PMID: 12752836May 20, 2003Paper

Unsteadiness reported by older hospitalized patients predicts functional decline

Journal of the American Geriatrics Society
Elizabeth C LindenbergerKenneth E Covinsky

Abstract

To determine whether a simple question about steadiness at admission predicts in-hospital functional decline and whether unsteadiness at admission predicts failure of in-hospital functional recovery of patients who have declined immediately before hospitalization. Prospective cohort study. One university hospital and one community teaching hospital. One thousand five hundred fifty-seven hospitalized medical patients aged 70 and older. On admission, patients reported their steadiness with walking and whether they could perform independently each of five basic activities of daily living (ADLs) at admission and 2 weeks before admission (baseline). For the primary analysis, the outcome was decline in ADL function between admission and discharge. For the secondary analysis, the outcome was in-hospital recovery to baseline ADL function in patients who experienced ADL decline in the 2 weeks before admission. In the primary cohort (n = 1,557), 25% of patients were very unsteady at admission; 22% of very unsteady patients declined during hospitalization, compared with 17%, 18%, and 10% for slightly unsteady, slightly steady, and very steady patients, respectively (P for trend =.001). After adjusting for age; medical comorbidities; Acute...Continue Reading

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Citations

Apr 20, 2007·Journal of General Internal Medicine·Stefano VolpatoUNKNOWN Italian Group of Pharmacoepidemiology in the Elderly Study (GIFA)
Feb 9, 2011·Journal of General Internal Medicine·Alexander K SmithMichael A Steinman
May 25, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Alison M MudgeCharles P Denaro
Oct 8, 2003·Journal of Gerontological Nursing·Esther ChangKaren Hancock
Sep 3, 2005·Journal of the American Geriatrics Society·Daniel O ClarkSteven R Counsell
Jan 22, 2008·Journal of the American Geriatrics Society·Alison M MudgeAlison J Cutler
May 12, 2006·Journal of the American Geriatrics Society·Cinzia MaraldiUNKNOWN GIFA
Mar 15, 2012·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Michelle D GolderLaurie H Mallery
Jun 9, 2011·Journal of the American Geriatrics Society·Kala M MehtaC Seth Landefeld
Mar 4, 2014·International Journal of Nursing Practice·Jita G HoogerduijnMarieke J Schuurmans
Aug 10, 2017·International Journal of Older People Nursing·Andreina D'OnofrioDiane Morin
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Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·C Seth Landefeld
Oct 5, 2011·The Journal of Nutrition, Health & Aging·C LafontUNKNOWN Members of I.A.G.G./A.M.P.A Task Force
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May 2, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Daniel C JupiterNaohiro Shibuya

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