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11. Determinants of health-related quality of life in older patients after acute hospitalisation

Author

Parlevliet, J. L., Macneil-Vroomen, J. L., Judith Bosmans, Rooij, S. E., Buurman, B. M., Amsterdam Neuroscience, Other Research, Geriatrics, Amsterdam Public Health, Amsterdam Movement Sciences, Health Economics and Health Technology Assessment, and EMGO+ - Quality of Care

Abstract

To assess the association between demographics, comorbidity, geriatric conditions, and three health-related quality of life (HRQOL) outcomes one year after acute hospitalisation in older patients. A prospective cohort study conducted between 2006 and 2009 with one-year follow-up in 11 medical wards at two university hospitals and one teaching hospital in the Netherlands. Participants were 473 patients of 65 years and older, acutely hospitalised for more than 48 hours. Demographics, Charlson Comorbidity Index (CCI), and data on 18 geriatric conditions were collected at baseline. At baseline and 12 months post-admission, the EuroQol-5D was administered. Based on a population-derived valuation (Dutch EuroQol-5D tariff), utilities (range -0.38-1.00) were determined, which were used to calculate quality-adjusted life years (QALY) over one year (max QALY score 1). The EuroQol-5D visual analogue scale (VAS) (range 0-100) was also used. Linear regression analyses were performed to explore the association between the independent variables and the three HRQOL outcomes. CCI was most consistently significantly associated with HRQOL outcomes: Beta -0.05 (95% CI -0.06--0.03) for utility, -0.04 (95% CI -0.05-0.03) for QALY, -1.03 (95% CI -2.06-0.00) for VAS, p < 0.001, < 0.001, 0.05, respectively). Baseline utility was significantly associated with one-year utility (beta 0.25, 95% CI 0.11-0.39, p < 0.01) and QALY (beta 0.31, 95% CI 0.17-0.45, p < 0.001). The number of geriatric conditions at baseline was more strongly associated with one-year utility than any individual geriatric condition. Less comorbidity, better utility and less geriatric conditions at baseline were associated with better HRQOL one year after acute hospitalisation in older patients

Published
2014

12. Jeanne d'Arc bij Friedrich von Schiller

Author

Ester, J., Meijer, E., Vroomen, J. de, Meijer, E., and Vroomen, J. de

Subjects
Literatuur, cultuur, media
Abstract

Item does not contain fulltext

Published
2004

38. Sound enhances visual perception: cross-modal effects of auditory organization on vision

Author

Vroomen, J., de Gelder, B., and Cognitive Neuropsychology

Subjects
Behavioral Neuroscience, Random Allocation, Arts and Humanities (miscellaneous), Visual Perception, Humans, Experimental and Cognitive Psychology, Vision, Ocular
Abstract

Six experiments demonstrated cross-modal influences from the auditory modality on the visual modality at an early level of perceptual organization. Participants had to detect a visual target in a rapidly changing sequence of visual distractors. A high tone embedded in a sequence of low tones improved detection of a synchronously presented visual target (Experiment 1), but the effect disappeared when the high tone was presented before the target (Experiment 2). Rhythmically based or order-based anticipation was unlikely to account for the effect because the improvement was unaffected by whether there was jitter (Experiment 3) or a random number of distractors between successive targets (Experiment 4). The facilitatory effect was greatly reduced when the tone was less abrupt and part of a melody (Experiments 5 and 6). These results show that perceptual organization in the auditory modality can have an effect on perceptibility in the visual modality.

Published
2000

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