Functional changes during hospital stay in older patients admitted to an acute care ward

A multicenter observational study

Stefanie L. De Buyser, Mirko Petrovic, Youri E. Taes, Davide L. Vetrano, Andrea Corsonello, Stefano Volpato, Graziano Onder

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: Changes in physical performance during hospital stay have rarely been evaluated. In this study, we examined functional changes during hospital stay by assessing both physical performance and activities of daily living. Additionally, we investigated characteristics of older patients associated with meaningful in-hospital improvement in physical performance. Methods: The CRiteria to assess appropriate Medication use among Elderly complex patients project recruited 1123 patients aged ≥65 years, consecutively admitted to geriatric or internal medicine acute care wards of seven Italian hospitals. We analyzed data from 639 participating participants with a Mini Mental State Examination score ≥18/30. Physical performance was assessed by walking speed and grip strength, and functional status by activities of daily living at hospital admission and at discharge. Meaningful improvement was defined as a measured change of at least 1 standard deviation. Multivariable logistic regression models predicting meaningful improvement, included age, gender, type of admission (through emergency room or elective), and physical performance at admission. Results: Mean age of the study participants was 79 years (range 65-98), 52% were female. Overall, mean walking speed and grip strength performance improved during hospital stay (walking speed improvement: 0.04±0.20 m/s, p

Original languageEnglish
Article numbere96398
JournalPLoS One
Volume9
Issue number5
DOIs
Publication statusPublished - May 12 2014

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observational studies
Multicenter Studies
Observational Studies
Length of Stay
Hand Strength
Activities of Daily Living
Logistic Models
walking
Internal Medicine
Geriatrics
Hospital Emergency Service
Emergency rooms
Exercise
functional status
drug therapy
Walking Speed
Logistics
medicine
gender

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Functional changes during hospital stay in older patients admitted to an acute care ward : A multicenter observational study. / De Buyser, Stefanie L.; Petrovic, Mirko; Taes, Youri E.; Vetrano, Davide L.; Corsonello, Andrea; Volpato, Stefano; Onder, Graziano.

In: PLoS One, Vol. 9, No. 5, e96398, 12.05.2014.

Research output: Contribution to journalArticle

De Buyser, Stefanie L. ; Petrovic, Mirko ; Taes, Youri E. ; Vetrano, Davide L. ; Corsonello, Andrea ; Volpato, Stefano ; Onder, Graziano. / Functional changes during hospital stay in older patients admitted to an acute care ward : A multicenter observational study. In: PLoS One. 2014 ; Vol. 9, No. 5.
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