DEMMI Scores, Length of Stay, and 30-Day Readmission of Acute Geriatric Patients in Denmark: A Cross-Sectional Observational Study with Longitudinal Follow-Up

Abstract

The aims of this study are to describe the mobility of acute geriatric patients, the length of stay, and to characterise patients who were readmitted within 30 days based on the De Morton Mobility Index (DEMMI). A cross-sectional observational study with longitudinal follow-up was conducted in the period from 1 March 2016 to 31 August 2016. Inclusion criteria were acute geriatric patients hospitalised for a minimum of 24 h. Of the 418 patients hospitalised during the study period, 246 (59%) participated in this study (44% male, median age 83 years [70; 94]). For patients in an acute geriatric department, the median DEMMI score was 41 and the mean score was 39.95. Patients with a DEMMI score ≤40 show a significantly lower Barthel 100 index, lower 30 s. sit-to-stand scores and were significantly more likely to be bedridden or, amongst those not bedridden, to use a mobility aid. Lower DEMMI scores were associated with longer admissions. DEMMI seems to have the ability to predict discharge within one week. There was no significant association between a lower DEMMI score and higher risk for 30-day readmission. Further research is needed to determine whether the DEMMI is suitable for identifying the patient’s need for further rehabilitation following the discharge.

Effect of goal-directed mobilisation intervention compared with standard care on physical activity among medical inpatients: protocol for the GoMob-in randomised controlled trial

“…We will perform subgroup analysis for age groups <65 years vs ≥65 years, initial performance in physical activity (DEMMI≤40 vs DEMMI>40), and prehospital mobility (no mobility aid vs prehospital use of mobility aid) because previous studies showed that older age categories had significantly lower mean DEMMI scores, 46 and lower Barthel index and use of mobility aids or being bedridden was associated with lower DEMMI scores. 42 Any deviation from the original statistical plan will be described and justified in the final trial report. There is no interim analysis planned, that is, there are no stopping rules on the individual or trial level.…”

“…Acute older adult patients with a DEMMI score below 41 score points had significantly lower Barthel index (38% vs 79%), used more mobility aids, were more bedridden, longer hospitalised and were more often discharged to rehabilitation compared with those with a higher DEMMI score. 42 No association was found for gender, age, weight, body mass index, Charlson comorbidity index or handgrip strength. 42 Trained personnel is able to complete the DEMMI in no more than 10 min.…”

“…42 No association was found for gender, age, weight, body mass index, Charlson comorbidity index or handgrip strength. 42 Trained personnel is able to complete the DEMMI in no more than 10 min.…”

A physiotherapy‐led review of guideline‐based care for community‐dwelling older people presenting to a metropolitan hospital with accidental falls

“…28 Completion of a TUG may be clinically inappropriate in some injuries; however, the DEMMI is an alternative tool for patients with lower functional capacity, which has been validated for inpatient use and associated with hospital LOS and 30-day readmission. 9,29 Further understanding of clinician perspectives is required to ascertain the poor completion of physical outcome measures. These results further highlight the limited assessment provided to 'high'-risk fallers and strengthens the argument for implementation of a fall-specific pathway in the ED.…”

Lama Rawat Inap Pasien Geriatri dengan Bakteremia Gram Negatif: Sebuah Observasi Analitis

“…1,2,3 Lama rawat pasien geriatri dipengaruhi oleh beberapa faktor, antara lain diagnosis utama dan komorbiditas, status nutrisi, status fungsional, derajat beratnya penyakit, keberadaan berbagai dukungan yang dibutuhkan, serta beberapa faktor psikososial. [4][5][6][7][8] Bila pasien geriatri dirawat inap karena infeksi, jenis mikroorganisme dan ada tidaknya sepsis menjadi penting.…”