Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study

Health and Quality of Life Outcomes

Timo Hinrichs²  Ludger Pientka³  Anna Moschny⁴  Ulrike Trampisch¹  Renate Klaaßen-Mielke¹  Ulrich Thiem¹ 

[1] Department of Medical Informatics, Biometry and Epidemiology, University of Bochum, Bochum, Germany;Swiss Paraplegic Research, Nottwil, Switzerland;Department of Geriatrics, Marienhospital Herne, University of Bochum, Widumer Str. 8, Herne D-44627, Germany;Department of Sports Medicine and Sports Nutrition, University of Bochum, Bochum, Germany

关键词: Cross-sectional study;    Elderly;    EQ-5D;    Quality of life;    Multiple chronic diseases;    Fear of falling;    Accidental falls;    Falls;   

Others  :  821868
DOI  :  10.1186/1477-7525-12-2

 received in 2013-07-05, accepted in 2013-12-18,  发布年份 2014

【 摘 要 】

Background

Although recommended for use in studies investigating falls in the elderly, the European Quality of Life Group instrument, EQ-5D, has not been widely used to assess the impact of falls on quality of life. The aim of this study was to investigate the association of single and frequent falls with EQ-5D rated quality of life in a sample of German community-dwelling seniors in primary care suffering a variety of concurrent chronic diseases and conditions.

Methods

In a cross-sectional study, a sample of community-dwelling seniors aged ≥ 72 years was interviewed by means of a standardised telephone interview. According to the number of self-reported falls within twelve months prior to interview, participants were categorised into one of three fall categories: no fall vs. one fall vs. two or more falls within twelve months. EQ-5D values as well as other characteristics were compared across the fall categories. Adjustments for a variety of concurrent chronic diseases and conditions and further variables were made by using multiple linear regression analysis, with EQ-5D being the target variable.

Results

In total, 1,792 participants (median age 77 years; 53% female) were analysed. The EQ-5D differed between fall categories. Participants reporting no fall had a mean EQ-5D score of 81.1 (standard deviation [s.d.]: 15.4, median: 78.3), while participants reporting one fall (n = 265; 14.8%) and participants with two or more falls (n = 117; 6.5%) had mean total scores of 77.0 (s.d.: 15.8, median: 78.3; mean difference to participants without a fall: -4.1, p < 0.05) and 72.1 (s.d.: 17.6, median: 72.5; mean difference: -9.0, p < 0.05), respectively. The mean difference between participants with one fall and participants with two or more falls was -4.9 (p < 0.05). Under adjustment for a variety of chronic diseases and conditions, the mean decrease in the total EQ-5D score was about -1.0 score point for one fall and about -2.5 points for two or more falls within twelve months. In quantity, this decrease is comparable to other chronic diseases adjusted for. Among the variables with the greatest negative association with EQ-5D ratings in multivariate analysis were depression and fear of falling.

Conclusions

The findings suggest that falls are negatively associated with EQ-5D rated quality of life independent of a variety of chronic diseases and conditions.

【 授权许可】

   
2014 Thiem et al.; licensee BioMed Central Ltd.

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