Associations between health-related quality of life and physical function in older adults with or at risk of mobility disability after discharge from the hospital

Sylvia Sunde, Karin Hesseberg, Dawn A Skelton, Anette Hylen Ranhoff, Are Hugo Pripp, Marit Aarønæs, Therese Brovold, Sylvia Sunde, Karin Hesseberg, Dawn A Skelton, Anette Hylen Ranhoff, Are Hugo Pripp, Marit Aarønæs, Therese Brovold

Abstract

Purpose: To optimise the treatment for older adults after hospitalisation, thorough health status information is needed. Therefore, we aimed to investigate the associations between health-related quality of life (HRQOL) and physical function in older adults with or at risk of mobility disability after hospital discharge.

Methods: This cross-sectional study recruited 89 home-dwelling older people while inpatients within medical wards at a general hospital in Oslo, Norway. HRQOL [the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36)] and physical function [the Short Physical Performance Battery (SPPB)] were measured a median of 49 [interquartile range (IQR) 26-116] days after discharge. Simple linear regression analyses were conducted, and multivariable regression models were fitted.

Results: The mean age of the patients was 78.3 years; 43 (48.9 %) were females. Multivariable regressions showed positive associations between SPPB and the physical subscales {physical functioning [B (95% CI) 4.51 (2.35-6.68)], role physical [B (95% CI) 5.21 (2.75-7.67)], bodily pain [B (95% CI) 3.40 (0.73-6.10)] and general health [B (95% CI) 3.12 (1.13-5.12)]}. Univariable regressions showed no significant associations between SPPB and the mental subscales {vitality [B (95% CI) 1.54 (- 0.10-3.18)], social functioning [B (95% CI) 2.34 (- 0.28-4.96)], role emotional [B (95% CI) 1.28 (- 0.96-3.52)] and mental health [B (95% CI) 1.00 (- 0.37-2.36)]}.

Conclusion: The results reinforce that physical function and physical HRQOL are strongly linked, and interventions improving physical function might improve physical HRQOL. However, this hypothesis would have to be tested in a randomised controlled trial.

Trial registration: ClinicalTrials.gov. Registered 19 September 2016 (NCT02905383).

Keywords: Activities of daily living; Aged; Hospitalisation; Quality of life.

Conflict of interest statement

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

© 2021. The Author(s).

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