Evidence-based measurement

Hobart, Jeremy; Lamping, Donna L.; Freeman, Jenny; Langdon, Dawn; McLellan, D L; Greenwood, R; Thompson, Alan J.

doi:10.1212/wnl.57.4.639

Cited by 212 publications

(143 citation statements)

References 23 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…Hobart et al compared psychometric properties of the Barthel index with newer and lengthier scales, the Functional Independence Measure (FIM) and the Functional Independence Measure + Functional Assessment Measure (FIM+FAM), in patients undergoing rehabilitation. This study suggested that the newer and more extensive rating scales of FIM and FIM+FAM offered few advantages over the more practical and economical Barthel index [32]. Similar results were observed in studies of patients with multiple sclerosis and stroke [33,34].…”

Section: Discussionsupporting

confidence: 80%

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Esmayel

Eldarawy

Hassan

et al. 2013

European Geriatric Medicine

View full text Add to dashboard Cite

Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.

show abstract

Section: Discussionsupporting

confidence: 80%

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Esmayel

Eldarawy

Hassan

et al. 2013

European Geriatric Medicine

View full text Add to dashboard Cite

show abstract

“…The results of the second test were taken as the starting estimate of cognitive function. Decline in basic activities of daily living (ADLs) was assessed using the 20-point variation 38 of the Barthel Index 39 and in extended activities instrumental activities of daily living (IADLs) using a 14-point score. 40 All tests were repeated at 9, 18, and 30 months and at the final trial visit.…”

Section: Measurementsmentioning

confidence: 99%

Association Between Apolipoprotein E₄ and Cognitive Decline in Elderly Adults

Packard

Westendorp

Stott

et al. 2007

J American Geriatrics Society

115

View full text Add to dashboard Cite

OBJECTIVE:To determine the influence of apolipoprotein E on cognitive decline in a cohort of elderly men and women. DESIGN: Prospective study. SETTING: Scotland, Ireland, and the Netherlands. PARTICIPANTS: Five thousand eight hundred four subjects aged 70 to 82 from the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER). MEASUREMENTS: Subjects were assessed at baseline and over a mean 3.2-year (range 0.7-4.2) follow-up for memory (Picture-Word Recall), speed of information processing (Stroop and Letter-Digit Coding), global cognitive function (Mini-Mental State Examination), and activities of daily living. RESULTS: At baseline, subjects with apolipoprotein E 4 versus those without E 4 had poorer memory performance (mean score difference À 0.20 (95% confidence interval (CI) 5 À 0.31 to À 0.09) for immediate recall and À 0.32 (95% CI 5 À 0.48 to À 0.16) for delayed recall and slower information processing (difference in Stroop, 2.79 seconds, (95% CI 5 1.20-4.28); Letter-Digit score, À 0.36, (95% CI 5 À 0.77-0.05). Subjects with apolipoprotein E 4 showed a greater decline in immediate ( À 0.22, 95% CI 5 À 0.33 to À 0.11) and delayed ( À 0.30, 95% CI 5 À 0.46 to À 0.15) memory scores but no significant change in speed of information processing (Stroop, P 5.17; Letter-Digit, P 5.06). Memory scores decreased 2.5% from baseline in those without E 4 , 4.3% in E 4 heterozygotes (P 5.01 for immediate and P 5.03 for delayed, vs no E 4 ) and 8.9% to 13.8% in E 4 homozygotes (P 5.04 for immediate and P 5.004 for delayed, vs heterozygotes). Apolipoprotein E 4 was associated with greater decline in instrumental activities of daily living (Po.001). Cognitive decline was not associated with lipoprotein levels. CONCLUSION: Findings in PROSPER indicate that E 4 is associated with more-rapid cognitive decline and may, therefore, predispose to dementia. J Am Geriatr Soc 55:1777-1785, 2007. Key words: memory; dementia; trial; statin A major challenge in the quest to promote healthy aging is to uncover the determinants of cognitive decline in the general population and the risk factors that lead to the development of frank dementia. Although age is the main predictor of cognitive function, investigators have also reported that a history of hypertension, diabetes mellitus, stroke, depression, and lack of physical activity are factors. [1][2][3][4][5][6] The apolipoprotein E phenotype (apolipoprotein E is coded by a gene (e) that exhibits allelic variants e 2 , e 3 , and e 4 ) has been linked consistently and strongly to the appearance of Alzheimer's disease and to some aspects of cognitive decline in elderly cohorts. 1,2,[5][6][7][8][9] Inheritance of E 4 (the product of e 4 ) especially in the homozygous form, has been associated in cross-sectional studies with risk of Alzheimer's disease and poorer global cognitive function, episodic memory, and executive function, although the magnitude of the effect is modest. 10,11 Longitudinal data also show good evidence of an association between E 4 and risk of Alzheimer's diseas...

show abstract

“…As a result, normative data must be used with caution when making comparisons for this case; however, this further highlights the need for assessing FIM scores by diagnostic category to aid with treatment and discharge planning [36]. The FIM motor subscale scores and the 10-item Barthel Index has reported to be highly correlated [37]. It is believed that the improvements in FIM scores are a result of improvements in motor function.…”

Section: Discussionmentioning

confidence: 95%

Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report

Fernández¹,

Blackwood²

2018

Phys Med Rehabil Res

View full text Add to dashboard Cite

Evidence-based measurement

Cited by 212 publications

References 23 publications

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Association Between Apolipoprotein E₄ and Cognitive Decline in Elderly Adults

Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report

Contact Info

Product

Resources

About

Evidence-based measurement

Cited by 212 publications

References 23 publications

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Association Between Apolipoprotein E4 and Cognitive Decline in Elderly Adults

Acute care physical therapy management of a 69-year-old female following re-operative aortic valve replacement and tricuspid valve repair: A Case Report

Contact Info

Product

Resources

About

Association Between Apolipoprotein E₄ and Cognitive Decline in Elderly Adults