How do elderly persons who are discharged directly from an emergency department define and experience quality of life - A pilot study

Bidragets oversatte titel: Hvordan oplever og definerer ældre patienter, der er udskrevet fra en fælles akutmodtagelse, livskvalitet - et pilotstudie

Publikation: Konferencebidrag uden forlag/tidsskriftKonferenceabstrakt til konferenceForskningpeer review

Resumé

Background: Emergency departments (ED) are unique settings with accelerated care and treatment processes. Quality of care and patient satisfaction are important issues. Prompt treatment with many contacts to health professionals may affect elderly people’s satisfaction and quality of life (QoL). Schedule of Evaluation Individual Quality of Life – Direct Weighting (SEIQoL-DW) is a questionnaire that evaluates individual QoL, but the instrument is time-consuming. SEIQoL-DW has not previously been used among elderly acute patients. Therefore, we conducted a pilot study to test the feasibility of SEIQoL-DW among elderly patients. Furthermore, we wanted to test if Mini Mental Examination (MMSE) was feasible to evaluate the cognitive functional level (CF) in the target group.

Methods: Patients ≥ 65 years acutely admitted at ED at Hospital of South West Jutland were invited to participate. The inclusion took part in June 2017 on 4 weekdays during daytime. In order to determine the QoL (scale 0-100), the patients selected and rated the five most important areas of their QoL. MMSE score of ≤ 22 (scale from 0 – 30) indicated low CF. Time spent on MMSE and SEIQoL-DW, and the number of patients able to complete the SEIQoL-DW were evaluated. The study was registered at the Danish Data Protection Agency (2008-58-0035 – 2545).

Results: We included 9 patients (2 male and 7 female), age (mean±SD) 73±6 years. Four of the 14 invited refused to participate and one interview was interrupted because of other treatment. Only one out of 4 days allowed inclusion of 3 patients. All participants were able to select and rate five areas without assistance, resulting in a QoL score of 73±20. The MMSE-score was 27±2 and no participants rated lower than 22. The time required to complete MMSE and SEIQoL-DW was 42±12 min.

Conclusions: The study showed that MMSE and SEIQoL-DW were feasible among acutely admitted patients ≥ 65 years and the patients were able to select the five most important aspects that defined their QoL without assistance. Only 4 out of 14 refused to participate due to interference with their treatment. Collection of data from 2-3 patients per day seems to be a realistic goal.
OriginalsprogEngelsk
Publikationsdato2018
Antal sider1
StatusUdgivet - 2018
BegivenhedDanish emergency medicine conference - Radisson Blu Scandinavia Hotel, Århus, Danmark
Varighed: 25 okt. 201826 okt. 2018
Konferencens nummer: 8
http://www.meetingplanners.dk/subsites/demc/index.html

Konference

KonferenceDanish emergency medicine conference
Nummer8
LokationRadisson Blu Scandinavia Hotel
LandDanmark
ByÅrhus
Periode25/10/201826/10/2018
Internetadresse

Fingeraftryk

Hospital Emergency Service
Quality of Life
Computer Security
Quality of Health Care
Interviews

Citer dette

@conference{d040e48c756e4c9ca35d72a6792ab47d,
title = "How do elderly persons who are discharged directly from an emergency department define and experience quality of life - A pilot study",
abstract = "Background: Emergency departments (ED) are unique settings with accelerated care and treatment processes. Quality of care and patient satisfaction are important issues. Prompt treatment with many contacts to health professionals may affect elderly people’s satisfaction and quality of life (QoL). Schedule of Evaluation Individual Quality of Life – Direct Weighting (SEIQoL-DW) is a questionnaire that evaluates individual QoL, but the instrument is time-consuming. SEIQoL-DW has not previously been used among elderly acute patients. Therefore, we conducted a pilot study to test the feasibility of SEIQoL-DW among elderly patients. Furthermore, we wanted to test if Mini Mental Examination (MMSE) was feasible to evaluate the cognitive functional level (CF) in the target group.Methods: Patients ≥ 65 years acutely admitted at ED at Hospital of South West Jutland were invited to participate. The inclusion took part in June 2017 on 4 weekdays during daytime. In order to determine the QoL (scale 0-100), the patients selected and rated the five most important areas of their QoL. MMSE score of ≤ 22 (scale from 0 – 30) indicated low CF. Time spent on MMSE and SEIQoL-DW, and the number of patients able to complete the SEIQoL-DW were evaluated. The study was registered at the Danish Data Protection Agency (2008-58-0035 – 2545).Results: We included 9 patients (2 male and 7 female), age (mean±SD) 73±6 years. Four of the 14 invited refused to participate and one interview was interrupted because of other treatment. Only one out of 4 days allowed inclusion of 3 patients. All participants were able to select and rate five areas without assistance, resulting in a QoL score of 73±20. The MMSE-score was 27±2 and no participants rated lower than 22. The time required to complete MMSE and SEIQoL-DW was 42±12 min. Conclusions: The study showed that MMSE and SEIQoL-DW were feasible among acutely admitted patients ≥ 65 years and the patients were able to select the five most important aspects that defined their QoL without assistance. Only 4 out of 14 refused to participate due to interference with their treatment. Collection of data from 2-3 patients per day seems to be a realistic goal.",
author = "Mette Elkj{\ae}r and Jette Primdahl and Mikkel Brabrand and {Backer Mogensen}, Christian and Bibi Gram",
year = "2018",
language = "English",
note = "null ; Conference date: 25-10-2018 Through 26-10-2018",
url = "http://www.meetingplanners.dk/subsites/demc/index.html",

}

How do elderly persons who are discharged directly from an emergency department define and experience quality of life - A pilot study. / Elkjær, Mette; Primdahl, Jette; Brabrand, Mikkel; Backer Mogensen, Christian; Gram, Bibi.

2018. Abstract fra Danish emergency medicine conference , Århus, Danmark.

Publikation: Konferencebidrag uden forlag/tidsskriftKonferenceabstrakt til konferenceForskningpeer review

TY - ABST

T1 - How do elderly persons who are discharged directly from an emergency department define and experience quality of life - A pilot study

AU - Elkjær, Mette

AU - Primdahl, Jette

AU - Brabrand, Mikkel

AU - Backer Mogensen, Christian

AU - Gram, Bibi

PY - 2018

Y1 - 2018

N2 - Background: Emergency departments (ED) are unique settings with accelerated care and treatment processes. Quality of care and patient satisfaction are important issues. Prompt treatment with many contacts to health professionals may affect elderly people’s satisfaction and quality of life (QoL). Schedule of Evaluation Individual Quality of Life – Direct Weighting (SEIQoL-DW) is a questionnaire that evaluates individual QoL, but the instrument is time-consuming. SEIQoL-DW has not previously been used among elderly acute patients. Therefore, we conducted a pilot study to test the feasibility of SEIQoL-DW among elderly patients. Furthermore, we wanted to test if Mini Mental Examination (MMSE) was feasible to evaluate the cognitive functional level (CF) in the target group.Methods: Patients ≥ 65 years acutely admitted at ED at Hospital of South West Jutland were invited to participate. The inclusion took part in June 2017 on 4 weekdays during daytime. In order to determine the QoL (scale 0-100), the patients selected and rated the five most important areas of their QoL. MMSE score of ≤ 22 (scale from 0 – 30) indicated low CF. Time spent on MMSE and SEIQoL-DW, and the number of patients able to complete the SEIQoL-DW were evaluated. The study was registered at the Danish Data Protection Agency (2008-58-0035 – 2545).Results: We included 9 patients (2 male and 7 female), age (mean±SD) 73±6 years. Four of the 14 invited refused to participate and one interview was interrupted because of other treatment. Only one out of 4 days allowed inclusion of 3 patients. All participants were able to select and rate five areas without assistance, resulting in a QoL score of 73±20. The MMSE-score was 27±2 and no participants rated lower than 22. The time required to complete MMSE and SEIQoL-DW was 42±12 min. Conclusions: The study showed that MMSE and SEIQoL-DW were feasible among acutely admitted patients ≥ 65 years and the patients were able to select the five most important aspects that defined their QoL without assistance. Only 4 out of 14 refused to participate due to interference with their treatment. Collection of data from 2-3 patients per day seems to be a realistic goal.

AB - Background: Emergency departments (ED) are unique settings with accelerated care and treatment processes. Quality of care and patient satisfaction are important issues. Prompt treatment with many contacts to health professionals may affect elderly people’s satisfaction and quality of life (QoL). Schedule of Evaluation Individual Quality of Life – Direct Weighting (SEIQoL-DW) is a questionnaire that evaluates individual QoL, but the instrument is time-consuming. SEIQoL-DW has not previously been used among elderly acute patients. Therefore, we conducted a pilot study to test the feasibility of SEIQoL-DW among elderly patients. Furthermore, we wanted to test if Mini Mental Examination (MMSE) was feasible to evaluate the cognitive functional level (CF) in the target group.Methods: Patients ≥ 65 years acutely admitted at ED at Hospital of South West Jutland were invited to participate. The inclusion took part in June 2017 on 4 weekdays during daytime. In order to determine the QoL (scale 0-100), the patients selected and rated the five most important areas of their QoL. MMSE score of ≤ 22 (scale from 0 – 30) indicated low CF. Time spent on MMSE and SEIQoL-DW, and the number of patients able to complete the SEIQoL-DW were evaluated. The study was registered at the Danish Data Protection Agency (2008-58-0035 – 2545).Results: We included 9 patients (2 male and 7 female), age (mean±SD) 73±6 years. Four of the 14 invited refused to participate and one interview was interrupted because of other treatment. Only one out of 4 days allowed inclusion of 3 patients. All participants were able to select and rate five areas without assistance, resulting in a QoL score of 73±20. The MMSE-score was 27±2 and no participants rated lower than 22. The time required to complete MMSE and SEIQoL-DW was 42±12 min. Conclusions: The study showed that MMSE and SEIQoL-DW were feasible among acutely admitted patients ≥ 65 years and the patients were able to select the five most important aspects that defined their QoL without assistance. Only 4 out of 14 refused to participate due to interference with their treatment. Collection of data from 2-3 patients per day seems to be a realistic goal.

M3 - Conference abstract for conference

ER -