Health-Related Quality of Life Measured by EQ-5D in Relation to Hospital Stay and Readmission in Elderly Patients Hospitalized for Acute Illness

Cheng-Fu Lin, Yu-Hui Huang, Li-Ying Ju, Shuo-Chun Weng, Yu-Shan Lee, Yin-Yi Chou, Chu-Sheng Lin and Shih-Yi Lin
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Cheng-Fu Lin: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Yu-Hui Huang: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Li-Ying Ju: Department of Nursing, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Shuo-Chun Weng: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Yu-Shan Lee: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Yin-Yi Chou: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Chu-Sheng Lin: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Shih-Yi Lin: Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung 40705, Taiwan

IJERPH, 2020, vol. 17, issue 15, 1-10

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.

Keywords: aged; geriatric assessment; length of stay; readmission; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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