Associations between health-related quality of life and physical function in older adults with or at risk of mobility disability after discharge from the hospital

© 2021. The Author(s)..

PURPOSE: To optimise the treatment for older adults after hospitalisation, thorough health status information is needed. Therefore, we aimed to investigate the associations between health-related quality of life (HRQOL) and physical function in older adults with or at risk of mobility disability after hospital discharge.

METHODS: This cross-sectional study recruited 89 home-dwelling older people while inpatients within medical wards at a general hospital in Oslo, Norway. HRQOL [the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36)] and physical function [the Short Physical Performance Battery (SPPB)] were measured a median of 49 [interquartile range (IQR) 26-116] days after discharge. Simple linear regression analyses were conducted, and multivariable regression models were fitted.

RESULTS: The mean age of the patients was 78.3 years; 43 (48.9 %) were females. Multivariable regressions showed positive associations between SPPB and the physical subscales {physical functioning [B (95% CI) 4.51 (2.35-6.68)], role physical [B (95% CI) 5.21 (2.75-7.67)], bodily pain [B (95% CI) 3.40 (0.73-6.10)] and general health [B (95% CI) 3.12 (1.13-5.12)]}. Univariable regressions showed no significant associations between SPPB and the mental subscales {vitality [B (95% CI) 1.54 (- 0.10-3.18)], social functioning [B (95% CI) 2.34 (- 0.28-4.96)], role emotional [B (95% CI) 1.28 (- 0.96-3.52)] and mental health [B (95% CI) 1.00 (- 0.37-2.36)]}.

CONCLUSION: The results reinforce that physical function and physical HRQOL are strongly linked, and interventions improving physical function might improve physical HRQOL. However, this hypothesis would have to be tested in a randomised controlled trial.

TRIAL REGISTRATION: ClinicalTrials.gov. Registered 19 September 2016 (NCT02905383).

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

European geriatric medicine - 12(2021), 6 vom: 09. Dez., Seite 1247-1256

Sprache:

Englisch

Beteiligte Personen:

Sunde, Sylvia [VerfasserIn]
Hesseberg, Karin [VerfasserIn]
Skelton, Dawn A [VerfasserIn]
Ranhoff, Anette Hylen [VerfasserIn]
Pripp, Are Hugo [VerfasserIn]
Aarønæs, Marit [VerfasserIn]
Brovold, Therese [VerfasserIn]

Links:

Volltext

Themen:

Activities of daily living
Aged
Hospitalisation
Journal Article
Quality of life
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 31.03.2022

Date Revised 06.05.2022

published: Print-Electronic

ClinicalTrials.gov: NCT02905383

Citation Status MEDLINE

doi:

10.1007/s41999-021-00525-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM326545042