Predictors of recovery in activities of daily living among disabled older persons living in the community

Journal of General Internal Medicine
T M GillM E Tinetti

Abstract

To identify the factors that predict recovery in activities of daily living (ADLs) among disabled older persons living in the community. Prospective cohort study with 2-year follow-up. General community. 213 men and women 72 years or older, who reported dependence in one or more ADLs. All participants underwent a comprehensive home assessment and were followed for recovery of ADL function, defined as requiring no personal assistance in any of the ADLs within 2 years. Fifty-nine participants (28%) recovered independent ADL function. Compared with those older than 85 years, participants aged 85 years or younger were more than 8 times as likely to recover their ADL function (relative risk [RR] 8.4; 95% confidence interval [CI] 2.7, 26). Several factors besides age were associated with ADL recovery in bivariate analysis, including disability in only one ADL, self-efficacy score greater than 75, Folstein Mini-Mental State Examination (MMSE) score of 28 or better, high mobility, score in the best third of timed physical performance, fewer than five medications, and good nutritional status. In multivariable analysis, four factors were independently associated with ADL recovery-age 85 years or younger (adjusted RR 4.1; 95% CI 1.3, 13),...Continue Reading

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