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Quality of life in older individuals with joint contractures in geriatric care settings

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Abstract

Purpose

The purpose of this study was to analyze the association between functioning and disability and quality of life (QoL) in older individuals with joint contractures in the geriatric care setting. More specifically, this study aimed to identify determinants of QoL out of a defined set of contracture-related categories of the International Classification of Functioning, Disability and Health (ICF).

Methods

Participants for this multicenter cross-sectional survey were recruited from acute geriatric rehabilitation hospitals, nursing homes, and community nursing facilities in Germany between February and October 2013. QoL was assessed using the validated German version of the EQ-5D index score and the EQ-5D visual analog scale (VAS). Manual and automatic variable selection methods were used to identify the most relevant variables out of 125 contracture-related ICF categories.

Results

A total of 241 eligible participants (34.9 % male, mean age 80.1 years) were included. The final models contained 14 ICF categories as predictors of the EQ-5D index score and 15 categories as predictors of the EQ-5D VAS. The statistically significant ICF categories from both models were ‘muscle power functions (b730),’ ‘memory functions (b144),’ ‘taking care of plants (d6505),’ ‘recreation and leisure (d920),’ ‘religion and spirituality (d930),’ ‘drugs (e1101),’ and ‘products and technology for personal use in daily living (e115).’

Conclusions

We identified the most relevant ICF categories for older individuals with joint contractures and their health-related quality of life. These items describe potential determinants of QoL which may provide the basis for future health interventions aiming to improve QoL for the patients with joint contractures.

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Acknowledgments

We would like to express our gratitude to the participants of the survey.

Author information

Authors and Affiliations

  1. Institute for Medical Information Processing, Biometrics and Epidemiology, Ludwig-Maximilians-Universität München, Marchioninistraße 17, 81377, Munich, Germany

    Marco Heise, Martin Müller, Uli Fischer & Eva Grill

  2. German Center for Vertigo and Balance Disorders (DSGZ), Ludwig-Maximilians-Universität München, Munich, Germany

    Martin Müller & Eva Grill

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  1. Marco Heise
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  2. Martin Müller
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Correspondence to Marco Heise.

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Conflict of interest

The authors declare that they have no conflicts of interest. This project was funded by the German Federal Ministry of Education and Research under the Grant Codes: 01GY1113A and 01GY1113B. The authors bear full responsibility for the content of this publication.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional and/or National Research Committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Heise, M., Müller, M., Fischer, U. et al. Quality of life in older individuals with joint contractures in geriatric care settings. Qual Life Res 25, 2269–2281 (2016). https://doi.org/10.1007/s11136-016-1262-1

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