Aspects of cognitive status as predictors of mobility following geriatric rehabilitation

Patrick, Louise; Leber, M.

doi:10.1007/bf03339589

Cited by 22 publications

(15 citation statements)

References 8 publications

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“…Most rehabilitation studies have focussed on age and other demographic variables, mental status, functional status at admission, and mood as predictors of treatment outcome 2 . Despite some mixed results, overall, these variables have been found to be significant predictors 3,4 . However, they jointly account for only a small portion of the variance 3 .…”

Section: Participantsmentioning

confidence: 88%

Medical Comorbidity and Rehabilitation Efficiency in Geriatric Inpatients

Patrick¹,

Knoefel²,

Gaskowski³

et al. 2001

J American Geriatrics Society

138

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Medical comorbidity was a significant predictor of rehabilitation efficiency in geriatric patients. Comorbidity scores >5 were prognostic of poorer rehabilitation outcomes and can serve as an empirical guide in estimating a patient's suitability for rehabilitation. Medical comorbidity predicted both the overall functional change achieved with retabilitation (Functional Independence Measure gains) and the rate at with which those gains were reached (rehabilitation efficiency ratio).

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Section: Participantsmentioning

confidence: 88%

Medical Comorbidity and Rehabilitation Efficiency in Geriatric Inpatients

Patrick¹,

Knoefel²,

Gaskowski³

et al. 2001

J American Geriatrics Society

138

View full text Add to dashboard Cite

show abstract

“…These patients with CI are more prone than other hip fracture patients to delirium (Inouye and Charpentier, 1996), longer lengths of acute hospital stays (Wells et al, 2004), and mortality (Koot et al, 2000). A literature review of 21 studies from eight countries reported that hip fracture patients with CI can benefit from participating in rehabilitation targeted at improving self-care and motor function (Magaziner et al, 1990;Cummings et al, 1996;Patrick et al, 1996;Goldstein et al, 1997;Heruti et al, 1999;Naglie et al, 2002;Adunsky et al, 2002;Hoenig et al, 2002;Gruber-Baldini et al, 2003;Barnes et al, 2004;Lenze et al, 2004;Rolland et al, 2004;Arinzon et al, 2005;Haentjens et al, 2005;Shyu et al, 2005;Bitsch et al, 2006;GTA Rehab Network, 2006;Lieberman et al, 2006;Moncada et al, 2006;Wells et al, 2006;Yu et al, 2006).…”

Section: Rehabilitation Of Patients With CI Following Hip Fracturementioning

confidence: 99%

“…Outcomes related to patients' functioning include improvement in patients' mobility level during inpatient rehabilitation (Patrick et al, 1996;Heruti et al, 1999) and a return to pre-fracture functional status (Wells et al, 2004;Shabat et al, 2005). HCPs' secondary goal is to discharge patients back to their previous environment (Wells et al, 2004).…”

Section: Patient Outcomesmentioning

confidence: 99%

“…These include the following: age (Arinzon et al, 2005); sex (Rolland et al, 2004); pre-fracture cognitive function (Gruber-Baldini et al, 2003); pre-fracture functional status (Cummings et al, 1996;Naglie et al, 2002;Moncada et al, 2006); medical co-morbidities (Patrick et al, 1996(Patrick et al, , 2002; pre-fracture frailty (Arinzon et al, 2005); sensory (hearing and vision) impairment (Rolland et al, 2004); nutritional status (Lieberman et al, 2006); social support (Beaupre et al, 2005); depression (Goldstein et al, 1997;Lenze et al, 2004;Shyu et al, 2005); and delirium or incident CI (Adunsky et al, 2002;Gruber-Baldini et al, 2003;Bitsch et al, 2006).…”

Section: Patient Characteristicsmentioning

confidence: 99%

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Outcomes for older adults in an inpatient rehabilitation facility following hip fracture (HF) surgery

McGilton

Mahomed

Davis

et al. 2009

Archives of Gerontology and Geriatrics

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The purpose of the study was to evaluate patient and system outcomes regarding older community-residing adults who participated in a rehabilitation program following hip fracture surgery. The health care professionals on the rehabilitation unit in this feasibility study had never cared for such patients who were so frail, with multiple co-morbidities including cognitive impairment (CI). After an innovative model of care was developed and the staff trained in the novel approach to care, the unit opened for all clients living within the community who had fractured their hip, regardless of their cognitive impairment. Of the 31 elderly patients consecutively admitted post hip fracture in this retrospective study, 18were found to have CI postoperatively as determined by a Mini-Mental State Examination score < 23. There were no difference in length of stay, rehabilitation efficiency, and motor FIM gain scores between the two groups of patients. This feasibility retrospective study study suggests that staff can learn how to care for clients with cognitive impairment in rehabilitation settings, and that such clients can achieve outcomes comparable to those without CI in a setting dedicated to caring for patients with a hip fracture.1

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“…In a prospective study by Patrick et al (1996), the researchers demonstrated that the degree of cognitive impairment was relevant, with proven functional improvement in those patients with mild or moderate impairment only. 37 This study also suggested that functional gains in these patients may not have been maintained over time when compared to their cognitively intact counterparts.…”

Section: Studies Showing Less Favourable Outcomes For the Cognitivelymentioning

confidence: 99%

Do cognitively impaired patients benefit from rehabilitation?

Poynter

Kwan

Sayer

et al. 2008

Rev. Clin. Gerontol.

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Rehabilitation in broad terms is a process aimed at restoring a person's functional capacity particularly in relation to activities of daily living. Studies have shown that hospitalization of older patients is a major risk factor for an often irreversible decline in function, and that functional decline from baseline occurs as early as day two of admission. Rehabilitation is therefore often required for older patients following an admission to an acute hospital. Older patients admitted for rehabilitation are more likely to be functionally impaired and are more medically complex than younger patients.

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Aspects of cognitive status as predictors of mobility following geriatric rehabilitation

Cited by 22 publications

References 8 publications

Medical Comorbidity and Rehabilitation Efficiency in Geriatric Inpatients

Medical Comorbidity and Rehabilitation Efficiency in Geriatric Inpatients

Outcomes for older adults in an inpatient rehabilitation facility following hip fracture (HF) surgery

Do cognitively impaired patients benefit from rehabilitation?

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