Evidence map›Paper›PMID 38884880›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2024

Health-related quality of life among older adults following acute hospitalization: longitudinal analysis of a randomized controlled trial.

Eirin Guldsten Robinson, Hanna Gyllensten, Anne Gerd Granas, Kjell H Halvorsen, Beate Hennie Garcia

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02816086 (A New Interdisciplinary Collaboration Structure in Secondary and Primary Care to Improve Medication Safety in the Elderly), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02816086 nacompletednot on this map

A New Interdisciplinary Collaboration Structure in Secondary and Primary Care to Improve Medication Safety in the Elderly

TypeinterventionalSponsorUniversity of TromsoRan2016 to 2020Enrolled516ConditionsHealth Services for the Aged, Medication Therapy ManagementArmsInterdisciplinary collaboration structure
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Factors independently associated with in-hospital HRQoL in adults treated at a high-complexity institution in a middle-income country.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eirin Guldsten RobinsonDepartment of Pharmacy, University of Oslo, Oslo, Norway. e.g.robinson@farmasi.uio.no.ORCID http://orcid.org/0000-0002-0895-7005
Hanna GyllenstenInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-6890-5162
Anne Gerd GranasDepartment of Pharmacy, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0002-6849-9421
Kjell H HalvorsenDepartment of Pharmacy, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway.ORCID http://orcid.org/0000-0003-1562-1822
Beate Hennie GarciaDepartment of Pharmacy, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway.ORCID http://orcid.org/0000-0002-0815-0383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe the longitudinal change of health-related quality of life (HRQoL) over 12 months from acute hospitalization in older adults ≥ 70 years (IMMENSE study), and associated factors, to investigate how a medication optimization intervention influenced this change.

methodsThe EQ-5D-3L was used at discharge and 1, 6 and 12 months after discharge during a randomized controlled trial including 285 participants. Multilevel logistic (EQ-5D-3L dimensions) and mixed model regression (EQ-5D-3L index scores, EQ-VAS) were used to explore the longitudinal change with/without the intervention, and associations with medications, comorbidities, and socioeconomic variables. Subgroup analyses were performed for non-long and long stayers with hospitalizations < or ≥ 14 days.

resultsEQ-5D-3L index scores significantly declined after 12 months (β -0.06 [95% confidence interval (CI:) -0.10--0.02], p = 0.003). Non-long stayers showed significant improvement 1 month from discharge (β 0.05 [0.00-0.09], p = 0.040). The number of medications and receiving home-care services were the main factors associated with reduced HRQoL. Being home-dwelling was the main factor associated with higher HRQoL. Non-long stayers of the intervention group reported significantly higher EQ-VAS than the control group (β 4.02 [0.11-7.93], p = 0.044).

conclusionWe observed no significant difference in the longitudinal change in HRQoL between the two IMMENSE study groups over 12 months after hospitalization. However, the non-long stayer subgroup analysis indicates that the intervention may have had a long-term effect on HRQoL in some of intervention patients. The number of medications and the ability to live and care for oneself should be taken into consideration when planning future patient care and health-care services.

trial registrationThe trial was registered in clinicaltrials.gov on 28/06/2016 before enrolment started (NCT02816086).

Indexed as

HospitalizationQuality of LifeAgedAged, 80 and overFemaleHealth StatusHumansLongitudinal StudiesMaleSurveys and QuestionnairesHealth-related quality of lifeIntegrated medication managementMedication optimization interventionMedication reviewOlder adults

Identifiers

PMID38884880
PMCPMC11286627

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.