Failure to regain function at 3 months after acute hospital admission predicts institutionalization within 12 months in older patients

Journal of the American Medical Directors Association
Erja PortegijsSophia E de Rooij

Abstract

To study the effects of functional decline on admission to long-term institutionalized care within 12 months from acute hospital admission. Pooled analyses of 3 longitudinal cohorts. Tertiary and secondary hospital. A total of 1085 community-dwelling patients older than 65 years acutely admitted to an internal medicine or orthopedic ward. Demographic data and medical data were collected within 2 days from hospital admission. Functional status (activities of daily living [ADL]) was assessed at baseline (reflecting preadmission status 2 weeks before admission) and 3 months after admission, and function loss (change between preadmission and 3 months) was calculated. Living situation was assessed 3 and 12 months after hospitalization. Cox regression analysis was used to predict institutionalization (living in a long-term assisted care or nursing home facility) within 12 months. ADL function loss in the 3 months following hospital admission increased the risk of institutionalization also in patients without preadmission impairment (loss of function in 1 item HR = 5.3, 95% CI 2.2-12.6, p < .001; ≥2 items HR = 7.3, 95% CI 3.4-15.7, p < .001) compared with patients without impairment and function loss. The risk progressively increased ...Continue Reading

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Citations

May 6, 2014·Journal of the American Medical Directors Association·Bianca M BuurmanThomas M Gill
Oct 9, 2015·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Bret T HowreyKenneth J Ottenbacher
Dec 2, 2015·Journal of the American Medical Directors Association·Bianca M BuurmanThomas M Gill
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Feb 2, 2021·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Nicolás Martínez-VelillaMikel Izquierdo

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