The University of Southampton
University of Southampton Institutional Repository

Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy

Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy
Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy
Background
There is limited knowledge on the ability of a poor quality of life (QOL) and health-related QOL (HRQOL) to predict mortality and other adverse health events, independently of the frailty syndrome and other confounders, in older people living in the community and not selected on the basis of specific chronic conditions. Aim of this study was to evaluate the ability of the overall QOL and of the HRQOL to predict several adverse health outcomes at a one-year follow-up in an older outpatient population living in the community.

Methods
We carried out a prospective cohort study on 210 community-dwelling outpatients aged 65+ (mean age 81.2 yrs) consecutively referred to a geriatric clinic in Milan, Italy. At baseline participants underwent a comprehensive geriatric assessment including evaluation of overall QOL and HRQOL by means of the Older People's Quality of Life (OPQOL) questionnaire. At a one-year follow-up, between June and December 2010, we investigated nursing home placement and death in all 210 participants as well as any fall, any admission to the emergency department (ED), any hospitalisation and greater functional dependence among the subset of subjects still living at home.

Results
One year after the visit 187 subjects were still living at home (89%) while 7 had been placed in a nursing home (3.3%) and 16 had died (7.7%). At multiple logistic regression analyses the lowest score-based quartile of the OPQOL total score at baseline was independently associated with a greater risk of any fall and any ED admission. Also, the lowest score-based quartile of the health-related OPQOL sub-score was associated with a greater risk of any fall as well as of nursing home placement (odds ratio [OR] 10.03, 95% confidence interval [CI] 1.25-80.54, P = 0.030) and death (OR 4.23, 95% CI 1.06-16.81, P = 0.041). The correlation with the latter two health outcomes was found after correction for age, sex, education, income, living conditions, comorbidity, disability and the frailty syndrome.

Conclusions
In an older outpatient population in Italy the OPQOL total score and its health-related sub-score were independent predictors of several adverse health outcomes at one year. Notably, poor HRQOL predicted both nursing home placement and death even after correction for the frailty syndrome. These findings support and enhance the prognostic relevance of QOL measures.
1477-7525
72
Bilotta, Claudio
73eb899a-aa84-4641-9b4b-42152b95f8a5
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Nicolini, Paola
2ef11260-5e34-438f-8c3f-8c0f91ad77f6
Casè, Alessandra
2ee0da5e-c36c-4a6a-9dda-e37b2c94893d
Pina, Gloria
ad736b9e-97a7-40bd-9771-ded73fd5093a
Rossi, Silvia
10a842b9-acb7-4691-9c52-8fac98f08f6b
Vergani, Carlo
fc150272-4bf4-4cf1-a63d-d26306bd2995
Bilotta, Claudio
73eb899a-aa84-4641-9b4b-42152b95f8a5
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Nicolini, Paola
2ef11260-5e34-438f-8c3f-8c0f91ad77f6
Casè, Alessandra
2ee0da5e-c36c-4a6a-9dda-e37b2c94893d
Pina, Gloria
ad736b9e-97a7-40bd-9771-ded73fd5093a
Rossi, Silvia
10a842b9-acb7-4691-9c52-8fac98f08f6b
Vergani, Carlo
fc150272-4bf4-4cf1-a63d-d26306bd2995

Bilotta, Claudio, Bowling, Ann, Nicolini, Paola, Casè, Alessandra, Pina, Gloria, Rossi, Silvia and Vergani, Carlo (2011) Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy. Health and Quality of Life Outcomes, 9 (1), 72. (doi:10.1186/1477-7525-9-72). (PMID:21892954)

Record type: Article

Abstract

Background
There is limited knowledge on the ability of a poor quality of life (QOL) and health-related QOL (HRQOL) to predict mortality and other adverse health events, independently of the frailty syndrome and other confounders, in older people living in the community and not selected on the basis of specific chronic conditions. Aim of this study was to evaluate the ability of the overall QOL and of the HRQOL to predict several adverse health outcomes at a one-year follow-up in an older outpatient population living in the community.

Methods
We carried out a prospective cohort study on 210 community-dwelling outpatients aged 65+ (mean age 81.2 yrs) consecutively referred to a geriatric clinic in Milan, Italy. At baseline participants underwent a comprehensive geriatric assessment including evaluation of overall QOL and HRQOL by means of the Older People's Quality of Life (OPQOL) questionnaire. At a one-year follow-up, between June and December 2010, we investigated nursing home placement and death in all 210 participants as well as any fall, any admission to the emergency department (ED), any hospitalisation and greater functional dependence among the subset of subjects still living at home.

Results
One year after the visit 187 subjects were still living at home (89%) while 7 had been placed in a nursing home (3.3%) and 16 had died (7.7%). At multiple logistic regression analyses the lowest score-based quartile of the OPQOL total score at baseline was independently associated with a greater risk of any fall and any ED admission. Also, the lowest score-based quartile of the health-related OPQOL sub-score was associated with a greater risk of any fall as well as of nursing home placement (odds ratio [OR] 10.03, 95% confidence interval [CI] 1.25-80.54, P = 0.030) and death (OR 4.23, 95% CI 1.06-16.81, P = 0.041). The correlation with the latter two health outcomes was found after correction for age, sex, education, income, living conditions, comorbidity, disability and the frailty syndrome.

Conclusions
In an older outpatient population in Italy the OPQOL total score and its health-related sub-score were independent predictors of several adverse health outcomes at one year. Notably, poor HRQOL predicted both nursing home placement and death even after correction for the frailty syndrome. These findings support and enhance the prognostic relevance of QOL measures.

Full text not available from this repository.

More information

Published date: 5 September 2011
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 337627
URI: https://eprints.soton.ac.uk/id/eprint/337627
ISSN: 1477-7525
PURE UUID: 8860cd0b-7937-44b4-871f-8f30748840c0

Catalogue record

Date deposited: 30 Apr 2012 15:16
Last modified: 16 Jul 2019 22:06

Export record

Altmetrics

Contributors

Author: Claudio Bilotta
Author: Ann Bowling
Author: Paola Nicolini
Author: Alessandra Casè
Author: Gloria Pina
Author: Silvia Rossi
Author: Carlo Vergani

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×