Back to Search
Start Over
Health related quality of life in patients with community-acquired pneumococcal pneumonia in France
- Source :
- Health and Quality of Life Outcomes, Health and Quality of Life Outcomes, BioMed Central, 2018, 16 (1), ⟨10.1186/s12955-018-0854-6⟩, Health and Quality of Life Outcomes, Vol 16, Iss 1, Pp 1-14 (2018)
- Publication Year :
- 2018
- Publisher :
- HAL CCSD, 2018.
-
Abstract
- Background Community Acquired Pneumococcal Pneumonia is a lung infection that causes serious health problems and can lead to complications and death. The aim of this study was to observe and analyze health related quality of life after a hospital episode for patients with community acquired pneumococcal pneumonia in France. Methods A total of 524 individuals were enrolled prospectively in the study and were followed for 12 months after hospital discharge. Presence of streptococcus pneumoniae was confirmed by microbiological sampling. Quality of life was reported at four different points of time with the EQ-5D-3 L health states using the French reference tariff. Complete data on all four periods was available for 269 patients. We used descriptive and econometric analysis to assess quality of life over time during follow-up, and to identify factors that impact the utility indexes and their evolution through time. We used Tobit panel data estimators to deal with the bounded nature of utility values. Results Average age of patients was 63 and 55% of patients were men. Negative predictors of quality of life were the severity of the initial event, history of pneumonia, smokers, age and being male. On average, quality of life improved in the first 6 months after discharge and stabilized beyond. At month 1, mean utility index was 0.53 (SD: 0.34) for men and 0.45 (SD: 0.34) for women, versus mean of 0.69 (SD: 0.33) and 0.70 (SD: 0.35) at Month 12. “Usual activities” was the dimension the most impacted by the disease episode. Utilities for men were significantly higher than for women, although male patients were more severe. Individuals over 85 years old did not improve quality of life during follow-up, and quality of life did not improve or deteriorated for 34% of patients. We found that length of hospital stay was negatively correlated with quality of life immediately after discharge. Conclusion This study provides with evidence that quality of life after an episode of community acquired pneumococcal pneumonia improves overall until the sixth month after hospital discharge, but older patients with previous history of pneumonia may not experience health gains after the initial episode.
- Subjects :
- Male
Time Factors
Lung infection
[SDV]Life Sciences [q-bio]
Severity of Illness Index
Health problems
0302 clinical medicine
Surveys and Questionnaires
Activities of Daily Living
Prospective Studies
030212 general & internal medicine
Aged, 80 and over
030503 health policy & services
Age Factors
General Medicine
Middle Aged
CAP
3. Good health
Community-Acquired Infections
Pneumococcal pneumonia
lcsh:R858-859.7
Female
France
0305 other medical science
Adult
Quality of life
medicine.medical_specialty
lcsh:Computer applications to medicine. Medical informatics
Young Adult
03 medical and health sciences
Quality of life (healthcare)
EQ-5D
medicine
Humans
In patient
Intensive care medicine
Aged
Health related quality of life
business.industry
Research
Public Health, Environmental and Occupational Health
Pneumonia
Length of Stay
Pneumonia, Pneumococcal
medicine.disease
respiratory tract diseases
Tobit model
business
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Subjects
Details
- Language :
- French
- ISSN :
- 14777525
- Database :
- OpenAIRE
- Journal :
- Health and Quality of Life Outcomes, Health and Quality of Life Outcomes, BioMed Central, 2018, 16 (1), ⟨10.1186/s12955-018-0854-6⟩, Health and Quality of Life Outcomes, Vol 16, Iss 1, Pp 1-14 (2018)
- Accession number :
- edsair.doi.dedup.....9493673b366a9d02897c4bde19d6e491