Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index

Azad, Akram; Mohammadi-Nezhad, Tayyebe; Taghizadeh, Ghorban; Lajevardi, Laleh

doi:10.18869/mjiri.31.30

Cited by 25 publications

(26 citation statements)

References 45 publications

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“…Trained nurses assessed disability and other geriatric conditions utilizing standardized instruments every year [ 7 ]. Disability was assessed according to a 7-item activity of daily living scale (ADL; bathing, continence, dressing, eating, toileting, transferring, and washing face and hands) [ 5 , 26 ], or a 10-item instrumental activity of daily living scale (IADL; food preparation, household chores, going out short distance, grooming, handling finances, laundry, managing own medications, shopping, transportation, and using a telephone) [ 5 , 27 , 28 ]. Disability was defined as being dependent in more than one domain in ADL and IADL.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

et al. 2020

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Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the patient was not in a hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5%; n = 617), a gradually-aggravated group (16.0%; n = 126), and a rapidly-deteriorated group (5.5%; n = 43). Results The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of female was 52.7%. It was found that 78.5% of patients showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

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Section: Methodsmentioning

confidence: 99%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

et al. 2020

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“…The quantitative variables were expressed as mean and standard deviation, and the categorical variables were described as absolute frequencies and percentages (11,12). Normality of the data was determined by means of the Shapiro-Francia test (13).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Determinants of Freezing of Gait Among Iranian Patients with Parkinson’s Disease

Habibi

Rahmani

Goudarzi

et al. 2020

J Adv Med Biomed Res

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10.30699/jambs.28.128.124 Background & Objective: Freezing of gait (FOG) is accompanied by various complications, reduced quality of life, and increased risk of mortality and morbidity in patients with Parkinson's disease. The incidence of this disabling phenomenon can be predicted in at least one-third of patients with Parkinson's disease. Therefore, the current study aimed to investigate the prevalence of FOG among Iranian patients with Parkinson's disease and to determine the predictors of this phenomenon in these patients. Materials & Methods: This cross-sectional study was performed on 135 patients with Parkinson's disease, referred to Rasoul Akram Hospital, Tehran, Iran. The subjects were selected using the convenience sampling method. FOG was confirmed via clinical examination by two fellows of the movement disorder fellowship program. Variables were evaluated using bivariate and multivariate logistic regression analyses, receiver operating characteristics (ROC) curve analysis, and measurement of the area under the ROC curve (AUC). Results: Out of 135 patients with Parkinson's disease, 36 (26.7%) had FOG. Based on the results, FOG had a significantly higher prevalence in older patients, compared to younger patients. According to the results, FOG had no significant relationship with other baseline variables, including gender, disease duration, and disease manifestations. According to the multivariate logistic regression model, advanced age (OR: 0.915; P=0.031) and longer disease duration (OR: 0.992; P=0.019) predicted the incidence of FOG in the presence of underlying factors. Conclusion: The prevalence of FOG among patients with Parkinson's disease was estimated at 26.7%, which is within the global range. The results revealed that age and duration of disease were two factors, which could predict the occurrence of FOG with high sensitivity and specificity.

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“…Disability was assessed according to a 7-item activity of daily living scale (ADL; bathing, continence, dressing, eating, toileting, transferring, and washing face and hands) [5,26], or a 10-item instrumental activity of daily living scale (IADL; food preparation, household chores, going out short distance, grooming, handling nances, laundry, managing own medications, shopping, transportation, and using a telephone) [5,27,28]. Disability was de ned as being dependent in more than one domain in ADL and IADL.…”

Section: Assessment Of Disabilitymentioning

confidence: 99%

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Kim

Lee

Seong

et al. 2020

Preprint

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Background Disability, which is considered a health-related condition, increases care demands and socioeconomic burdens for both families and communities. To confirm the trend of dynamic longitudinal changes in disability, this study aims to explore how disability is divided by the trajectory method, which deals with time-sequenced data. Additionally, this study examines the differences in demographics, geriatric conditions, and time spent at home among the trajectory groups in community-dwelling older adults. Home time is defined as the period during which the participant was not in a hospital or health care facility during their lifetime. Methods Records of 786 community-dwelling older participants were analyzed from the Aging Study of PyeongChang Rural Area, a population-based cohort study that took place over three years. Using 7 domains of activities of daily living and 10 domains of instrumental activities of daily living, participants were grouped into no dependency (0 disabled domain), mild (1 disabled domain), and severe (2 or more disabled domains) disability groups. The longitudinal trajectory group of disability was calculated as a trajectory method. Three distinct trajectory groups were calculated over time: a relatively-stable group (78.5 %; n=617), a gradually-aggravated group (16.0 %; n=126), and a rapidly-deteriorated group (5.5 %; n=43). Results The average age of 786 participants was 73.3 years (SD: 5.8), and the percentage of females was 52.7%. It was found that 78.5% of participants showed relatively no dependence and 5.5% of older adults in a rural area showed severe dependence. Through applying the trajectory method, it was shown that the Short Physical Performance Battery (SPPB) score was 10.2 points in the relatively-stable group and 3.1 points in the rapidly-deteriorating group by the 3 rd year. Additionally, by the trajectory method, the rate of decrease in home time was 3.33% in the rapidly-deteriorated group compared to the relatively-stable group. Conclusions This study shows the difference in demographics and geriatric conditions (such as SPPB) through the examination of longitudinal trajectory groups of disability in community-dwelling older adults. Significant differences were also found in the amount of home time among the trajectory groups.

show abstract

Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index

Cited by 25 publications

References 45 publications

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

The Prevalence and Determinants of Freezing of Gait Among Iranian Patients with Parkinson’s Disease

Longitudinal trajectory of disability in community-dwelling older adults: An observational cohort study in South Korea

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