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

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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.
Translated title of the contributionHvordan oplever og definerer ældre patienter, der er udskrevet fra en fælles akutmodtagelse, livskvalitet - et pilotstudie
Original languageEnglish
Publication date2018
Number of pages1
Publication statusPublished - 2018
EventDanish emergency medicine conference - Radisson Blu Scandinavia Hotel, Århus, Denmark
Duration: 25. Oct 201826. Oct 2018
Conference number: 8


ConferenceDanish emergency medicine conference
LocationRadisson Blu Scandinavia Hotel
Internet address

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