Frailty and Quality of Life After Cochlear Implantation in Older Adults

Objective To examine the relationship among frailty index, hearing measures, and hearing-related quality of life (QOL) in older recipients of cochlear implants. Study Design Cross-sectional survey. Setting Academic medical center. Methods Adults aged ≥65 years at the time of receiving cochlear implants between July 13, 2000, and April 3, 2019, were asked to complete a questionnaire on hearing-related QOL. Chart review was performed to identify patients’ characteristics. Correlations were calculated between frailty index and audiologic outcome measures as well as between speech recognition scores and QOL scores. Linear regression models were developed to examine the impact of clinical characteristics, frailty index, and hearing measures on hearing-related QOL. Results Data for 143 respondents were included. The mean age was 80.7 years (SD, 7.1), with a mean 27.8 years of hearing loss (SD, 17.4) before implantation. The mean frailty index was 11.1 (SD, 10.6), indicating that patients had 1 or 2 of the measured comorbidities on average. No correlation was found between lower frailty index (better health) and hearing scores, including pure tone averages (PTAs) and speech recognition scores. Lower frailty index and larger improvement in PTA after cochlear implantation predicted better QOL scores on univariate analysis (respectively, P = .002, β = −0.42 [95% CI, −0.68 to −0.16]; P = .008, β = −0.15 [95% CI, −0.26 to −0.04]) and multivariate analysis ( P = .047, β = −0.28 [95% CI, −0.55 to −0.01]; P = .006, β = −0.16 [95% CI, −0.28 to −0.05]). No speech recognition scores correlated with QOL after cochlear implantation. Conclusions Frailty index does not correlate with hearing scores after cochlear implantation in older adults. Lower frailty index and more improvement in PTA predict better QOL scores after cochlear implantation in older adults.

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The impact of cochlear implantation on health-related quality of life in older adults, measured with the Health Utilities Index Mark 2 and Mark 3

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06727-3 ◽

2021 ◽

Author(s):

Ellen Andries ◽

Annick Gilles ◽

Vedat Topsakal ◽

Olivier Vanderveken ◽

Paul Van de Heyning ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cochlear Implantation ◽

Health Related Quality ◽

Health Utilities Index ◽

Health Utilities ◽

Related Quality ◽

Health Related ◽

The Impact

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The Impact of Cochlear Implantation: Cognitive Function, Quality of Life, and Frailty in Older Adults

Seminars in Hearing ◽

10.1055/s-0041-1739367 ◽

2021 ◽

Vol 42 (04) ◽

pp. 342-351

Author(s):

Eric E. Babajanian ◽

Neil S. Patel ◽

Richard K. Gurgel

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cochlear Implantation ◽

Positive Impact ◽

Strong Association ◽

Complication Rates ◽

Life Outcomes ◽

The Impact ◽

The Relationship

AbstractThis review examines the relationship between cochlear implantation and cognition and quality of life in older adults, as well as how frailty affects outcomes for older patients with cochlear implants. A growing body of evidence suggests that there is a strong association between hearing loss and cognitive impairment. Preliminary studies suggest that cochlear implantation in older adults may be protective against cognitive decline. While studies have observed a positive impact of cochlear implantation on quality of life, currently it is unclear what factors contribute the most to improved quality of life. Frailty, as a measurement of general health, likely plays a role in complication rates and quality-of-life outcomes after cochlear implantation, though larger prospective studies are required to further elucidate this relationship.

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Quality Of Life and Associated Factors among Patients with Major Depression on Follow Up At Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

10.21203/rs.2.16048/v1 ◽

2019 ◽

Author(s):

dessalegn kiross enkoyee ◽

Dessie Abebaw Angaw ◽

Gdiom Gebreheat Abady ◽

Getnet Dessie Ayalew ◽

abriham zegeye wondiefraw

Keyword(s):

Quality Of Life ◽

Social Support ◽

Regression Analysis ◽

Depressive Symptoms ◽

Major Depression ◽

Univariate Analysis ◽

Specialized Hospital ◽

The Mean ◽

The Impact

Abstract Background: Patients suffering from major depression are reported to have poorer quality of life than both the general population and otherwise healthy persons with chronic diseases. The impact of major depression on quality of life is scarcely investigated in developing country.Methods : An institution based cross-sectional study was conducted from March 15 to April 16, 2017 at Amanuel Mental Specialized Hospital. 502 study participants were involved in the study. Quality of life was measured by a structured cross-cultural WHOQOL-BREF. Other tools utilized in this study were Montgomerry-Asberg depression rating scale, Oslo social support scale, and Jacoby perceived stigma scale. Multiple linear regression analysis was used to predict the effect of each factor on domains of quality of life.Result : The mean score QOL for each domain (mean± SD) was, for physical 43.5±11.9, for psychological 41.2±11.9, for social 40.7±10.6, and for environmental 41.3±9.6. Univariate analysis showed nearly half of the participants scored below the mean score quality of life (QOL). Multiple regression analysis depicted severity of depressive symptoms was strongly negatively correlated with all domains of QOL. It had predicted above 50% of the variability in each domain. Social support was also another strong predictor which was negatively correlated with all QOL domains, except environmental. It had explained above 60% of the variance in physical, and 43.3% for psychological and 44.8% for social domain.Conclusion: The results shows mean score QOL in each domain is lower compared to other studies, and even nearly half the participants are below the mean score QOL. Severity of depressive symptoms, social support, numbers of episodes in a year, duration on treatment, stigma, being single and rural residence are factors negatively correlated with at least one domain. Treating Major depression should follow a holistic approach and should aim in improving QOL. Keywords: Major Depressive Disorder , Quality of life, WHOQOL-BREF, Associated factor

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POS0515 FIBROMYALGIA IN MEXICAN PATIENTS WITH RHEUMATOID ARTHRITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1013 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 491.1-492

Author(s):

L. D. Fajardo Hermosillo

Keyword(s):

Quality Of Life ◽

Rheumatoid Arthritis ◽

Multivariate Analysis ◽

Disease Activity ◽

Functional Status ◽

Univariate Analysis ◽

The Mean ◽

The Impact ◽

Mexican Patients

Background:Rheumatoid Arthritis (RA) is a disabling chronic inflammatory disease that shows an unpredictable and severe clinical course [1]. Global assessment, functional status and disease activity of patients with RA can be influenced also by non-inflammatory factors as concomitant presence of fibromyalgia (FM) [1,2]. FM occur up to 20% in RA patients, who present chronic widespread pain, fatigue and cognitive symptoms that impacts achieving a complete disease remission, having more comorbidities, bearing a higher medical cost and finally exhibiting a worse quality of life [1,3,4]. Range of manifestations of FM varies according ethnical and cultural differences between patients [1]. Here is presented the impact of fibromyalgia in Mexican patients with RA.Objectives:To determinate the frequency and factors associated to fibromyalgia in Mexican RA patients.Methods:624 patients with RA that fulfilled ACR/EULAR 2010 criteria (≥18 years) from a Mexican population recruited from 2012 to 2020 were examined. Patients with or without presence of FM diagnosed by ACR 2010/2011 criteria were included. Demographic factors, clinical features, disease activity measured using DAS28 (Disease Activity Score 28-joint counts), functional status evaluated by HAQ (Health Assessment Questionnaire), comorbidities and pharmacologic treatments were explored for RA patients with and without FM. Charlson’s comorbidity index (CCI) was used to analyze comorbidities. Chi-square, Student´s-t, U Mann-Whitney tests were performed by univariate analysis and logistic regression was executed by multivariate analysis adjusted for age and gender. Statistical tests were conducted at 5% level of significance.Results:Of 624 patients with RA 88.8% were women. The mean age [standard deviation (SD)] was 55.0 (12.3) years. The mean of time at onset of RA (SD) was 11.2 (9.1) years. A total of 311(49.8%) patients had FM; of them 91.6% were women and the mean age (SD) was 54.5 (12.2) years. In the univariate analysis RA patients with FM were more likely to be older and smokers, have seropositive RA, higher body mass index and longer time at onset of RA, show worse functional status by HAQ and more radiographic progression, present more extra-articular and Sicca manifestations, exhibit increased demand of hip and knee arthroplasty, also reveal a higher frequency of comorbidities including depression, osteoporosis and type 2 diabetes mellitus, besides to use a greater number of disease-modifying anti-rheumatic drugs (DMARDs), more biologic agents and higher doses of corticosteroids. Also, CCI was higher in RA patients with FM. Nevertheless, no differences were found for RA disease activity in both groups. In multivariate analysis, higher score of CCI (OR 1.21, 95% CI 1.01–1.44, p=0.037) remained significant in RA patients with FM.Conclusion:This study suggests that RA patients from Mexico have high prevalence of the FM. Those with FM have a worse functional status, a higher frequency and score of comorbidities that impact in a reduction of their quality of life. On the other hand, no differences were found for RA disease activity in both groups. However, these observations must be confirmed in larger and prospective studies.References:[1]Zhao SS et al. Best Pract Res Clin Rheumatol. 2019;33(3):101423;[2]Duffield SJ et al. Rheumatology (Oxford). 2018;57(8):1453;[3]Kim H et al. Arthritis Care Res (Hoboken) 2017;69(12):1871;[4]Salaffi Fet al. Rheumatol Int. 2017;37(12):2035.Disclosure of Interests:None declared

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Fear of memory decline predicts lower quality of life and increased memory failures in older adults: Preliminary findings from a novel fear-avoidance of memory decline scale.

10.31234/osf.io/vugny ◽

2020 ◽

Author(s):

Francesca Farina ◽

Marc Patrick Bennett ◽

James William Griffith ◽

Bert Lenaert

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Memory Performance ◽

Fear Avoidance ◽

Subjective Memory ◽

Memory Decline ◽

General Anxiety ◽

Quality Of Life Scale ◽

The Impact

Evidence concerning the impact of fear of memory decline on health-related outcomes is limited. To determine the relationship between fear-avoidance of memory decline, quality of life and subjective memory in older adults using a novel scale to measure fear of memory decline. Sixty-seven older adults (59-81 years) completed a 23-item self-report questionnaire designed to capture experiential, cognitive and behavioral components of fear of memory decline, known as the fear and avoidance of memory decline (FAM) scale. Memory performance was assessed using the Wechsler Memory Scale (WMS-IV) and the Memory Failures Scale (MFS). General anxiety was assessed using the Depression, Anxiety and Stress Scales (DASS) and the Geriatric Anxiety Inventory (GAI). Quality of life was assessed using the Older Person’s Quality of Life scale (OPQOL-35). The FAM scale demonstrated good reliability and validity. Three latent factors were observed including: (1) fear-avoidance, (2) problematic beliefs and (3) resilience. After adjusting for age, education, memory performance and general anxiety, higher fear-avoidance predicted lower quality of life (p=.021) and increased memory failures (p=.022). Increased fear of memory decline predicts lower quality of life and subjective memory failures in healthy older adults. Based on these findings, we propose a preliminary fear-avoidance model that explains the development and maintenance of dementia-related functional disability in terms of psychological processes.

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Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents

BMC Oral Health ◽

10.1186/s12903-021-01396-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mina Pakkhesal ◽

Elham Riyahi ◽

AliAkbar Naghavi Alhosseini ◽

Parisa Amdjadi ◽

Nasser Behnampour

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Dental Caries ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Dmft Index ◽

The Mean ◽

The Impact

Abstract Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.

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Light Up Your Life! The Impact of Task Lighting on Visual Performance and Quality of Life in Older Adults

American Journal of Occupational Therapy ◽

10.5014/ajot.2021.75s2-po308 ◽

2021 ◽

Vol 75 (Supplement_2) ◽

pp. 7512515308p1

Author(s):

Martha Sanders ◽

Caila Frassetto ◽

Catherine Hill ◽

Kyeana Martone ◽

Niamh Butler

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Visual Performance ◽

Task Lighting ◽

The Impact

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Dermatoses in the hospital and their impact on quality of life

Our Dermatology Online ◽

10.7241/ourd.20214.28 ◽

2021 ◽

Vol 12 (4) ◽

pp. 462-463

Author(s):

Kaoutar Sof ◽

Soraya Aouali ◽

Sara Bensalem

Keyword(s):

Quality Of Life ◽

Alopecia Areata ◽

Drug Eruption ◽

Skin Tumors ◽

Severe Psoriasis ◽

Dermatology Department ◽

Verneuil’S Disease ◽

The Mean ◽

The Impact

Sir, Dermatological pathologies may be responsible for the creation of a real handicap, affecting the patient’s self-esteem and their professional and social life. The aim of this study was to assess the impact of diseases on the quality of life of patients hospitalized at the dermatology department. The following was a retrospective study that included patients over eighteen years of age, hospitalized at the dermatology department of Hospital Mohammed VI in Oujda from January 2018 through December 2019. The Arabic version of the validated DLQI was used for all patients [1]. A total of 294 patients were collected, with a mean age of 53.95 years and a male-to-female ratio of 0.85. The most frequent reasons for hospitalization were infectious dermo-hypodermitis (n = 51), autoimmune bullous dermatosis (n = 23), severe drug eruption (n = 20), genodermatosis (n = 17), melanocytic (n = 9) and non-melanocytic skin tumors (n = 17), severe psoriasis (n = 17), cutaneous lymphoma (n = 11), alopecia areata (n = 10), dermatomyositis (n = 8), and Verneuil’s disease (n = 5). The DLQI was impossible to calculate in eleven patients. The mean DLQI in all patients was 10.20, corresponding to a moderate effect on quality of life. The mean DLQI was as follows: Verneuil’s disease at 17.4, severe psoriasis at 16.6, dermatomyositis at 14.42, genodermatosis at 12.37, cutaneous lymphoma at 11.45, severe drug eruption at 11, alopecia areata at 10.5, AIBD at 9.67, skin tumors at 7.76, and infectious dermo-hypodermitis at 7.52. The DLQI was the first index measuring quality of life in dermatology and is still widely used today[2]. The number of publications concerning the impact of dermatological pathologies on quality of life has increased in recent years [3]. Our results showed that the DLQI was higher in patients with Verneuil’s disease, severe psoriasis, and dermatomyositis. These results agree with the data of the literature, many publications have shown that psoriasis seriously impaired the quality of life and was responsible of social anxiety in patients [4]. Verneuil’s disease is also responsible of a significant impairment on quality of life mainly due to the sexual disorders caused by this pathology [5]. Another study on dermatomyositis showed that there is a significant correlation between the severity of skin signs and the quality of life of patients [6]. Dermatological pathologies are distinguished from other pathologies by their displaying character, which is responsible for a significant impact on the patient’s quality of life. The management of dermatology patients requires psychological support in addition to conventional therapy. However, these pathologies are still not recognized as long-term illnesses in Morocco.

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The psychosocial benefits of providing non-kin childcare in older adults: A longitudinal study with older New Zealanders

10.26686/wgtn.12702854.v1 ◽

2020 ◽

Author(s):

Á Szabó ◽

Eva Neely ◽

C Stephens

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Longitudinal Study ◽

Well Being ◽

Grandparental Childcare ◽

Psychosocial Benefits ◽

The Impact ◽

Over Time ◽

New Zealanders

© The Author(s) 2019. Community grandparenting may promote the well-being of older adults. We examined the impact of non-kin and grandparental childcare on quality of life and loneliness using longitudinal data from 2653 older New Zealanders collected over 2 years. Providing both non-kin and grandparental childcare predicted greater self-realisation for women only and was associated with reduced levels of control and autonomy for men. Non-kin childcare was also associated with reduced social loneliness over time independent of gender. Findings suggest that non-kin grandparenting has psychosocial benefits for older adults. Surrogate grandparenting offers promising avenues for those without grandchildren to experience the benefits of grandparenting.

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