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20-06-2020

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

Auteurs: Qiuping Li, Binru Han, Xi Chen

Gepubliceerd in: Quality of Life Research | Uitgave 12/2020

Abstract

Purpose

This 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.

Methods

Older 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.

Results

260 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.

Conclusions

Frailty 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.

vorige artikel EQ-5D-3L health status and health state utilities of the oldest-old (85 +) in Germany: results from the AgeCoDe-AgeQualiDe study

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Titel: The association between sociodemographic factors, frailty, and health-related quality of life in older inpatients: a cross-sectional study
Auteurs: Qiuping Li
Binru Han
Xi Chen
Publicatiedatum: 20-06-2020
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 12/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02559-6

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Bohn Stafleu van Loghum

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

Abstract

Purpose

Methods

Results

Conclusions

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