Symptom trajectory and symptom burden in older people with multimorbidity, secondary outcome from the RCT AGe-FIT study
Eckerblad, Jeanette ; Theander, Kersti ; Ekdahl, Anne W LU
and Jaarsma, Tiny
(2016)
In Journal of Advanced Nursing
72(11).
p.2773-2783
- Abstract
AIM: The aim of this study was to follow the symptom trajectory of community-dwelling older people with multimorbidity and to explore the effect on symptom burden from an ambulatory geriatric care unit, based on comprehensive geriatric assessment.
BACKGROUND: Older community-dwelling people with multimorbidity suffer from a high symptom burden with a wide range of co-occurring symptoms often resulting to decreased health-related quality of life. There is a need to move from a single-disease model and address the complexity of older people living with multimorbidity.
DESIGN: Secondary outcome data from the randomized controlled Ambulatory Geriatric Assessment Frailty Intervention Trial (AGe-FIT).
METHODS: Symptom... (More)
AIM: The aim of this study was to follow the symptom trajectory of community-dwelling older people with multimorbidity and to explore the effect on symptom burden from an ambulatory geriatric care unit, based on comprehensive geriatric assessment.
BACKGROUND: Older community-dwelling people with multimorbidity suffer from a high symptom burden with a wide range of co-occurring symptoms often resulting to decreased health-related quality of life. There is a need to move from a single-disease model and address the complexity of older people living with multimorbidity.
DESIGN: Secondary outcome data from the randomized controlled Ambulatory Geriatric Assessment Frailty Intervention Trial (AGe-FIT).
METHODS: Symptom trajectory of 31 symptoms was assessed with the Memorial Symptom Assessment Scale. Data from 247 participants were assessments at baseline, 12 and 24 months, 2011-2013. Participants in the intervention group received care from an ambulatory geriatric care unit based on comprehensive geriatric assessment in addition to usual care.
RESULTS: Symptom prevalence and symptom burden were high and stayed high over time. Pain was the symptom with the highest prevalence and burden. Over the 2-year period 68-81% of the participants reported pain. Other highly prevalent and persistent symptoms were dry mouth, lack of energy and numbness/tingling in the hands/feet, affecting 38-59% of participants. No differences were found between the intervention and control group regarding prevalence, burden or trajectory of symptoms.
CONCLUSIONS: Older community-dwelling people with multimorbidity had a persistent high burden of symptoms. Receiving advanced interdisciplinary care at an ambulatory geriatric unit did not significantly reduce the prevalence or the burden of symptoms.
(Less)
- author
- Eckerblad, Jeanette
; Theander, Kersti
; Ekdahl, Anne W
LU
and Jaarsma, Tiny
- publishing date
- 2016-11
- type
- Contribution to journal
- publication status
- published
- keywords
- Journal Article
- in
- Journal of Advanced Nursing
- volume
- 72
- issue
- 11
- pages
- 11 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:27222059
- scopus:84990817522
- ISSN
- 0309-2402
- DOI
- 10.1111/jan.13032
- language
- English
- LU publication?
- no
- id
- 8dd25ee4-0c0a-448c-b782-247781c7045b
- date added to LUP
- 2017-04-30 15:02:05
- date last changed
- 2024-03-17 12:53:52
@article{8dd25ee4-0c0a-448c-b782-247781c7045b,
abstract = {{<p>AIM: The aim of this study was to follow the symptom trajectory of community-dwelling older people with multimorbidity and to explore the effect on symptom burden from an ambulatory geriatric care unit, based on comprehensive geriatric assessment.</p><p>BACKGROUND: Older community-dwelling people with multimorbidity suffer from a high symptom burden with a wide range of co-occurring symptoms often resulting to decreased health-related quality of life. There is a need to move from a single-disease model and address the complexity of older people living with multimorbidity.</p><p>DESIGN: Secondary outcome data from the randomized controlled Ambulatory Geriatric Assessment Frailty Intervention Trial (AGe-FIT).</p><p>METHODS: Symptom trajectory of 31 symptoms was assessed with the Memorial Symptom Assessment Scale. Data from 247 participants were assessments at baseline, 12 and 24 months, 2011-2013. Participants in the intervention group received care from an ambulatory geriatric care unit based on comprehensive geriatric assessment in addition to usual care.</p><p>RESULTS: Symptom prevalence and symptom burden were high and stayed high over time. Pain was the symptom with the highest prevalence and burden. Over the 2-year period 68-81% of the participants reported pain. Other highly prevalent and persistent symptoms were dry mouth, lack of energy and numbness/tingling in the hands/feet, affecting 38-59% of participants. No differences were found between the intervention and control group regarding prevalence, burden or trajectory of symptoms.</p><p>CONCLUSIONS: Older community-dwelling people with multimorbidity had a persistent high burden of symptoms. Receiving advanced interdisciplinary care at an ambulatory geriatric unit did not significantly reduce the prevalence or the burden of symptoms.</p>}},
author = {{Eckerblad, Jeanette and Theander, Kersti and Ekdahl, Anne W and Jaarsma, Tiny}},
issn = {{0309-2402}},
keywords = {{Journal Article}},
language = {{eng}},
number = {{11}},
pages = {{2773--2783}},
publisher = {{Wiley-Blackwell}},
series = {{Journal of Advanced Nursing}},
title = {{Symptom trajectory and symptom burden in older people with multimorbidity, secondary outcome from the RCT AGe-FIT study}},
url = {{http://dx.doi.org/10.1111/jan.13032}},
doi = {{10.1111/jan.13032}},
volume = {{72}},
year = {{2016}},
}