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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

Author

Listed:
  • Cheng-Fu Lin

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Division of Occupational Medicine, Department of Emergency, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    These authors contributed equally to this work.)

  • Yu-Hui Huang

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Department of Nursing, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    These authors contributed equally to this work.)

  • Li-Ying Ju

    (Department of Nursing, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    School of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Shuo-Chun Weng

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan)

  • Yu-Shan Lee

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Department of Neurology, Neurological Institute, Taichung Veterans General Hospital, Taichung 40705, Taiwan)

  • Yin-Yi Chou

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan)

  • Chu-Sheng Lin

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan)

  • Shih-Yi Lin

    (Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
    Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan)

Abstract

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.

Suggested Citation

  • Cheng-Fu Lin & Yu-Hui Huang & Li-Ying Ju & Shuo-Chun Weng & Yu-Shan Lee & Yin-Yi Chou & Chu-Sheng Lin & Shih-Yi Lin, 2020. "Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness," IJERPH, MDPI, vol. 17(15), pages 1-10, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5333-:d:389143
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    Citations

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    Cited by:

    1. Chia-Hui Sun & Yin-Yi Chou & Yu-Shan Lee & Shuo-Chun Weng & Cheng-Fu Lin & Fu-Hsuan Kuo & Pi-Shan Hsu & Shih-Yi Lin, 2022. "Prediction of 30-Day Readmission in Hospitalized Older Adults Using Comprehensive Geriatric Assessment and LACE Index and HOSPITAL Score," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    2. Yi-Ting Chao & Fu-Hsuan Kuo & Yu-Shan Lee & Yu-Hui Huang & Shuo-Chun Weng & Yin-Yi Chou & Chu-Sheng Lin & Shih-Yi Lin, 2022. "Characteristics and Outcome Determinants of Hospitalized Older Patients with Cognitive Dysfunction," IJERPH, MDPI, vol. 19(1), pages 1-11, January.
    3. Cheng-Fu Lin & Po-Chen Lin & Sung-Yuan Hu & Yu-Tse Tsan & Wei-Kai Liao & Shih-Yi Lin & Tzu-Chieh Lin, 2021. "Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department," IJERPH, MDPI, vol. 18(11), pages 1-13, June.

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