in functional activities, and physical capacity between the two groups. Economic efficiency will be determined through conduct of a cost-benefit analysis.Discussion: Results from this study will guide clinicians and policy makers to identify the more effective and efficient falls prevention community rehabilitation program service delivery model for older adults living in the community.

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Predictors of quality of life in older people living at home and in institutions

Cited by 128 publications

References 30 publications

Health care utilization in patients with spondyloarthropathies

Health care utilization in patients with spondyloarthropathies

The impact of obesity on the musculoskeletal system

Domiciliary vs Centre-Based Rehabilitation of Older Community Dwellers: Randomised Trial with Economic Evaluation

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