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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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Autores principales: Lin, Cheng-Fu, Huang, Yu-Hui, Ju, Li-Ying, Weng, Shuo-Chun, Lee, Yu-Shan, Chou, Yin-Yi, Lin, Chu-Sheng, Lin, Shih-Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432512/
https://www.ncbi.nlm.nih.gov/pubmed/32722143
http://dx.doi.org/10.3390/ijerph17155333
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author Lin, Cheng-Fu
Huang, Yu-Hui
Ju, Li-Ying
Weng, Shuo-Chun
Lee, Yu-Shan
Chou, Yin-Yi
Lin, Chu-Sheng
Lin, Shih-Yi
author_facet Lin, Cheng-Fu
Huang, Yu-Hui
Ju, Li-Ying
Weng, Shuo-Chun
Lee, Yu-Shan
Chou, Yin-Yi
Lin, Chu-Sheng
Lin, Shih-Yi
author_sort Lin, Cheng-Fu
collection PubMed
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.
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spelling pubmed-74325122020-08-24 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, Yu-Hui Ju, Li-Ying Weng, Shuo-Chun Lee, Yu-Shan Chou, Yin-Yi Lin, Chu-Sheng Lin, Shih-Yi Int J Environ Res Public Health Article 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. MDPI 2020-07-24 2020-08 /pmc/articles/PMC7432512/ /pubmed/32722143 http://dx.doi.org/10.3390/ijerph17155333 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lin, Cheng-Fu
Huang, Yu-Hui
Ju, Li-Ying
Weng, Shuo-Chun
Lee, Yu-Shan
Chou, Yin-Yi
Lin, Chu-Sheng
Lin, Shih-Yi
Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
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_full Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
title_fullStr Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
title_full_unstemmed Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
title_short Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness
title_sort health-related quality of life measured by eq-5d in relation to hospital stay and readmission in elderly patients hospitalized for acute illness
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432512/
https://www.ncbi.nlm.nih.gov/pubmed/32722143
http://dx.doi.org/10.3390/ijerph17155333
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