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Effects of Chronic Comorbidities on the Health-Related Quality of Life among Older Patients after Falls in Vietnamese Hospitals

Author

Listed:
  • Hai Minh Vu

    (Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam)

  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Tung Hoang Tran

    (Institute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 100000, Vietnam)

  • Kiet Tuan Huy Pham

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam)

  • Hai Thanh Phan

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam)

  • Hieu Ngoc Nguyen

    (Centre of Excellence in Artificial Intelligence in Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Carl A. Latkin

    (Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Cyrus S.H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

  • Roger C.M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
    Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore)

Abstract

Although comorbidities are prevalent in older people experiencing falls, there is a lack of studies examining their influence on health-related quality of life (HRQOL) in this population. This study examines the prevalence of comorbidities and associations between comorbidities and HRQOL in older patients after falls in Vietnamese hospitals. A cross-sectional design was employed among 405 older patients admitted to seven hospitals due to fall injuries in Thai Binh province, Vietnam. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) was used to measure HRQOL. Socio-demographic characteristics were collected using a structured questionnaire, while comorbidities and other clinical characteristics were examined by physicians and extracted from medical records. Multivariate Tobit regression was used to determine the associations between comorbidities and HRQOL. Among 405 patients, 75.6% had comorbidities, of which hypertension and osteoarthritis were the most common. Lumbar spine/cervical spine diseases (Coefficient (Coef.) = −0.10; 95%CI = −0.18; 0.03) and stroke (Coef. = −0.36; 95%CI = −0.61; −0.10) were found to be associated with a significantly decreased EQ-5D index. Participants with three comorbidities had EQ-5D indexes 0.20 points lower (Coef. = −0.20; 95%CI = −0.31; −0.09) in comparison with those without comorbidities. This study underlined a significantly high proportion of comorbidities in older patients hospitalized due to fall injuries in Vietnam. In addition, the existence of comorbidities was associated with deteriorating HRQOL. Frequent monitoring and screening comorbidities are critical to determining which individuals are most in need of HRQOL enhancement.

Suggested Citation

  • Hai Minh Vu & Long Hoang Nguyen & Tung Hoang Tran & Kiet Tuan Huy Pham & Hai Thanh Phan & Hieu Ngoc Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S.H. Ho & Roger C.M. Ho, 2019. "Effects of Chronic Comorbidities on the Health-Related Quality of Life among Older Patients after Falls in Vietnamese Hospitals," IJERPH, MDPI, vol. 16(19), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3623-:d:271238
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    References listed on IDEAS

    as
    1. Sau Huu Nguyen & Long Hoang Nguyen & Giang Thu Vu & Cuong Tat Nguyen & Thu Hoai Thi Le & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger C. M. Ho, 2019. "Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(3), pages 1-10, January.
    2. Huong Van Nguyen & Tung Thanh Tran & Cuong Tat Nguyen & Tung Hoang Tran & Bach Xuan Tran & Carl A. Latkin & Cyrus S.H. Ho & Roger C.M. Ho, 2019. "Impact of Comorbid Chronic Conditions to Quality of Life among Elderly Patients with Diabetes Mellitus in Vietnam," IJERPH, MDPI, vol. 16(4), pages 1-11, February.
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    Cited by:

    1. Alba Aza & Miguel Á. Verdugo & María Begoña Orgaz & Antonio M. Amor & María Fernández, 2021. "Predictive Factors of Self-Reported Quality of Life in Acquired Brain Injury: One-Year Follow-Up," IJERPH, MDPI, vol. 18(3), pages 1-19, January.
    2. Concepción Soto-Vidal & Soraya Pacheco-da-Costa & Victoria Calvo-Fuente & Sara Fernández-Guinea & Carlos González-Alted & Tomás Gallego-Izquierdo, 2020. "Validation of the Spanish Version of Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL)," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    3. Long Hoang Nguyen & Giang Thu Vu & Giang Hai Ha & Cuong Tat Nguyen & Hai Minh Vu & Tien Quoc Nguyen & Tung Hoang Tran & Kiet Tuan Huy Pham & Carl A. Latkin & Bach Xuan Tran & Roger C.M. Ho & Cyrus S.H, 2020. "Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life," IJERPH, MDPI, vol. 17(7), pages 1-12, April.

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