scholarly journals Personality Characteristics Determine Health-Related Quality of Life as an Outcome Indicator of Geriatric Inpatient Rehabilitation

2008 ◽  
Vol 2008 ◽  
pp. 1-8 ◽  
Author(s):  
Jörg Richter ◽  
Martina Schwarz ◽  
Barbara Bauer

Background. The aim of the present study was to investigate the relationships between personality and quality of life during the course of geriatric rehabilitation, against the background of Cloninger's biosocial theory of personality.Methods. All consecutive patients of a geriatric rehabilitation clinic during one year were evaluated at admission and discharge () by means of the ‘‘Vienna List’’ (a newly developed questionnaire for the assessment of quality of life in patients with severe dementia), and two variants of the Temperament and Character Inventory.Results. Self-directedness showed the most general and highest impact on quality of life and successful rehabilitation.Conclusions. It is probable in old and very old individuals who are on their highest level of maturity that the character represents the most important regulatory system in the encounter with challenges of daily life, which necessitates rehabilitation.

2019 ◽  
Vol 59 (03) ◽  
pp. 160-167
Author(s):  
Stefan Bachmann ◽  
Nubio Pfaundler ◽  
Peter Oesch ◽  
Jan Pieter Kool

Abstract Background Little is known about the costs incurred over the 12 months before and after inpatient geriatric rehabilitation in Switzerland. Objectives To compare direct healthcare costs for elderly patients over a period of 12 months before and after inpatient rehabilitation and to determine predictive factors for costs after discharge. Design Retrospective and prospective cohort study. Patients and Methods Elderly patients referred for inpatient rehabilitation to the rehabilitation centre Walenstadtberg of Kliniken Valens, Switzerland, were included. Cost data were collected from healthcare insurance providers. Comparisons of costs before and after discharge from rehabilitation were performed. The effect of patient characteristics (Multimorbidity, Health-related quality of life, Age, Vulnerability, Independence in activities of daily living, Sex, and Mobility) on costs 12 months before and after rehabilitation was evaluated with regression analysis. Results A total of 210 patients were enrolled, and 136 completed the clinical follow-up. Seventy-five patients were included in the cost analysis. Total mean healthcare costs per person in the 12-month period before discharge were CHF 24 429, compared with CHF 18 154 in the 12-month period after discharge. After rehabilitation lower costs were reported for hospital admissions, while costs for drugs and therapy were significantly higher. Multimorbidity and health-related quality of life were predictors of costs before rehabilitation (adjusted R-square 0.183). Higher costs after rehabilitation were predicted by higher multimorbidity (adjusted R-square 0.09), lower independence in activities of daily living (adjusted R-square 0.04) and lower health-related quality of life (adjusted R-square 0.03). Conclusion The mean total costs before geriatric rehabilitation were significantly higher compared with the mean costs after discharge from geriatric rehabilitation. In particular, the mean costs for hospitalizations were lower after rehabilitation. Multimorbidity and lower health-related quality of life predicted higher costs before and after rehabilitation.


2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  

2017 ◽  
Vol 16 ◽  
pp. S154
Author(s):  
M. Van Horck ◽  
B. Winkens ◽  
G. Wesseling ◽  
K. de Winter-de Groot ◽  
I. De Vreede ◽  
...  

2017 ◽  
Vol 33 (9) ◽  
pp. 600-609 ◽  
Author(s):  
Markus U Wagenhäuser ◽  
Hellai Sadat ◽  
Philip Dueppers ◽  
Yvonne K Meyer-Janiszewski ◽  
Joshua M Spin ◽  
...  

Objective We assessed outcomes of open surgical venous thrombectomy with temporary arteriovenous fistula, and the procedure’s effect on health-related quality of life. Method We retrospectively analyzed 48 (26 at long-term) patient medical records. Mortality rates, patency, and risk of post-thrombotic syndrome were analyzed using Kaplan–Meier estimation. The association between risk factors/coagulation disorders and patency/post-thrombotic syndrome along with patient health-related quality of life at long-term was analyzed employing various statistical methods. Results Patient one-year survival rate was 93 ± 4% and primary one-year patency rate was 89 ± 5% (secondary one-year patency rate 97 ± 3%). Freedom from post-thrombotic syndrome after eight years was 80 ± 12% (post-thrombotic syndrome rate 20 ± 12%). Health-related quality of life was impaired vs. normative data in the physical and social subscales, and in the mental component score ( p < .05). Conclusions Open surgical venous thrombectomy appears safe compared with literature-reported outcomes in similar patients using alternative approaches. Iliofemoral deep vein thrombosis impairs physical, social, and mental health-related quality of life.


2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Sunde Berit ◽  
Lindblad Mats ◽  
Malmström Marlene ◽  
Hedberg Jakob ◽  
Lagergren Pernilla ◽  
...  

Abstract Aim The aim of this study is to describe and analyse patient reported HRQoL one year after the diagnosis of oesophageal and junctional carcinoma in an unselected cohort comprising both palliative and curative intent patients. Background & Methods Short and long-term health-related quality of life (HRQoL) has been extensively described in operated oesophageal cancer patients in several population-based studies. However, the knowledge of HRQoL in patients with palliative intent management is not well described, and further, documentation of HRQoL in curative intent patients treated with definitive chemoradiotherapy is also quite scarce. A nation-wide population-based cohort, of patients diagnosed between 2009 and 2016 collected in the Swedish National Registry for Esophageal and Gastric Cancer (NREV) with prospectively registered exposure data and Health-related quality of life (HRQoL) outcome data. Validated instruments from the European Organisation for Research and Treatment of Cancer QLQ-C30 and QLQ-OG25 were used, and data was analysed with means and adjusted mean differences. Results In patients alive one year after diagnosis, 1,156 responded to the HRQOL questionnaires and were included in the analyses. Both curative and palliative intent patients reported severe symptoms of problems in oesophageal specific domains. In the comparison between the curative and palliative intent groups, more prominent symptoms among palliative patients were detected regarding dysphagia (MD 11; 95% ci: 7-15) and anxiety (MD 10; 95% ci: 6 -15). Levels of anxiety were reported with high levels in all groups analysed and problems with dysphagia was also more common in patients treated with definitive chemoradiotherapy compared with surgically treated patients (MD 11; 95% ci: 4 -18) diagnosed in locally advanced disease stages. Conclusion One year after diagnosis high levels of anxiety were reported in all subgroups of oesophageal and junctional cancer patients, and problems with dysphagia are a major problem in the palliative intent subcohort and in patients treated with definitive chemoradiotherapy.


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