Table 1 ICHOM Standard Set Older Person outcome measures by value-based health status
From: First insights on value-based healthcare of elders using ICHOM older person standard set reporting
Data values show mean ± standard deviation or number (percent) | Entire cohort | Value-based health status | p | |
|---|---|---|---|---|
Low (< 8/10) | High (≥8/10) | |||
Number | 299 | 210 | 89 | |
ICHOM Standard Set Older Person Tier 1 | ||||
Clinical frailty scale | 2.7 ± 0.9 | 2.8 ± 1.0 | 2.3 ± 0.7 | < 0.001 |
Frail | 35 (11.7) | 35 (16.7) | 0 (0.0) | < 0.001 |
Preferred place of death chosen | 43 (14.4) | 25 (11.9) | 18 (20.2) | 0.061 |
Do Not Resuscitate signed | 21 (7.0) | 11 (5.2) | 10 (11.2) | 0.064 |
ICHOM Standard Set Older Person Tier 2 | ||||
Number of drugs | 3.6 ± 2.7 | 4.3 ± 2.7 | 2.0 ± 1.7 | < 0.001 |
Polypharmacy (≥5 concurrent drugs) | 95 (31.8) | 90 (42.8) | 5 (5.6) | < 0.001 |
Number of adverse drug events in past 12 months | 0.0 ± 0.1 | 0.0 ± 0.2 | 0.0 ± 0.0 | 0.180 |
Episodes of discomfort after medications in past 12 months | 0.0 ± 0.1 | 0.0 ± 0.2 | 0.0 ± 0.0 | 0.103 |
Fell in past 12 months | 51 (17.1) | 50 (23.8) | 1 (1.1) | < 0.001 |
Number of falls in past 12 months | 0.2 ± 0.6 | 0.3 ± 0.7 | 0.0 ± 0.1 | < 0.001 |
Hospital admissions in past 12 months | 0.2 ± 0.4 | 0.2 ± 0.5 | 0.1 ± 0.3 | 0.004 |
Length of hospital stay (days) | 1.1 ± 3.7 | 1.4 ± 4.3 | 0.5 ± 1.8 | 0.009 |
Able to cope with own health | 276 (92.3) | 187 (89.1) | 89 (100.0) | 0.001 |
Participate in care decision-making | 276 (92.3) | 188 (89.5) | 88 (98.9) | 0.006 |
Treated with dignity and respect | 289 (96.7) | 200 (95.2) | 89 (100.0) | 0.036 |
Received coordinated care | 270 (90.3) | 181 (86.2) | 89 (100.0) | < 0.001 |
Discharged to place of choice | 296 (99.0) | 207 (98.6) | 89 (100.0) | 0.257 |
Overall participation in decision-making | 4.7 ± 0.7 | 4.6 ± 0.9 | 5.0 ± 0.1 | < 0.001 |
High participation (≥5) | 244 (81.6) | 156 (74.3) | 88 (98.9) | < 0.001 |
ICHOM Standard Set Older Person Tier 3 | ||||
UCLA Loneliness Scale | 31.0 ± 10.0 | 33.4 ± 11.0 | 25.3 ± 3.0 | < 0.001 |
Loneliness | 80 (26.8) | 80 (38.1) | 0 (0.0) | < 0.001 |
Activities of daily living | 7.4 ± 1.4 | 7.2 ± 1.6 | 8.0 ± 0.3 | < 0.001 |
Any limitation of activities of daily living | 67 (22.4) | 66 (31.4) | 1 (1.1) | < 0.001 |
Walking speed (m/s) | 0.9 ± 0.3 | 0.8 ± 0.3 | 1.1 ± 0.2 | < 0.001 |
Slowness (6-m walk < 0.8 m/s) | 115 (38.5) | 114 (54.3) | 1 (1.1) | < 0.001 |
Moderate pain | 31 (10.4) | 30 (14.3) | 1 (1.1) | < 0.001 |
Depression | 39 (13.0) | 39 (18.6) | 0 (0.0) | < 0.001 |
Value-based healthcare score | 7.2 ± 1.8 | 6.5 ± 1.6 | 9.1 ± 0.3 | < 0.001 |
High value-based healthcare | 89 (29.8) | 0 | 89 (100) | < 0.001 |