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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 1/2022

06.10.2021 | Original Contributions

The prognostic fingerprint of quality of life in older inpatients

Relationship to geriatric syndromes’ and resources’ profile

verfasst von: A. Heeß, A. M. Meyer, I. Becker, N. Noetzel, J. Verleysdonk, M. Rarek, T. Benzing, M. C. Polidori, MD PhD FRCP

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2022

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Abstract

Background

The Comprehensive Geriatric Assessment (CGA) provides essential information about older hospitalized patients but is either not systematically adopted or not adopted at all in clinical routine. As a consequence, critical factors influencing patients’ trajectories, like personal resources (geriatric resources, GR), geriatric syndromes (GS), health-related quality of life (HRQoL) and multidimensional prognosis often escape routine diagnostics.

Objective

To investigate the association between HRQoL and GR/GS as well as its prognostic signature.

Material and methods

In this study 165 inpatients older than 65 years admitted to an internal medicine department of a German large metropolitan hospital were assessed by a CGA-based calculation of the multidimensional prognostic index (MPI). Ten different GR and 17 GS, as well as HRQoL were collected. After 3, 6 and 12 months the patients were followed-up by telephone.

Results

The HRQoL was associated with MPI (p < 0.001), number of GS (p < 0.001) and survival days after discharge (p = 0.008). Additionally, significant associations were found between HRQoL and number of GR (p < 0.001). GS displaying risk for physical dependence like instability (p < 0.001) and chronic pain (p = 0.007) and single GR/GS that influence patient’s confidence like isolation (p < 0.001), depression (p < 0.001) and emotional resources (p = 0.002) were also associated with HRQoL.

Conclusion

The HRQoL is significantly associated to specific risk and protective factor profiles of GR and GS. To improve quality of life, targeted, patient-centered diagnostics and treatment of GS as well as stabilization of GR should be encouraged in the management of older, multimorbid patients outside geriatric settings.
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Metadaten
Titel
The prognostic fingerprint of quality of life in older inpatients
Relationship to geriatric syndromes’ and resources’ profile
verfasst von
A. Heeß
A. M. Meyer
I. Becker
N. Noetzel
J. Verleysdonk
M. Rarek
T. Benzing
M. C. Polidori, MD PhD FRCP
Publikationsdatum
06.10.2021
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2022
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-021-01978-5

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