Predicting Mortality With the ADL-Staircase in Frail Elderly

Jakobsson, Ulf; Karlsson, Staffan

doi:10.3109/02703181.2010.538491

Cited by 11 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The ADL staircase is administrated using a combination of interview and observation. The validity and reliability of the ADL staircase is good for the age group in present study [17,18] and has recently been found to predict mortality [19]. The number of activities managed independently (0–9) was summarized at baseline and at each follow-up.…”

Section: Methodsmentioning

confidence: 83%

See 1 more Smart Citation

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; “Continuum of care for frail older people”

et al. 2013

View full text Add to dashboard Cite

BackgroundThe intervention; “Continuum of Care for Frail Older People”, was designed to create an integrated continuum of care from the hospital emergency department through the hospital and back to the older person’s own home. The aim of this study is to evaluate the effects of the intervention on functional ability in terms of activities of daily living (ADL).MethodsThe study is a non-blinded controlled trial with participants randomised to either the intervention group or a control group with follow-ups at three-, six- and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of the older people in the municipality with a case manager as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Mölndal and who were discharged to their own homes in the municipality of Mölndal, Sweden were asked to participate. Inclusion criteria were age 80 and older or 65 to 79 with at least one chronic disease and dependent in at least one ADL. Analyses were made on the basis of the intention-to-treat principle. Outcome measures were ADL independence and eight frailty indicators. These were analysed, using Chi-square and odds ratio (OR).ResultsA total of 161 participated in the study, 76 persons allocated to the control group and 85 to the intervention group were analysed throughout the study. There were no significant differences between the groups with regards to change in frailty compared to baseline at any follow-up. At both the three- and twelve-month follow-ups the intervention group had doubled their odds for improved ADL independence compared to the control (OR 2.37, 95% CI; 1.20 – 4.68) and (2.04, 95% CI; 1.03 – 4.06) respectively. At six months the intervention group had halved their odds for decreased ADL independence (OR 0.52, 95% CI; 0.27 – 0.98) compared to the control group.ConclusionsThe intervention has the potential to reduce dependency in ADLs, a valuable benefit both for the individual and for society.Trial registrationClinicalTrials.gov: NCT01260493

show abstract

Section: Methodsmentioning

confidence: 83%

“…Developing a higher degree of ADL dependence according to the ADL staircase has been found to indicate increased risk of dying [19]. For the older person (80+), being independent means a lot for self-confidence and feelings of pride and satisfaction [2].…”

Section: Discussionmentioning

confidence: 99%

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; “Continuum of care for frail older people”

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Depression has been shown as a risk factor for developing ADL-dependency in previously independent subjects (Mehta et al, 2002). Therefore, we hypothesize that even slight ADL-dependency in octogenarians could have an explanatory role of mortality in depressed individuals (Mill an-Calenti, et al, 2010;Jakobsson & Karlsson, 2011. We suggest that future research should focus on clarifying the causal and temporal relationship between depressive symptoms and the development of ADL-dependency.…”

Section: Discussionmentioning

confidence: 93%

Depressivity and mortality risk in a cohort of elderly men. A role of cognitive and vascular ill-health, and social participation

Jonsson

Siennicki-Lantz

2019

Aging & Mental Health

View full text Add to dashboard Cite

Objectives: Depressive symptoms in the elderly have been shown to be associated with increased mortality. The purpose of this study was to examine symptoms of depression in octogenarian men and their association with all-cause mortality, and whether physical, cognitive and social factors influence this association. Methods: Out of the 703 initially included 55-years-old men, from the prospective cohort study "Men born in 1914", we studied 163 survivors who could take a part in a survey at age 81, and followed them until their death. Results: Those men who had at least mild depressive symptoms, defined with Zung Self-rating Depression Scale, were found to have an increased mortality risk (HR ¼ 1.52; CI ¼1.10-2.08; p ¼ 0.01). This association persisted significantly after adjusting for: education, global cognition at age 81, cognitive abilities at age 68, vascular risk factors and comorbidities. Instead, it was attenuated after adjustments for Activities of Daily Life (ADL)dependency and for a grade of Satisfaction with Participation in daily life. Conclusion: In octogenarian men with survival above the average, mild depressive symptoms predict all-cause mortality. Neither cognitive capacity nor vascular comorbidity explained this association, but lower Satisfaction with Participation in daily life, especially in combination with moderate ADL-dependency.

show abstract

“…Para idosos com potencial de marcha, os testes de velocidade de marcha estão amplamente estudados e demonstram estar associados à fragilidade funcional do idoso [36]. Frequentemente, em estudos relacionados com a identificação de estados frágeis na pessoa idosa, são identificados os domínios da mobilidade, da independência em AVD e nos autocuidados, como significativos indicadores de fragilidade [37][38][39]. Os resultados do presente estudo parecem assim indicar estarem relacionados com os perfis de fragilidade dos idosos, pelo que futuros estudos sobre a Velocidade do Alcance em Tarefas de Atenção e em Tarefas de Memória devem procurar relacionar os seus valores com Índices de Fragilidade.…”

Section: Discussionunclassified

Velocidade do alcance em tarefas de atenção e memória: validação do teste como marcador funcional na população geriátrica

Rosa

Pires

Michelle

2019

Sci Med

View full text Add to dashboard Cite

AIM: To validate the reaching speed during attention and memory tasks as a functional indicator in the geriatric population.METHODS: Institutionalized elderly living in 4 Portuguese institutions were characterized by their functional profile, with the following variables: (i) cognition; (ii) independence in basic daily living activities; (iii) independence in instrumental activities of daily living; (iii) grip strength, (iv) diagnosis of depression; (v) upper limb sensorimotor function; (vi) executive functions. All these instruments underwent a linking process with the International Classification of Functioning and Health. The sample was divided into four functional groups considering the values below and above the mean range of reaching speed in attention tasks (Group 1 - G1, Group 2 - G2) and the range of RS in memory tasks (Group 3 - G3, Group 4 - G4). Characterization of the sample groups was performed using descriptive statistical measures of the ICFqualifiers and the difference between groups (G1 / G2 and G3 / G4) was tested using t-tests for independent samples.RESULTS: The results showed significant differences between low- and high profile groups in RS tasks (p <0.05), identifying the following priority intervention areas in institutionalized elderly: d6. Domestic life, d1. Learning and knowledge application, d4. Mobility, d5. Self-care and d8. Significant areas of life. Older adults with reaching speed in attention tasks <0.06m/s or <0.07m/s in memory tasks tend to have moderate to severe disability in Mobility and Self Care and severe/complete inability to participate in Household tasks.CONCLUSION: This study was an important contribution to the validation of reaching speed (a test for upper limb function) during attention and memory tasks as a functional indicator, enabling elderly functional evaluation in a large spectrum, including non-ambulate elderly people.

show abstract

Predicting Mortality With the ADL-Staircase in Frail Elderly

Cited by 11 publications

References 18 publications

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; “Continuum of care for frail older people”

One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial; “Continuum of care for frail older people”

Depressivity and mortality risk in a cohort of elderly men. A role of cognitive and vascular ill-health, and social participation

Velocidade do alcance em tarefas de atenção e memória: validação do teste como marcador funcional na população geriátrica

Contact Info

Product

Resources

About