functional status in hospitalized elderly
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Complications
- loss of ability to perform basic activities of daily living (bADLs) during hospitalization portends substantial 1-year morbidity & mortality in older patients[1]
- elderly with loss of bADLs during hospitalization
- 30% will regain baseline functional status at 1 year
- 41% will die
- in contrast, elderly who maintain bADLs during hospitalization
- 67% still maintained baseline status at 1 year
- 18% will die
Management
- admission to acute geriatric unit associated with lower risk of functional decline & greater chance of discharge to home from the hospital (GRS9)[3]
- comprehensive geriatric assessment after emergency hospitalization improves likelihood that older patients will remain alive & living at home[2]
- walk 2-3 times/day to prevent functional decline[3][4]
- interventions that rely on exercise alone are not effective in improving functional status (GRS9)[3]
- no evidence of improvement in functional benefit or reduction in length of hospital stay with supplements of protein or energy[7]
More general terms
Additional terms
References
- ↑ Jump up to: 1.0 1.1 Boyd CM et al. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc 2008 Dec; 56:2171. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19093915
- ↑ Jump up to: 2.0 2.1 Ellis G et al. Comprehensive geriatric assessment for older adults admitted to hospital: Meta-analysis of randomised controlled trials. BMJ 2011 Oct 27; 343:d6553 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22034146
Stuck AE and Iliffe S. Comprehensive geriatric assessment for older adults. BMJ 2011 Oct 27; 343:d6799. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22034147
Ellis G, Whitehead MA, O'Neill D, Langhorne P, Robinson D. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2011 Jul 6;(7):CD006211 PMID: https://www.ncbi.nlm.nih.gov/pubmed/21735403 - ↑ Jump up to: 3.0 3.1 3.2 3.3 Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016 - ↑ Jump up to: 4.0 4.1 Zisberg A, Shadmi E, Sinoff G et al Low mobility during hospitalization and functional decline in older adults. J Am Geriatr Soc. 2011 Feb;59(2):266-73. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21314647
- ↑ Baztan JJ, Caceres LA, Llanque JL, Gavidia JJ, Ruiperez I. Predictors of functional recovery in older hospitalized adults. J Am Geriatr Soc. 2012 Jan;60(1):187-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22239317
- ↑ Kosse NM, Dutmer AL, Dasenbrock L, Bauer JM, Lamoth CJ. Effectiveness and feasibility of early physical rehabilitation programs for geriatric hospitalized patients: a systematic review. BMC Geriatr. 2013 Oct 10;13:107. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24112948 Free PMC Article
- ↑ Jump up to: 7.0 7.1 Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003288. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19370584