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[Functional deterioration secondary to hospitalization for an acute disease in the elderly. An analysis of its incidence and the associated risk factors].
Rev Clin Esp. 1999 Jul; 199(7):418-23.RC

Abstract

OBJECTIVE

To determine the incidence of functional impairment at hospital admission and after hospital discharge, and to identify those factors that could be predictors of such impairment in a cohort of elderly people with high level of independence in the basic activities of daily living (BADL).

DESIGN

Epidemiologic, longitudinal and prospective study.

SETTING

Acute unit in a geriatric department.

SUBJECTS

The follow-up population was made up by 150 subjects older than 65 years, admitted on account of acute medical conditions from December, 15th, 1995, to December, 15th, 1996, who were independent for walking and independent or with slight dependence for BADL. STUDY PARAMETERS: All patients were evaluated at 48 hours after admission and one month after discharge by means of a protocol including sociodemographic, clinical, attending, functional and mental parameters.

RESULTS

The incidence of functional impairment at hospital admission was 70.66%; such impairment persisted one month after discharge in 29.3% of subjects. The most involved activities related to motility. In the analysis of crude data, the following parameters showed association with functional impairment risk one month after discharge: female sex (OR: 2.5), sensorial organ pathology (OR: 2.6), hospital stay longer than 15 days (OR: 7.2), and Lawton Index score (3.8 +/- 2.6 in impaired patients vs. 4.9 +/- 2 in non-impaired patients; p < 0.01). Barthel Index score at admission lower than 60 (OR: 9.5), Cognitive Miniexam score lower than 28 (OR: 4.1), Informant Test score higher than 84 (OR: 2.5) and Geriatric Depression Scale score 9 (OR: 3.1). In the logistic regression model, the following parameters remained as predictors of impairment: sex (OR: 3.3), days of hospital stay (OR: 2.3) and Barthel Index score at admission (OR: 6.1) and Cognitive Miniexam score (OR: 2.7).

CONCLUSIONS

For our population, sex, hospital stay days, functional impairment in Barthel Index at admission and Cognitive Miniexam score parameters seem to behave as independent variables that can predict functional impairment risk for BADL one month after discharge. These parameters could be useful to select groups of elderly people with impairment risk, who could benefit from specialized interventions leading to prevent/decrease functional impairment secondary to acute disease and hospitalization.

Authors+Show Affiliations

Servicio de Geriatría, Hospital Monte Naranco, Oviedo.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

10481556

Citation

Gutiérrez Rodríguez, J, et al. "[Functional Deterioration Secondary to Hospitalization for an Acute Disease in the Elderly. an Analysis of Its Incidence and the Associated Risk Factors]." Revista Clinica Espanola, vol. 199, no. 7, 1999, pp. 418-23.
Gutiérrez Rodríguez J, Domínguez Rojas V, Solano Jaurrieta JJ. [Functional deterioration secondary to hospitalization for an acute disease in the elderly. An analysis of its incidence and the associated risk factors]. Rev Clin Esp. 1999;199(7):418-23.
Gutiérrez Rodríguez, J., Domínguez Rojas, V., & Solano Jaurrieta, J. J. (1999). [Functional deterioration secondary to hospitalization for an acute disease in the elderly. An analysis of its incidence and the associated risk factors]. Revista Clinica Espanola, 199(7), 418-23.
Gutiérrez Rodríguez J, Domínguez Rojas V, Solano Jaurrieta JJ. [Functional Deterioration Secondary to Hospitalization for an Acute Disease in the Elderly. an Analysis of Its Incidence and the Associated Risk Factors]. Rev Clin Esp. 1999;199(7):418-23. PubMed PMID: 10481556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Functional deterioration secondary to hospitalization for an acute disease in the elderly. An analysis of its incidence and the associated risk factors]. AU - Gutiérrez Rodríguez,J, AU - Domínguez Rojas,V, AU - Solano Jaurrieta,J J, PY - 1999/9/11/pubmed PY - 1999/9/11/medline PY - 1999/9/11/entrez SP - 418 EP - 23 JF - Revista clinica espanola JO - Rev Clin Esp VL - 199 IS - 7 N2 - OBJECTIVE: To determine the incidence of functional impairment at hospital admission and after hospital discharge, and to identify those factors that could be predictors of such impairment in a cohort of elderly people with high level of independence in the basic activities of daily living (BADL). DESIGN: Epidemiologic, longitudinal and prospective study. SETTING: Acute unit in a geriatric department. SUBJECTS: The follow-up population was made up by 150 subjects older than 65 years, admitted on account of acute medical conditions from December, 15th, 1995, to December, 15th, 1996, who were independent for walking and independent or with slight dependence for BADL. STUDY PARAMETERS: All patients were evaluated at 48 hours after admission and one month after discharge by means of a protocol including sociodemographic, clinical, attending, functional and mental parameters. RESULTS: The incidence of functional impairment at hospital admission was 70.66%; such impairment persisted one month after discharge in 29.3% of subjects. The most involved activities related to motility. In the analysis of crude data, the following parameters showed association with functional impairment risk one month after discharge: female sex (OR: 2.5), sensorial organ pathology (OR: 2.6), hospital stay longer than 15 days (OR: 7.2), and Lawton Index score (3.8 +/- 2.6 in impaired patients vs. 4.9 +/- 2 in non-impaired patients; p < 0.01). Barthel Index score at admission lower than 60 (OR: 9.5), Cognitive Miniexam score lower than 28 (OR: 4.1), Informant Test score higher than 84 (OR: 2.5) and Geriatric Depression Scale score 9 (OR: 3.1). In the logistic regression model, the following parameters remained as predictors of impairment: sex (OR: 3.3), days of hospital stay (OR: 2.3) and Barthel Index score at admission (OR: 6.1) and Cognitive Miniexam score (OR: 2.7). CONCLUSIONS: For our population, sex, hospital stay days, functional impairment in Barthel Index at admission and Cognitive Miniexam score parameters seem to behave as independent variables that can predict functional impairment risk for BADL one month after discharge. These parameters could be useful to select groups of elderly people with impairment risk, who could benefit from specialized interventions leading to prevent/decrease functional impairment secondary to acute disease and hospitalization. SN - 0014-2565 UR - https://www.unboundmedicine.com/medline/citation/10481556/[Functional_deterioration_secondary_to_hospitalization_for_an_acute_disease_in_the_elderly__An_analysis_of_its_incidence_and_the_associated_risk_factors]_ DB - PRIME DP - Unbound Medicine ER -