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

Alvin Atlas, Karen Grimmer, Kate Kennedy International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia Background: Accurately detecting markers of early functional decline (FD) are essential to support older people to successfully age in place; however, th...

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Autores principales:	Atlas A, Grimmer K, Kennedy K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	IADL mental quality of life functional decline falls hospitalization Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ef0dfad3c02a4e12b24cc1a20901a9fc
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spelling	oai:doaj.org-article:ef0dfad3c02a4e12b24cc1a20901a9fc2021-12-02T08:16:09ZEarly indications that low mental quality of life scores in recently unwell older people predict downstream functional decline1178-1998https://doaj.org/article/ef0dfad3c02a4e12b24cc1a20901a9fc2015-04-01T00:00:00Zhttps://www.dovepress.com/early-indications-that-low-mental-quality-of-life-scores-in-recently-u-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Alvin Atlas, Karen Grimmer, Kate Kennedy International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia 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. Keywords: instrumental activities of daily living, mental quality of life, functional decline, falls, hospitalizationAtlas AGrimmer KKennedy KDove Medical PressarticleIADLmental quality of lifefunctional declinefallshospitalizationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 703-712 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	IADL mental quality of life functional decline falls hospitalization Geriatrics RC952-954.6
spellingShingle	IADL mental quality of life functional decline falls hospitalization Geriatrics RC952-954.6 Atlas A Grimmer K Kennedy K Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
description	Alvin Atlas, Karen Grimmer, Kate Kennedy International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia 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. Keywords: instrumental activities of daily living, mental quality of life, functional decline, falls, hospitalization
format	article
author	Atlas A Grimmer K Kennedy K
author_facet	Atlas A Grimmer K Kennedy K
author_sort	Atlas A
title	Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
title_short	Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
title_full	Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
title_fullStr	Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
title_full_unstemmed	Early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
title_sort	early indications that low mental quality of life scores in recently unwell older people predict downstream functional decline
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/ef0dfad3c02a4e12b24cc1a20901a9fc
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_version_	1718398637999915008

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

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