The de Morton Mobility Index (DEMMI): An essential health index for an ageing world

Morton, Natalie A de; Davidson, Megan; Keating, Jennifer Lyn

doi:10.1186/1477-7525-6-63

Cited by 232 publications

(248 citation statements)

References 27 publications

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“…9 The DEMMI is a 15 item uni-dimensional measure of patient mobility. 11 There is evidence that both DEMMI and MBI are valid measures of activity limitation for patients in TCP. 12 …”

Section: Outcome Measuresmentioning

confidence: 99%

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Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study

Brusco

Taylor

Hornung³

et al. 2012

Aust. Health Review

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Objective. To investigate factors that predict discharge destination for patients making the transition from hospital to the community.Methods. Using a prospective cohort design, 696 patients from 11 Transition Care Programs were recruited. Baseline patient and program characteristics were considered for predicting discharge destination, functional status, and patient length of stay.Results. An increased physiotherapy staffing ratio in Transition Care Program was associated with an increased likelihood that a patient was discharged home, with an improved functional or mobility status, and after a shorter length of stay. The other factor that predicted discharge to home included having an Aged Care Assessment Service classification of low level care or home with a support package. An increased physiotherapy staffing level also reduced the likelihood of discharge to low level or high level care. The other factors that predicted discharge to low level care were having higher mobility status and older age; the other factor associated with increased likelihood of predicting discharge to high level care was having an Aged Care Assessment Service classification of high level care.Conclusions. Factors on admission that predicted discharge destination were program physiotherapy staffing ratios, Aged Care Assessment Service assessment, age and mobility status. What is known about the topic? In 2004/05 Australia introduced a program called the Transition Care Program (TCP), which targets older persons at the conclusion of an acute hospital episode who require more time and support in a non-acute setting to complete their restorative process and optimise their functional capacity. This program has a particular objective to prevent inappropriate admission to a residential aged care facility. To date, there are no published papers that report the factors that predict discharge destination for patients in the Transition Care Program. What does this paper add? This study provides evidence that program physiotherapy staffing ratios, Aged Care Assessment Service assessment, age and mobility status are predictive of an increased likelihood that a patient will be discharged home with an improved functional/mobility status, after a shorter length of stay. What are the implications for practitioners? Knowledge of factors that predict discharge destination may assist healthcare practitioners and health managers in managing TCP patients and planning services.

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“…9 The DEMMI is a 15 item uni-dimensional measure of patient mobility. 11 There is evidence that both DEMMI and MBI are valid measures of activity limitation for patients in TCP. 12 …”

Section: Outcome Measuresmentioning

confidence: 99%

“…The secondary outcomes were Modified Barthel Index 10 (MBI) as a measure of function, the de Morton Mobility Index (DEMMI) 11 as a measure of mobility, and length of stay. The widely used MBI was developed as a multidimensional measure of a patient's ability to perform activities of daily living.…”

Section: Outcome Measuresmentioning

confidence: 99%

Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study

Brusco

Taylor

Hornung³

et al. 2012

Aust. Health Review

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“…20 The de Morton Mobility Index, for example, has recently been proposed as a unidimensional measure of mobility in subacute older inpatients. 21 Yet this instrument does not display results graphically, and its ability to track day-to-day changes has not been investigated. Other widely used measures, such as the Guralnik Physical Performance Test 22 and the Timed Up and Go, 23 have been well validated against adverse outcomes in community-dwelling older people.…”

Section: Discussionmentioning

confidence: 99%

Assessing Balance and Mobility to Track Illness and Recovery in Older Inpatients

et al. 2011

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“…These included the burns specific health scale or BSHS (Blades et al 1982); the modified Iowa level of assistance score or mILOA (Kimmel et al 2016b) and the de Morton Mobility Index (de Morton et al 2008). Time points for administering these measures to trauma patients varied.…”

Section: Resultsmentioning

confidence: 99%

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

Calthorpe¹,

Kimmel²,

Webb³

et al. 2016

NZJP

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Traumatic injury places a great burden on individuals and society. As mortality plateaus in mature trauma systems, there is an increasing shift towards understanding patients' morbidity and functional outcomes. Physiotherapy plays a key role in recovery after traumatic injury, but little is currently known about its role in the acute hospital setting for trauma patients. This study aimed to document physiotherapy service structure and practice in adult major trauma services (MTS) across Australia and New Zealand. A survey was distributed electronically to physiotherapists working within designated MTS (n=25), achieving a 92% response rate (n=23). Physiotherapy service delivery, expertise and availability varied greatly. Only seven sites (30%) had a dedicated trauma physiotherapist with this showing a trend towards an association with major trauma admissions (provided by the Australian Trauma Registry; p=0.07). Only eight (35%) had blanket referral systems for physiotherapy review, which was significantly associated with having a dedicated specialised physiotherapist (p =0.015). Most ran a five day/week service for all patients with priority cover over the weekends (78% n=18). Future research should explore the benefits of specialised trauma physiotherapy roles in optimising patient outcomes in order to standardise this across all trauma centres in Australia and New Zealand.

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The de Morton Mobility Index (DEMMI): An essential health index for an ageing world

Cited by 232 publications

References 27 publications

Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study

Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study

Assessing Balance and Mobility to Track Illness and Recovery in Older Inpatients

A benchmarking project of physiotherapy in Australian and New Zealand adult major trauma services

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