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Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination : An Observational Prospective Study in a GEM Ward
المؤلفون المشاركون
Inderjeeth, Charles A.
Ingram, Katharine
Raymond, Warren
Kawryshanker, Sujatha
المصدر
Current Gerontology and Geriatrics Research
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-02-17
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
A geriatric evaluation and management unit (GEM) manages elderly inpatients with functional impairments.
There is a paucity of literature on frailty and whether this impacts on rehabilitation outcomes.
Objectives.
To examine frailty score (FS) as a predictor of functional gain, resource utilisation, and destinations for GEM patients.
Methods.
A single centre prospective case study design.
Participants (n=136) were ≥65 years old and admitted to a tertiary hospital GEM.
Five patients were excluded by the preset exclusion criteria, that is, medically unstable, severe dementia or communication difficulties after stroke.
Core data included demographics, frailty score (FS), and functional independence.
Results.
The mean functional improvement (FIM) from admission to discharge was 11.26 (95% CI 8.87, 13.66; P<0.001).
Discharge FIM was positively correlated with admission FIM (β=0.748; P<0.001) and negatively correlated with frailty score (β=−1.151; P=0.014).
The majority of the patients were in the “frail” group.
“Frail” and “severely frail” subgroups improved more on mean FIM scores at discharge, relative to that experienced by the “pre-frail” group.
Conclusion.
All patients experienced functional improvement.
Frailer patients improved more on their FIM and improved relatively more than their prefrail counterparts.
Higher frailty correlated with reduced independence and greater resource utilisation.
This study demonstrates that FS could be a prognostic indicator of physical independence and resource utilisation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kawryshanker, Sujatha& Raymond, Warren& Ingram, Katharine& Inderjeeth, Charles A.. 2014. Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination : An Observational Prospective Study in a GEM Ward. Current Gerontology and Geriatrics Research،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-465552
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kawryshanker, Sujatha…[et al.]. Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination : An Observational Prospective Study in a GEM Ward. Current Gerontology and Geriatrics Research No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-465552
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kawryshanker, Sujatha& Raymond, Warren& Ingram, Katharine& Inderjeeth, Charles A.. Effect of Frailty on Functional Gain, Resource Utilisation, and Discharge Destination : An Observational Prospective Study in a GEM Ward. Current Gerontology and Geriatrics Research. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-465552
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-465552
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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