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Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Lund Univ, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Advanced Home Care in Norrköping.
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2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, article id 187Article in journal (Refereed) Published
Abstract [en]

BackgroundThe prevalence of multimorbidity is increasing worldwide, and older people with multimorbidity are frequent users of health care services. Since multimorbidity has a significant negative impact on Health-related Quality of Life (HrQoL) and is more common in older age it would be expected that factors related to HrQoL in this group might have been thoroughly researched, but this is not the case. Furthermore, it is important to look at old people living at home, considering the shift from residential to home-based care. Therefore, we aim to investigate factors that are related to HrQoL in older people with multimorbidity and high health care consumption, living at home.MethodsThis is a secondary analysis of a RCT study conducted in a municipality in south-eastern Sweden. The study had a longitudinal design with a two-year follow-up period assessing HrQoL, symptom burden, activities of daily living, physical activity and depression.ResultsIn total, 238 older people with multimorbidity and high health care consumption, living at home were included (mean age 82, 52% female). A multiple linear regression model including symptom burden, activities of daily living and depression as independent variables explained 64% of the HrQoL. Higher symptom burden, lower ability in activities of daily living and a higher degree of depression were negatively related to HrQoL. Depression at baseline and a change in symptom burden over a two-year period explained 28% of the change in HrQoL over a two-year period variability. A higher degree of depression at baseline and negative change in higher symptom burden were related to a decrease in HrQoL over a two-year period.ConclusionIn order to facilitate better delivery of appropriate health care to older people with high health care consumption living at home it is important to assess HrQoL, and HrQoL over time. Symptom burden, activities of daily living, depression and change in symptom burden over time are important indicators for HrQoL.Trial registrationClinicaltrials.gov identifier: NCT01446757, the trial was registered prospectively with the date of trial registration October 5(th), 2011.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 19, article id 187
Keywords [en]
Comprehensive geriatric assessment; Ambulatory geriatric care; Multimorbidity; High health care consumption; HrQoL; Symptom burden
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-159149DOI: 10.1186/s12877-019-1194-zISI: 000474552700003PubMedID: 31277674OAI: oai:DiVA.org:liu-159149DiVA, id: diva2:1339656
Note

Funding Agencies|common public research (ALF) grant from the Ostergotland County Council [LIO-124301, LIO-194541]; Swedish Ministry of Health and Social Affairs [SKL 10/1832]; Stahl Foundation; National Society for Research on Ageing; Linkoping University; Signe and Olof Wallenius trust fund

Available from: 2019-07-30 Created: 2019-07-30 Last updated: 2019-11-13

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Klompstra, LeonieKrevers, BarbroMilberg, Anna
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDivision of Health Care AnalysisDivision of Community MedicineDepartment of Advanced Home Care in Norrköping
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