Relationship between hospitalization and functional and cognitive impairment in hospitalized older adults patients

Calero-García, María José; Ortega, Ana Raquel; Navarro, Elena; Calero, M. Dolores

doi:10.1080/13607863.2016.1220917

Cited by 30 publications

(30 citation statements)

References 28 publications

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“…The associations between the consequences of functional disability and hospitalization may be related to the fact that such limitations express a poor state of health, resulting in this positive relationship, as shown by the results of the present study regarding individuals with a negative self-perception of health. Or, they may be explained, as found in literature, by the possibility of hospitalizations resulting in the aggravation of the functional condition of the elderly person [16][17][18] .…”

Section: Discussionmentioning

confidence: 91%

Factors associated with the hospitalization of the elderly: a national study

Bordin

Cabral

Fadel

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective :to analyze the factors associated with hospitalization among the Brazilian elderly based on multidimensional methodology. Method: a cross-sectional, quantitative study was performed with data from the National Health Survey (2013) population-based study. The sample was composed of 23,815 individuals over the age of 60 years. Hospitalization was considered the outcome variable and 53 independent variables were included, relating to: sociodemographic characteristics; limitations and illness; difficulties in performing basic and instrumental activities of daily living; use of health services and medical emergencies. Results: it was found that 10% of the elderly were hospitalized in the previous year. This event was related to: a negative self-perception of health (OR = 1.35); stopping performing any of their usual activities due to health reasons (OR = 2.14); difficulty going to the doctor (OR = 1.65) or walking alone (OR = 1.55); a recent search for a site, service or health professional for health-related care (OR = 1.47); increased frequency of annual medical visits (OR = 2.93) and household emergency (OR = 5.40). Conclusion: the results reinforce the fact that multiple factors are associated with the hospitalization of the elderly. The analysis of these associations has the potential to make health professionals and administrators aware of the need to improve health care for the elderly and to assist in the organization and planning of the actions of the entire health service network.

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Section: Discussionmentioning

confidence: 91%

Factors associated with the hospitalization of the elderly: a national study

Bordin

Cabral

Fadel

et al. 2018

Rev. bras. geriatr. gerontol.

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“…Os dados considerados mostraram ainda que os idosos que estiveram internados expuseram uma conjuntura mais propícia para desenvolver DF, para ambos os grupos: ABVD OR = 2,25 e AIVD OR = 2,42. A principal justificativa para tal resultado consiste no agravamento do desempenho funcional do idoso durante o período de internação [34][35][36] . As limitações decorrentes da DF para ambas as categorias (ABVD e AIVD) oneram maior utilização dos serviços de saúde e indicam quadros mais complexos, os quais podem culminar na internação hospitalar 1 .…”

Section: Resultsunclassified

Dificuldade funcional em idosos brasileiros: um estudo com base na Pesquisa Nacional de Saúde (PNS - 2013)

Zanesco

Bordin

Santos

et al. 2020

Ciênc. saúde coletiva

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Resumo Objetivou-se, por meio do estudo da Pesquisa Nacional de Saúde, conhecer os fatores que apresentam alto grau de associação com quadros de dificuldade funcional em idosos. Estudo transversal, quantitativo, a amostra constituiu-se das respostas dos indivíduos com 60 anos ou mais (n = 23.815). Foram consideradas duas variáveis dependentes, sendo: Atividade Básica de Vida Diária e Atividade Instrumental de Vida Diária, e 42 variáveis independentes, relacionadas a questões sociodemográficas, saúde geral, saúde bucal e uso de serviços de saúde. Para a análise, utilizou-se o software Waikato Environment for Knowledge Analysis. Realizou-se o balanceamento do conjunto de dados, teste de redução de dimensionalidade, por meio da validação cruzada de 10 Fold, e ao final, as variáveis relacionadas com as variáveis dependentes foram avaliadas através da regressão logística. Oito variáveis apresentaram forte associação com quadros de dificuldade funcional em idosos, relacionadas a aspectos físicos, fatores intrínsecos, relações sociais, alfabetização e uso de serviços de saúde. Os resultados alcançados permitem o fortalecimento do planejamento e da execução de estratégias em saúde pública, direcionadas à população idosa, evitando ou minimizando situações de dificuldade funcional.

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“…Cognitive decline was used as an exclusion criterion among patients with CNSD, but it was not applied among patients with MSD. Cognitive decline is more likely to co-occur with MSD and functional/mobility issues, but mostly in people aged > 65 years old [41]. Only 4% of people with MSD in our sample were > 65 years old.…”

Section: Discussionmentioning

confidence: 95%

Links between meaning in life and physical quality of life after rehabilitation: Mediating effects of positive experiences with physical exercises and mobility

et al. 2019

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BackgroundIndicators of emotional processes (positive experiences with physical exercises) and functional processes (mobility) were previously found to be associated with positive cognitive resources (meaning in life), and the key outcome in the rehabilitation, namely physical quality of life (QOL). Yet, the mediating roles of such processes were not tested. Therefore, this prospective study investigated whether the relationship between meaning in life and physical QOL was mediated by positive experiences with physical exercises and mobility.MethodsProspective data were collected at two measurement points, 1 month apart. A total of N = 339 participants (aged 19–84 years old, 57.9% women) provided data at Time 1 (T1) at the beginning of inpatient rehabilitation from central nervous system diseases (CNSD, e.g., stroke; n = 89) or musculoskeletal system diseases (MSD, e.g., dorsopathies; n = 250), and n = 234 at Time 2 (T2, the end of rehabilitation; 4 weeks after T1). Mediation analysis with meaning in life as predictor (T1), positive experiences with physical exercises and mobility as sequential mediators (T2), and physical QOL (T2) as the outcome was conducted.ResultsHigher meaning in life (T1) predicted more positive experiences with physical exercises (T2), which were associated with a higher level of mobility (T2), which in turn was associated with better physical quality of life (T2).ConclusionsMeaning in life at the beginning of inpatient rehabilitation may trigger positive experiences with physical exercises and functional changes in mobility levels, leading to better physical quality of life. Screening for low meaning in life may allow to identify patients who are at risk for a lack of improvement of mobility and physical quality of life during rehabilitation.

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Relationship between hospitalization and functional and cognitive impairment in hospitalized older adults patients

Cited by 30 publications

References 28 publications

Factors associated with the hospitalization of the elderly: a national study

Factors associated with the hospitalization of the elderly: a national study

Dificuldade funcional em idosos brasileiros: um estudo com base na Pesquisa Nacional de Saúde (PNS - 2013)

Links between meaning in life and physical quality of life after rehabilitation: Mediating effects of positive experiences with physical exercises and mobility

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