Evidence map›Paper›PMID 32564292›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

The association between sociodemographic factors, frailty, and health-related quality of life in older inpatients: a cross-sectional study.

Qiuping Li, Binru Han, Xi Chen

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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5citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Qiuping LiDepartment of Nursing, Xuanwu Hospital, Capital Medical University, Chang Chun St. 45, Xicheng, Beijing, 100053, China.
Binru HanDepartment of Nursing, Xuanwu Hospital, Capital Medical University, Chang Chun St. 45, Xicheng, Beijing, 100053, China. kinv246@126.com.ORCID http://orcid.org/0000-0001-8445-0161
Xi ChenDepartment of Nursing, Xuanwu Hospital, Capital Medical University, Chang Chun St. 45, Xicheng, Beijing, 100053, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis cross-sectional study aims to explore the association between frailty and domains of quality of life (QOL) among hospitalized patients in older age under consideration of the sociodemographic characteristics.

methodsOlder inpatients in a comprehensive tertiary hospital in China were involved. Data including sociodemographic, clinical diagnosis, frailty status, and QOL were collected through questionnaires and physical assessments. Frailty was measured using the frailty phenotype defined by Fried. QOL was determined by completion of version 2 of the 12-item Short Form Survey (SF-12v2). Multivariable linear regression and structural equation modeling were applied to estimate associations between frailty and QOL.

results260 older inpatients were enrolled and classified as frail (31.92%), pre-frail (39.62%), and robust (28.46%). Patients with frailty were older and were more likely to have severe comorbidity, higher nutritional risk score and lower body mass index, activities of daily living score (P < 0.05). As the extent of frailty increased, the patients in old age experienced poor QOL in most of dimensions. Five multiple linear regression models indicated that the estimated differences in the physical component summary of QOL were lower for the frail and pre-frail groups versus the robust group. After adjusting all covariates, the coefficients were - 7.72 (- 11.04, - 4.41) and - 16.48 (- 20.37, - 12.58) for pre-frail and frail, respectively. Structural equation modeling results showed that sociodemographic characteristics directly affected QOL, while others played an indirect role in reducing their QOL by causing frailty.

conclusionsFrailty is prevalent in hospitalized patients having older age. Patients with frailty would experience poor QOL, especially in the dimension of physical health. To promote healthy aging, further studies into how frailty influences the QOL is warranted.

Indexed as

Activities of Daily LivingAgedAged, 80 and overChinaComorbidityCross-Sectional StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansInpatientsLinear ModelsMalePhysical ExaminationQuality of LifeFrailtyOlder inpatientQuality of lifeStructural equation modeling

Identifiers

PMID32564292

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