Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
We evaluated the predictability of self-reported Health-related quality of life (HRQoL) assessed by the 3-level 5-dimensional Euro-Quality of Life tool (EQ-5D-3L) and the EQ-Visual Analog Scale (EQ-VAS) on clinical outcomes of elderly patients who were admitted to an acute geriatric ward. A total of...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-07, Vol.17 (15), p.5333 |
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| creator | Lin, Cheng-Fu Huang, Yu-Hui Ju, Li-Ying Weng, Shuo-Chun Lee, Yu-Shan Chou, Yin-Yi Lin, Chu-Sheng Lin, Shih-Yi |
| description | We evaluated the predictability of self-reported Health-related quality of life (HRQoL) assessed by the 3-level 5-dimensional Euro-Quality of Life tool (EQ-5D-3L) and the EQ-Visual Analog Scale (EQ-VAS) on clinical outcomes of elderly patients who were admitted to an acute geriatric ward. A total of 102 participants (56.9% men) with a median age of 81.0 years (interquartile range or IQR: 76.0–85.3 years) were studied. The age-adjusted Charlson comorbidity index was 5.0 (IQR: 4.0–6.0) with a median length of stay (LOS) of 9.0 days (IQR: 7.0–15.0 days). No death occurred during hospitalization, and within 30 days after discharge, 15 patients were readmitted. During hospitalization, the EQ-5D-3L index was 0.440 at admission and that improved to 0.648 at discharge (p < 0.001). EQ-VAS scores also improved similarly from 60 to 70 (p < 0.001). Physical, cognitive function, frailty parameters (hand grip strength and walking speed), and nutritional status at admission all improved significantly during hospitalization and were related to EQ-5D-3L index or EQ-VAS scores at discharge. After controlling for relevant factors, EQ-5D-3L index at admission was found to be associated with LOS. In addition, EQ-VAS was marginally related to readmission. HRQoL assessment during hospitalization could be useful to guide clinical practice and to improve outcome. |
| doi_str_mv | 10.3390/ijerph17155333 |
| format | Article |
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A total of 102 participants (56.9% men) with a median age of 81.0 years (interquartile range or IQR: 76.0–85.3 years) were studied. The age-adjusted Charlson comorbidity index was 5.0 (IQR: 4.0–6.0) with a median length of stay (LOS) of 9.0 days (IQR: 7.0–15.0 days). No death occurred during hospitalization, and within 30 days after discharge, 15 patients were readmitted. During hospitalization, the EQ-5D-3L index was 0.440 at admission and that improved to 0.648 at discharge (p < 0.001). EQ-VAS scores also improved similarly from 60 to 70 (p < 0.001). Physical, cognitive function, frailty parameters (hand grip strength and walking speed), and nutritional status at admission all improved significantly during hospitalization and were related to EQ-5D-3L index or EQ-VAS scores at discharge. After controlling for relevant factors, EQ-5D-3L index at admission was found to be associated with LOS. In addition, EQ-VAS was marginally related to readmission. HRQoL assessment during hospitalization could be useful to guide clinical practice and to improve outcome.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17155333</identifier><identifier>PMID: 32722143</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Activities of daily living ; Age ; Cognitive ability ; Comorbidity ; Education ; Geriatrics ; Grip strength ; Hospitalization ; Hospitals ; Illnesses ; Mortality ; Nurses ; Nutrition ; Nutritional status ; Older people ; Patients ; Population ; Quality assessment ; Quality of life ; Regression analysis ; Sarcopenia</subject><ispartof>International journal of environmental research and public health, 2020-07, Vol.17 (15), p.5333</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). 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A total of 102 participants (56.9% men) with a median age of 81.0 years (interquartile range or IQR: 76.0–85.3 years) were studied. The age-adjusted Charlson comorbidity index was 5.0 (IQR: 4.0–6.0) with a median length of stay (LOS) of 9.0 days (IQR: 7.0–15.0 days). No death occurred during hospitalization, and within 30 days after discharge, 15 patients were readmitted. During hospitalization, the EQ-5D-3L index was 0.440 at admission and that improved to 0.648 at discharge (p < 0.001). EQ-VAS scores also improved similarly from 60 to 70 (p < 0.001). Physical, cognitive function, frailty parameters (hand grip strength and walking speed), and nutritional status at admission all improved significantly during hospitalization and were related to EQ-5D-3L index or EQ-VAS scores at discharge. After controlling for relevant factors, EQ-5D-3L index at admission was found to be associated with LOS. In addition, EQ-VAS was marginally related to readmission. HRQoL assessment during hospitalization could be useful to guide clinical practice and to improve outcome.</description><subject>Activities of daily living</subject><subject>Age</subject><subject>Cognitive ability</subject><subject>Comorbidity</subject><subject>Education</subject><subject>Geriatrics</subject><subject>Grip strength</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Illnesses</subject><subject>Mortality</subject><subject>Nurses</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Older people</subject><subject>Patients</subject><subject>Population</subject><subject>Quality assessment</subject><subject>Quality of life</subject><subject>Regression analysis</subject><subject>Sarcopenia</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUtvFDEQhC0EIiFw5WyJC5cJfs_MBSkKCxtpEYTH2fLYPaxX3vFie5CGX8FPxptEEeHUJdXXpS41Qi8pOee8J2_8DtJhS1sqJef8ETqlSpFGKEIf_6NP0LOcd4TwTqj-KTrhrGWMCn6K_qzBhLJtvkAwBRy-nk3wZcFxxBs_Av4IJs-pGsOCV9eNfIf9hG9gHydcIl7HfPDFBPy1mAWbyVXXuL3P-QhUeBUcpLDgz3UFppLvN_zvGjvGhC_sXABfhTBBzs_Rk9GEDC_u5hn6_n717XLdbD59uLq82DSW97I0XevoAJb10A-ySlmnoq0Qig5OOXBuGFtG7MCksv1oXSvGztiBMtNT2wE_Q29vcw_zsAdn62nJBH1Ifm_SoqPx-qEz-a3-EX_pVnAmKasBr-8CUvw5Qy66lrYQgpkgzlkzwTopBeVH9NV_6C7Oaar1bihKGWlVpc5vKZtizgnG-2Mo0cdn64fP5n8BZvGfMA</recordid><startdate>20200724</startdate><enddate>20200724</enddate><creator>Lin, Cheng-Fu</creator><creator>Huang, Yu-Hui</creator><creator>Ju, Li-Ying</creator><creator>Weng, Shuo-Chun</creator><creator>Lee, Yu-Shan</creator><creator>Chou, Yin-Yi</creator><creator>Lin, Chu-Sheng</creator><creator>Lin, Shih-Yi</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1901-2656</orcidid><orcidid>https://orcid.org/0000-0001-5269-1155</orcidid><orcidid>https://orcid.org/0000-0003-3341-7315</orcidid></search><sort><creationdate>20200724</creationdate><title>Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness</title><author>Lin, Cheng-Fu ; 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A total of 102 participants (56.9% men) with a median age of 81.0 years (interquartile range or IQR: 76.0–85.3 years) were studied. The age-adjusted Charlson comorbidity index was 5.0 (IQR: 4.0–6.0) with a median length of stay (LOS) of 9.0 days (IQR: 7.0–15.0 days). No death occurred during hospitalization, and within 30 days after discharge, 15 patients were readmitted. During hospitalization, the EQ-5D-3L index was 0.440 at admission and that improved to 0.648 at discharge (p < 0.001). EQ-VAS scores also improved similarly from 60 to 70 (p < 0.001). Physical, cognitive function, frailty parameters (hand grip strength and walking speed), and nutritional status at admission all improved significantly during hospitalization and were related to EQ-5D-3L index or EQ-VAS scores at discharge. After controlling for relevant factors, EQ-5D-3L index at admission was found to be associated with LOS. In addition, EQ-VAS was marginally related to readmission. HRQoL assessment during hospitalization could be useful to guide clinical practice and to improve outcome.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>32722143</pmid><doi>10.3390/ijerph17155333</doi><orcidid>https://orcid.org/0000-0002-1901-2656</orcidid><orcidid>https://orcid.org/0000-0001-5269-1155</orcidid><orcidid>https://orcid.org/0000-0003-3341-7315</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Age Cognitive ability Comorbidity Education Geriatrics Grip strength Hospitalization Hospitals Illnesses Mortality Nurses Nutrition Nutritional status Older people Patients Population Quality assessment Quality of life Regression analysis Sarcopenia |
| title | Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness |
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