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

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Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam
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Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Institute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 100000, Vietnam
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Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
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Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
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Centre of Excellence in Artificial Intelligence in Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
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Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
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Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
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Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(19), 3623; https://doi.org/10.3390/ijerph16193623
Received: 30 August 2019 / Revised: 16 September 2019 / Accepted: 18 September 2019 / Published: 27 September 2019
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. View Full-Text
Keywords: health-related quality of life; comorbidity; fall; older; Vietnam health-related quality of life; comorbidity; fall; older; Vietnam
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Vu, H.M.; Nguyen, L.H.; Tran, T.H.; Pham, K.T.H.; Phan, H.T.; Nguyen, H.N.; Tran, B.X.; Latkin, C.A.; Ho, C.S.; Ho, R.C. Effects of Chronic Comorbidities on the Health-Related Quality of Life among Older Patients after Falls in Vietnamese Hospitals. Int. J. Environ. Res. Public Health 2019, 16, 3623.

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