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Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline.

Atlas A, Grimmer K, Kennedy K - Clin Interv Aging (2015)

Bottom Line: MCS at 1 month (MCS1) post ED discharge was significantly associated with instrumental activities of daily living at 1 (r=0.45, P<0.001) and 3 months (r=0.401, P=0.001) post ED discharge, but not at baseline (r=0.010, P>0.05).There were no significant confounders.Low MCS scores 1 month after a minor health crisis appear to significantly predict downstream FD.

View Article: PubMed Central - PubMed

Affiliation: International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia.

ABSTRACT

Background: Accurately detecting markers of early functional decline (FD) are essential to support older people to successfully age in place; however, these markers are poorly understood. We tested the hypothesis that compromised mental quality of life after a minor health crisis could be an early predictor of FD.

Methods: This longitudinal observational cohort study was conducted in the emergency department (ED) of a large Australian hospital and in the community. Data were collected from 148 community-dwelling people aged 65+ years, who provided data at recruitment (baseline), and at 1 month and 3 months post discharge from the ED. Short Form-12 mental quality of life component scores (MCS) were regressed with patient descriptors taken at baseline (age, sex, socioeconomic status, education, Mini-Mental State Examination, and primary language), and over-time estimates of FD taken at baseline, and at 1 and 3 months post discharge (instrumental activities of daily living, frequency of falls and hospitalizations, use of gait aids, receipt of community services, living status, and requiring a carer).

Results: MCS at 1 month (MCS1) post ED discharge was significantly associated with instrumental activities of daily living at 1 (r=0.45, P<0.001) and 3 months (r=0.401, P=0.001) post ED discharge, but not at baseline (r=0.010, P>0.05). Subjects with lower than the population median MCS showed a significant linear decline in total instrumental activities of daily living scores over 3 months (P=0.025). There was no linear trend over time in the relationship between MCS1 with frequency of falls (P=0.20) or hospitalizations (P=0.42); however, there was a significant difference at 3 months post ED discharge for falls (P=0.036) and hospitalizations (P=0.039) between low and high MCS1 groups. There were no significant confounders.

Conclusion: Low MCS scores 1 month after a minor health crisis appear to significantly predict downstream FD. This finding needs to be tested in a larger sample.

No MeSH data available.


Related in: MedlinePlus

CONSORT diagram reporting subject attrition over the study period.
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f2-cia-10-703: CONSORT diagram reporting subject attrition over the study period.

Mentions: This paper reports on our analysis of a subset of the total recruited sample, this being the 148 subjects who provided complete data at all three time points (baseline, 1 month, and 3 months post ED discharge) for all variables of interest. The consort diagram reporting subject recruitment and attrition over the study period is provided in Figure 2.


Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline.

Atlas A, Grimmer K, Kennedy K - Clin Interv Aging (2015)

CONSORT diagram reporting subject attrition over the study period.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4401334&req=5

f2-cia-10-703: CONSORT diagram reporting subject attrition over the study period.
Mentions: This paper reports on our analysis of a subset of the total recruited sample, this being the 148 subjects who provided complete data at all three time points (baseline, 1 month, and 3 months post ED discharge) for all variables of interest. The consort diagram reporting subject recruitment and attrition over the study period is provided in Figure 2.

Bottom Line: MCS at 1 month (MCS1) post ED discharge was significantly associated with instrumental activities of daily living at 1 (r=0.45, P<0.001) and 3 months (r=0.401, P=0.001) post ED discharge, but not at baseline (r=0.010, P>0.05).There were no significant confounders.Low MCS scores 1 month after a minor health crisis appear to significantly predict downstream FD.

View Article: PubMed Central - PubMed

Affiliation: International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia.

ABSTRACT

Background: Accurately detecting markers of early functional decline (FD) are essential to support older people to successfully age in place; however, these markers are poorly understood. We tested the hypothesis that compromised mental quality of life after a minor health crisis could be an early predictor of FD.

Methods: This longitudinal observational cohort study was conducted in the emergency department (ED) of a large Australian hospital and in the community. Data were collected from 148 community-dwelling people aged 65+ years, who provided data at recruitment (baseline), and at 1 month and 3 months post discharge from the ED. Short Form-12 mental quality of life component scores (MCS) were regressed with patient descriptors taken at baseline (age, sex, socioeconomic status, education, Mini-Mental State Examination, and primary language), and over-time estimates of FD taken at baseline, and at 1 and 3 months post discharge (instrumental activities of daily living, frequency of falls and hospitalizations, use of gait aids, receipt of community services, living status, and requiring a carer).

Results: MCS at 1 month (MCS1) post ED discharge was significantly associated with instrumental activities of daily living at 1 (r=0.45, P<0.001) and 3 months (r=0.401, P=0.001) post ED discharge, but not at baseline (r=0.010, P>0.05). Subjects with lower than the population median MCS showed a significant linear decline in total instrumental activities of daily living scores over 3 months (P=0.025). There was no linear trend over time in the relationship between MCS1 with frequency of falls (P=0.20) or hospitalizations (P=0.42); however, there was a significant difference at 3 months post ED discharge for falls (P=0.036) and hospitalizations (P=0.039) between low and high MCS1 groups. There were no significant confounders.

Conclusion: Low MCS scores 1 month after a minor health crisis appear to significantly predict downstream FD. This finding needs to be tested in a larger sample.

No MeSH data available.


Related in: MedlinePlus