Abstrakt
Quality of life among acutely admitted elderly with and without homecare – A cross sectional study
Mette Elkjær1,2, Jette Primdahl2,3,, Christian Backer Mogensen1,2, Mikkel Brabrand2,4 and Bibi Gram2,5
1 Department of Emergency Medicine, Hospital of Southern Denmark, Aabenraa, Denmark
2 Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
3 Danish Hospital for Rheumatic Diseases, Hospital of Southern Denmark, Sønderborg, Denmark
4 Department of Emergency Medicine, Hospital of South West Jutland, Esbjerg, Denmark
5 Research Unit of Health Sciences, Hospital of South West Jutland, Esbjerg, Denmark
Corresponding and presenting author: Mette Elkjær, Mette.Elkjaer@rsyd.dk
Main topic: Acutely admitted elderly
Keywords: Quality of Life, elderly, homecare and acute admissions
Introduction
In Denmark (2017) out of 600.000 yearly hospital admissions of elderly ≥ 65 year, 77.5% were acute.
Acute admitted elderly who are dependent on homecare may be especially challenged. Nuanced knowledge about their quality of life (QoL) is limited. The aim of this study is to investigate the difference in ratings and definition of QoL between acutely admitted patients ≥ 65 years, with and without homecare.
Methods
A cross sectional study is in progress at three Danish emergency departments (ED). Acutely admitted cognitively well-functioning patients ≥ 65 are invited from August 2018 and interviewed during their admission. The primary outcome is QoL measured by the questionnaire Schedule for the Evaluation of Individual Quality of Life – Direct Weighting (SEIQoL-DW) (scale 0-100). In order to determine their QoL, the patients select and rate the five most important areas of their QoL. In addition, length of stay and hours of received homecare per week are collected from their medical records.
Linear regression analyses will be used to test the associations between homecare (≥ 2 hours per week) and QoL. The most important areas selected and defined by the patients will be described qualitatively. The areas will be condensed into themes to find the participants overall definition of QoL. Difference in QoL between the groups will be tested by un-paired t-test.
A sample size calculation for two-sample means test, level of significance 95%, power 80% and with 10 percent difference in QoL score between the two groups showed that 406 participants is required.
Results
At present, 297 participants are included in the study and 28% of them receive homecare. Mean age is 76 years (min 65 – max 96), 46% are male and 42% of the participants are living alone. Median length of stay is 41 hours (Interquartile range (IQR): 22 – 86) and 63% of the participants are discharged from the ED. Median QoL score is 81.9 (IQR: 70.0 - 90.3) and areas of importance for the patients QoL so far are; family, friends, neighbours, freedom, activities, and health. The time required to complete SEIQoL-DW is 30 min (IQR: 27-35). The inclusion is expected to be completed in June 2019 and analyses on the full data set will be ready in October.
Conclusion
This study is ongoing. The authors expect that a patient perspective on QoL can provide nuanced knowledge on QoL among acutely admitted patients and to be able to detect association between QoL an
Mette Elkjær1,2, Jette Primdahl2,3,, Christian Backer Mogensen1,2, Mikkel Brabrand2,4 and Bibi Gram2,5
1 Department of Emergency Medicine, Hospital of Southern Denmark, Aabenraa, Denmark
2 Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
3 Danish Hospital for Rheumatic Diseases, Hospital of Southern Denmark, Sønderborg, Denmark
4 Department of Emergency Medicine, Hospital of South West Jutland, Esbjerg, Denmark
5 Research Unit of Health Sciences, Hospital of South West Jutland, Esbjerg, Denmark
Corresponding and presenting author: Mette Elkjær, Mette.Elkjaer@rsyd.dk
Main topic: Acutely admitted elderly
Keywords: Quality of Life, elderly, homecare and acute admissions
Introduction
In Denmark (2017) out of 600.000 yearly hospital admissions of elderly ≥ 65 year, 77.5% were acute.
Acute admitted elderly who are dependent on homecare may be especially challenged. Nuanced knowledge about their quality of life (QoL) is limited. The aim of this study is to investigate the difference in ratings and definition of QoL between acutely admitted patients ≥ 65 years, with and without homecare.
Methods
A cross sectional study is in progress at three Danish emergency departments (ED). Acutely admitted cognitively well-functioning patients ≥ 65 are invited from August 2018 and interviewed during their admission. The primary outcome is QoL measured by the questionnaire Schedule for the Evaluation of Individual Quality of Life – Direct Weighting (SEIQoL-DW) (scale 0-100). In order to determine their QoL, the patients select and rate the five most important areas of their QoL. In addition, length of stay and hours of received homecare per week are collected from their medical records.
Linear regression analyses will be used to test the associations between homecare (≥ 2 hours per week) and QoL. The most important areas selected and defined by the patients will be described qualitatively. The areas will be condensed into themes to find the participants overall definition of QoL. Difference in QoL between the groups will be tested by un-paired t-test.
A sample size calculation for two-sample means test, level of significance 95%, power 80% and with 10 percent difference in QoL score between the two groups showed that 406 participants is required.
Results
At present, 297 participants are included in the study and 28% of them receive homecare. Mean age is 76 years (min 65 – max 96), 46% are male and 42% of the participants are living alone. Median length of stay is 41 hours (Interquartile range (IQR): 22 – 86) and 63% of the participants are discharged from the ED. Median QoL score is 81.9 (IQR: 70.0 - 90.3) and areas of importance for the patients QoL so far are; family, friends, neighbours, freedom, activities, and health. The time required to complete SEIQoL-DW is 30 min (IQR: 27-35). The inclusion is expected to be completed in June 2019 and analyses on the full data set will be ready in October.
Conclusion
This study is ongoing. The authors expect that a patient perspective on QoL can provide nuanced knowledge on QoL among acutely admitted patients and to be able to detect association between QoL an
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | okt. 2019 |
| Status | Udgivet - okt. 2019 |
| Begivenhed | The European Emergency Medicine Congress - Prague , Tjekkiet Varighed: 12. okt. 2019 → 16. okt. 2019 https://www.eusemcongress.org/en/ |
Konference
| Konference | The European Emergency Medicine Congress |
|---|---|
| Land/Område | Tjekkiet |
| By | Prague |
| Periode | 12/10/2019 → 16/10/2019 |
| Internetadresse |