What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

Balen, Romke van; Gordon, Adam L; Schols, Jos M. G. A.; Drewes, Yvonne M.; Achterberg, Wilco P.

doi:10.1007/s41999-019-00244-7

Cited by 47 publications

(46 citation statements)

References 16 publications

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“…The indications for inclusion into GR were similar across countries and comprise mainly geriatric syndromes and their negative impacts [10]. The core GR team composition, comprising a geriatrician or skilled elderly care physician, nurses and physiotherapists, was also similar across Europe and matched the findings of previous Delphi study [11]. Wide differences in length of stay between countries are explained by the different settings and forms of GR, the different ways it is conducted, as well as the way that GR is funded and regulated in different countries.…”

Section: Discussionsupporting

confidence: 64%

EuGMS survey on structures of geriatric rehabilitation across Europe

et al. 2019

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The aim of this study is to provide an overview on structures of geriatric rehabilitation across Europe. Findings We observed major differences among EuGMS member countries with regard to the availability of geriatric rehabilitation and how it was organized. Despite various barriers in most countries, future improvement in geriatric rehabilitation services is anticipated. Message Work now needs to focus on establishing a consensus on what geriatric rehabilitation should look like to further geriatric rehabilitation services in all European countries.

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Section: Discussionsupporting

confidence: 64%

EuGMS survey on structures of geriatric rehabilitation across Europe

et al. 2019

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“…The aim of this systematic literature review and metaanalysis was to present an overview of the nutritional status on admission and its association with functional parameters in geriatric rehabilitation patients. The pooled prevalence (95% CI) for MNA (nine studies) demonstrated that malnutrition and risk of malnutrition were present in 13% (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) and 47% (40-54) of the geriatric rehabilitation population, whereas the pooled estimate (95% CI) of BMI (n = 45) was 23.8 kg/m 2 (23.2-24.5). The ranges of the values and heterogeneity were high among the individual studies of the respective pooled estimates.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the nutrition-related diseases sarcopenia and frailty [12] are highly prevalent in this population [13,14]. The goal of geriatric rehabilitation is to stimulate functional recovery and thereby allow patients to return to their homes [11,15,16].…”

Section: Introductionmentioning

confidence: 99%

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

et al. 2020

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Aim This systematic review and meta-analysis aims to characterize the nutritional status of geriatric rehabilitation patients and its association with functional parameters. Findings Malnutrition is prevalent in a relevant percentage of geriatric rehabilitation patients, whereas body mass index (BMI) is in the normal to overweight range. Furthermore, data suggest that protein and energy intake is reduced and vitamin D deficiency is prevalent in this population. Decreased physical function is associated with malnutrition according to Mini-Nutritional Assessment (MNA) and MNA short form, whereas BMI did not show any clear association. Message Nutritional status is reduced in a relevant percentage of geriatric rehabilitation patients and associated with decreased physical function which emphasizes the need for screening and targeted interventions.

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“…The preparation stage comprised two Delphi studies, one about the definition and organisation of GR in Europe [3], and one about the structures for GR across Europe [4]. These are reported in detail elsewhere.…”

Section: Methodsmentioning

confidence: 99%

European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement

et al. 2019

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Key summary pointsAim The consensus statement about core principles and future priorities of geriatric rehabilitation has the aim to help healthcare providers which need strategies to support older people who have experienced functional decline. Findings Geriatric rehabilitation is now defined in a way that is compatible with existing service models across Europe. Message This consensus statement can provide a starting point for further development of geriatric rehabilitation. AbstractPurpose In response to the growing recognition of geriatric rehabilitation and to support healthcare providers which need strategies to support older people with frailty who have experienced functional decline, we developed a consensus statement about core principles and future priorities for geriatric rehabilitation. Methods We used a three-stage approach to establish consensus-preparation, consensus and review. Results The consensus statement is grouped under 11 headings from (1) "Definition of GR" to (11) "Effective strategies to develop GR in Europe", which define geriatric rehabilitation in a way that is compatible with existing service models across Europe. Additionally future goals around research and education are highlighted. Conclusion The definitions of the consensus statement can provide a starting point for those wishing to further develop geriatric rehabilitation in their jurisdiction and help to develop strategic alliances with other specialties, serving as a basis for a pan-European approach to geriatric rehabilitation.

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What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus

Abstract: Aim To reach European Consensus on Geriatric Rehabilitation using a modified Delphi Procedure. Findings Consensus was reached on 61 statements on a broad range of topics. Message This consensus is important to facilitate exchange of best practice and compare results of scientific research.

Cited by 47 publications

References 16 publications

EuGMS survey on structures of geriatric rehabilitation across Europe

EuGMS survey on structures of geriatric rehabilitation across Europe

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement

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