Universität zu Köln

Heess, A., Meyer, A. M., Becker, I, Noetzel, N., Verleysdonk, J., Rarek, M., Benzing, T. and Polidori, M. C. (2022). The prognostic fingerprint of quality of life in older inpatients Relationship to geriatric syndromes' and resources' profile. Z. Gerontol. Geriatr., 55 (1). S. 38 - 44. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1435-1269

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heess, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, A. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Noetzel, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Verleysdonk, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rarek, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Benzing, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, M. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-569125
DOI:	10.1007/s00391-021-01978-5
Journal or Publication Title:	Z. Gerontol. Geriatr.
Volume:	55
Number:	1
Page Range:	S. 38 - 44
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1435-1269
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MORTALITY Multiple languages Geriatrics & Gerontology; Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56912