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Quality of Life Research
Published in: Quality of Life Research 1/2010

Open Access 01-02-2010

Health status utilities and the impact of pressure ulcers in long-term care residents in Ontario

Authors: Hla-Hla Thein, Tara Gomes, Murray D. Krahn, Walter P. Wodchis

Published in: Quality of Life Research | Issue 1/2010

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Abstract

Purpose

To estimate health status utilities in long-term care (LTC) residents in Ontario, both with and without pressure ulcers (PUs), and to determine the impact of PU on health-related quality of life (HRQOL).

Methods

A retrospective population-based study was carried out using Minimum Data Set (MDS) health assessment data among all residents in 89 LTC homes in Ontario who had a full MDS assessment between May 2004 and November 2007. The Minimum Data Set-Health Status Index (MDS-HSI) was used to measure HRQOL. A stepwise regression was used to determine the impact of PU on MDS-HSI scores.

Results

A total of 1,498 (9%) of 16,531 LTC residents had at least one stage II PU or higher. The mean ± SD MDS-HSI scores of LTC residents without PU and those with PU were 0.36 ± 0.17 and 0.26 ± 0.13, respectively (p < 0.001). Factors associated with lower MDS-HSI scores included: older age; being female; having a PU; recent hip fracture; multiple comorbid conditions; bedfast; incontinence; Changes in Health, End-stage disease and Symptoms and Signs; clinically important depression; treated with a turning/repositioning program; taking antipsychotic medications; and use of restraints.

Conclusions

LTC residents with PU had slightly though statistically significantly lower HRQOL than those without PU. Comorbidity contributed substantially to the low HRQOL in these populations. Community-weighted MDS-HSI utilities for LTC residents are useful for cost-effectiveness analyses and help guide health policy development.
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Metadata
Title
Health status utilities and the impact of pressure ulcers in long-term care residents in Ontario
Authors
Hla-Hla Thein
Tara Gomes
Murray D. Krahn
Walter P. Wodchis
Publication date
01-02-2010
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 1/2010
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9563-2

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