ArticleHealth and quality of life outcomes2009
Health-related Quality of Life among hospitalized older people awaiting residential aged care.
Article in Health and quality of life outcomes, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of instruments for measuring outcomes in economic evaluation within aged care.Health and quality of life outcomes · 2015Pooled it
- Effects of interventions on trajectories of health-related quality of life among older patients with hip fracture: a prospective randomized controlled trial.BMC musculoskeletal disorders · 2016Trial
- Older persons living with dementia and their use of acute care services over 2 years in Alberta.Canadian family physician Medecin de famille canadien · 2023Article
- Strength and Endurance Training in Older Women in Relation toInternational journal of environmental research and public health · 2020Article
- The social network among the elderly and its relationship with quality of life.Electronic physician · 2017Article
- Article
- Relationship between health-related quality of life, and acute care re-admissions and survival in older adults with chronic illness.Health and quality of life outcomes · 2013Article
- Quality of life of older frail persons receiving a post-discharge program.Health and quality of life outcomes · 2013Article
- Physiotherapists have accurate expectations of their patients' future health-related quality of life after first assessment in a subacute rehabilitation setting.BioMed research international · 2013Article
- Glycosylated hemoglobin and functional decline in community-dwelling nursing home-eligible elderly adults with diabetes mellitus.Journal of the American Geriatrics Society · 2012Article
- Canadian rural-urban differences in end-of-life care setting transitions.Global journal of health science · 2012Article
- Comparative Study on the Difference in Functional Outcomes at Discharge between Proximal and Total Gastrectomy.Case reports in gastroenterology · 2012Article
- Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy.Health and quality of life outcomes · 2011Article
- Age-Based Differences in Care Setting Transitions over the Last Year of Life.Current gerontology and geriatrics research · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth related quality of life (HRQoL) in very late life is not well understood. The aim of the present study was to assess HRQoL and health outcomes at four months follow-up in a group of older people awaiting transfer to residential aged care.
methodsSecondary analysis of data from a randomized controlled trial conducted in three public hospitals in Adelaide. A total of 320 patients in hospital beds awaiting a residential aged care bed participated. Outcome measurements included HRQoL (Assessment of Quality of Life; AQoL), functional level (Modified Barthel Index), hospital readmission rates, survival, and place of residence at four months follow-up.
resultsIn this frail group the median AQoL was poor at baseline (median 0.02; 95%CI -0.01 - 0.04) and at follow-up (0.05; 95%CI 0.03 - 0.06). On leaving hospital, more than one third of participants who were moving for the first time into nursing home care rated themselves in a state worse than death (AQoL < or = 0.0). Poor HRQoL at discharge from hospital (AQoL < or = 0.0) was a significant predictor of mortality (HR 1.7; 95%CI 1.2 - 2.7), but not hospital readmission nor place of residence at four months follow-up. Improved function was a predictor of improved HRQoL among the surviving cohort.
conclusionPeople making the transition to residential aged care from hospital have very poor HRQoL, but small gains in function seem to be related to improvement. While functional gains are unlikely to change discharge destination in this frail group, they can contribute to improvements in HRQoL. These gains may be of great significance for individuals nearing the end of life and should be taken into account in resource allocation.
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