Deterioro funcional asociado a la hospitalización en pacientes mayores de 65 años

Córcoles-Jiménez, María Pilar; Ruiz-García, María Victoria; Saiz-Vinuesa, M.D.; Muñoz-Mansilla, Elena; Herreros-Sáez, Lucía; Fernández-Pallarés, Pedro; Calero-Yáñez, F.; Muñoz-Serrano, María Teresa

doi:10.1016/j.enfcli.2015.09.010

Cited by 9 publications

(6 citation statements)

References 16 publications

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“…Córcoles-Jiménez et al showed that 20% of patients remain in a situation of dependence after discharge. 18 The implementation of GDH is to allow elderly patients receive rehabilitation and comprehensive geriatric assessment without hospitalization. On the other hand, it can provide services in a multidisciplinary approach similar to institution but without additional costs.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

Wong

Leung

Lau

et al. 2018

Geriatr Orthop Surg Rehabil

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Introduction:The incidence of hip fracture is projected to increase in the next 25 years as the world population ages. Hip fracture is often associated with subsequent readmission and mortality. Nevertheless, elderly patients often may not achieve the same level of functional ability as prior to their injury. Several studies have shown that close collaboration between orthopedic surgeons and geriatricians can improve such outcomes and Geriatric Day Hospital (GDH) is one of the examples of collaboration to improve such outcomes. The aim of this descriptive retrospective study is to review the effectiveness of the day rehabilitation program provided by a GDH on functional outcomes, mortality, and readmission rate, among a sample of elderly patients with hip fracture.Methods:The medical records of patients from January 1, 2009, to December 31, 2012, were collected and evaluated. Demographic data of the patients and Charlson Comorbidity Index were collected. The Barthel Index, Elderly Mobility Scale, and Mini-Mental State Examination were measured on admission and at discharge of the patients to evaluate both physical and cognitive functions.Results:The results showed that the majority of patients benefited from rehabilitation in the GDH. The 12-month mortality rate of patients taking full-course rehabilitation in the GDH was improved. The age of patient was the most important factor influencing the rehabilitation outcomes. Gender was the only risk factor for 12-month mortality and 6-month readmission.Discussion:Since patients were selected to attend GDH, there was a bias during the selection of patients. Furthermore, it was difficult to compare patients attended GDH with patients who did not because outcomes of the latter were difficult to be recorded.Conclusions:Our study shows that postoperative geriatric hip fracture patients definitely can benefit from rehabilitation service offered by GDH in terms of functional and cognitive outcomes.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

Wong

Leung

Lau

et al. 2018

Geriatr Orthop Surg Rehabil

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“…However, Spain is one of the countries in the European Union with the highest costs derived from a lack of patient safety and adverse effects [ 2 ]. Specifically, there are significant safety problems with nursing care in Spanish hospitals, with a rate of 8.6% of pressure injuries, 3.6% falls [ 3 ] and patients with functional loss during hospital admission [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of a Meta-Instrument for the Assessment of Functional Capacity, the Risk of Falls and Pressure Injuries in Adult Hospitalization Units (VALENF Instrument) (Part II)

Luna-Aleixós

Llagostera-Reverter

Castelló-Benavent

et al. 2023

IJERPH

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The nursing assessment is the first step of the nursing process and fundamental to detecting patients’ care needs and at-risk situations. This article presents the psychometric properties of the VALENF Instrument, a recently developed meta-instrument with only seven items that integrates the assessment of functional capacity, risk of pressure injuries and risk of falls with a more parsimonious approach to nursing assessment in adult hospitalization units. A cross-sectional study based on recorded data in a sample of 1352 nursing assessments was conducted. Sociodemographic variables and assessments of the Barthel, Braden and Downton instruments were included at the time of admission through the electronic health history. Thus, the VALENF Instrument obtained high content validity (S-CVI = 0.961), construct validity (RMSEA = 0.072; TLI = 0.968) and internal consistency (Ω = 0.864). However, the inter-observer reliability results were not conclusive, with Kappa values ranging between 0.213 and 0.902 points. The VALENF Instrument has adequate psychometric properties (content validity, construct validity, internal consistency and inter-observer reliability) for assessing the level of functional capacity, risk of pressure injuries and risk of falls. Future studies are necessary to establish its diagnostic accuracy.

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“…Dentro de los factores de riesgo asociados al DFH, se ha demostrado que la edad, el tiempo de hospitalización y la carga de enfermedad desempeñan un papel importante a la hora de desarrollarlo (3). El estado basal de las personas mayores juega un papel fundamental, incluyendo aspectos como la multimorbilidad, la presencia de alteraciones funcionales antes del ingreso, la institucionalización, los trastornos cognitivos previos, el déficit sensorial, las alteraciones afectivas y el riesgo social (4,5). En Colombia, se ha descrito una incidencia de DFH de hasta 41% con una prevalencia reportada que puede llegar a 67%, teniendo como factores de riesgo la estancia prolongada, la polifarmacia y la ausencia de apoyo familiar (6).…”

Section: Introductionunclassified

“…Entre las implicaciones más importantes del DFH se encuentran la prolongación de la estancia hospitalaria, el reingreso, la institucionalización y coincidiendo con algunos estudios, el aumento en la mortalidad, una mayor carga de enfermedad y el deterioro en la calidad de vida de personas mayores y sus cuidadores (4).…”

Section: Introductionunclassified

Factores asociados al deterioro funcional durante la hospitalización

Chavarro-Carvajal,

Vargas-Beltrán,

Morros-González

et al. 2023

Acta Med Col

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Objetivo: describir los factores asociados al deterioro funcional durante la hospitalización en ancianos que recibieron atención en un hospital de alta complejidad, y el planteamiento de posibles intervenciones. Metodología: se llevó a cabo un estudio observacional, descriptivo con componente analítico en pacientes mayores de 65 años ingresados a cargo de una unidad de geriatría. Se tomó como variable dependiente la presencia de deterioro funcional durante la hospitalización y como independientes variables demográficas, situación basal, estado nutricional, realización de terapia física durante su estancia y desenlaces hospitalarios. La información fue analizada en un modelo de regresión logística univariada y para controlar el efecto de las demás variables se aplicó un modelo de regresión logística multivariada. Resultados: de los 833 sujetos incluidos en el estudio, la edad media fue de 85.28 años (DE 4.46), el 56.85% eran mujeres; el 66.51% presentaba malnutrición, el 49.33% tenían dependencia leve, el 32% demencia previa, la mediana de días de estancia fue de 5 (RIC 3-8) y 43.58% presentó deterioro funcional durante la hospitalización. En la regresión logística multivariada se encontró asociación entre deterioro funcional durante la hospitalización y mayor edad (OR=1.04 IC1.00-1.07), días de estancia hospitalaria (OR=1.12 IC 1.08-1.16), tener demencia previa al ingreso (OR=1.41 IC 1.03-1.92) e inversamente proporcional con realización de terapia física hospitalaria (OR=0.45 IC 0.32-0.62). Discusión: la edad avanzada, estancias hospitalarias prolongadas y la presencia de demencia previa al ingreso son factores asociados a deterioro funcional durante la hospitalización, mientras que recibir terapia física se relaciona a una menor probabilidad de presentar este tipo de deterioro

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Deterioro funcional asociado a la hospitalización en pacientes mayores de 65 años

Cited by 9 publications

References 16 publications

Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

Development and Validation of a Meta-Instrument for the Assessment of Functional Capacity, the Risk of Falls and Pressure Injuries in Adult Hospitalization Units (VALENF Instrument) (Part II)

Factores asociados al deterioro funcional durante la hospitalización

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