1894 Enhancing detection of possible sarcopenia and delivery of targeted physiotherapy interventions among hospitalised older patient
Abstract Introduction Sarcopenia, defined as age-related loss of muscle function and strength, has a reported prevalence of up to 40.4% in the older adult. Despite its association with frailty, disability and mortality, it is underdiagnosed among hospitalised older patients. Exercise interventions h...
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| creator | Tan, S Y Tan, L L S Cheng, Z C D Yong, H W Q Wong, L L Seow, C C D |
| description | Abstract
Introduction
Sarcopenia, defined as age-related loss of muscle function and strength, has a reported prevalence of up to 40.4% in the older adult. Despite its association with frailty, disability and mortality, it is underdiagnosed among hospitalised older patients. Exercise interventions have also been shown to improve fall risk scores for sarcopenic patients. A QI initiative was started by a team comprising doctors and physiotherapists.
Method
Our aim was to enhance detection of possible sarcopenia and reduce time to delivery of targeted physiotherapy interventions to 1 working day from admission in patients aged > 65 admitted to our ward. Interventions were grouped into three main categories – strength training, balance and gait stability training. A pilot study of 12 patients showed that no sarcopenia assessments were carried out and mean time to PT review was 2.6 days from admission, with an average of 1.08 interventions performed per patient. Fishbone analysis and Pareto chart were conducted to identify and prioritise factors behind low screening rates of sarcopenia, before driver diagram was performed to develop solutions. Our team established that education of junior doctors on sarcopenia and implementation of SARC-CAIF screening were the most appropriate interventions to achieve our objective.
Results
A total of 26 patients were identified, with an average age of 76.7 [6.7] years old. The mean SARC-F and SARC-CaIF scores were 4.51 [3.5] and 14.6 [2.4] respectively. 50% (13/26) of patients were admitted for falls. After implementation of SARC-CaIF screening, mean time to PT review was shortened to 1.38 days from admission, with an increase in PT interventions to 2.23 per patient. Prevalence of possible sarcopenia is high among inpatients.
Conclusion
More can be done to enhance its detection among frail hospitalized older patients, so as to deliver targeted physiotherapy interventions. Doctor education and SARC-CaIF screen are simple and practical tools that can be utilised. |
| doi_str_mv | 10.1093/ageing/afad246.060 |
| format | Article |
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Introduction
Sarcopenia, defined as age-related loss of muscle function and strength, has a reported prevalence of up to 40.4% in the older adult. Despite its association with frailty, disability and mortality, it is underdiagnosed among hospitalised older patients. Exercise interventions have also been shown to improve fall risk scores for sarcopenic patients. A QI initiative was started by a team comprising doctors and physiotherapists.
Method
Our aim was to enhance detection of possible sarcopenia and reduce time to delivery of targeted physiotherapy interventions to 1 working day from admission in patients aged > 65 admitted to our ward. Interventions were grouped into three main categories – strength training, balance and gait stability training. A pilot study of 12 patients showed that no sarcopenia assessments were carried out and mean time to PT review was 2.6 days from admission, with an average of 1.08 interventions performed per patient. Fishbone analysis and Pareto chart were conducted to identify and prioritise factors behind low screening rates of sarcopenia, before driver diagram was performed to develop solutions. Our team established that education of junior doctors on sarcopenia and implementation of SARC-CAIF screening were the most appropriate interventions to achieve our objective.
Results
A total of 26 patients were identified, with an average age of 76.7 [6.7] years old. The mean SARC-F and SARC-CaIF scores were 4.51 [3.5] and 14.6 [2.4] respectively. 50% (13/26) of patients were admitted for falls. After implementation of SARC-CaIF screening, mean time to PT review was shortened to 1.38 days from admission, with an increase in PT interventions to 2.23 per patient. Prevalence of possible sarcopenia is high among inpatients.
Conclusion
More can be done to enhance its detection among frail hospitalized older patients, so as to deliver targeted physiotherapy interventions. Doctor education and SARC-CaIF screen are simple and practical tools that can be utilised.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afad246.060</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Age ; Age differences ; Frail ; Gait ; Hospitalization ; Inpatient care ; Intervention ; Medical screening ; Older people ; Patient admissions ; Patients ; Physical therapists ; Physical therapy ; Physical training ; Physicians ; Physiotherapy ; Resident physicians ; Sarcopenia ; Strength training ; Teams</subject><ispartof>Age and ageing, 2024-01, Vol.53 (Supplement_1)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925,30999</link.rule.ids></links><search><creatorcontrib>Tan, S Y</creatorcontrib><creatorcontrib>Tan, L L S</creatorcontrib><creatorcontrib>Cheng, Z C D</creatorcontrib><creatorcontrib>Yong, H W Q</creatorcontrib><creatorcontrib>Wong, L L</creatorcontrib><creatorcontrib>Seow, C C D</creatorcontrib><title>1894 Enhancing detection of possible sarcopenia and delivery of targeted physiotherapy interventions among hospitalised older patient</title><title>Age and ageing</title><description>Abstract
Introduction
Sarcopenia, defined as age-related loss of muscle function and strength, has a reported prevalence of up to 40.4% in the older adult. Despite its association with frailty, disability and mortality, it is underdiagnosed among hospitalised older patients. Exercise interventions have also been shown to improve fall risk scores for sarcopenic patients. A QI initiative was started by a team comprising doctors and physiotherapists.
Method
Our aim was to enhance detection of possible sarcopenia and reduce time to delivery of targeted physiotherapy interventions to 1 working day from admission in patients aged > 65 admitted to our ward. Interventions were grouped into three main categories – strength training, balance and gait stability training. A pilot study of 12 patients showed that no sarcopenia assessments were carried out and mean time to PT review was 2.6 days from admission, with an average of 1.08 interventions performed per patient. Fishbone analysis and Pareto chart were conducted to identify and prioritise factors behind low screening rates of sarcopenia, before driver diagram was performed to develop solutions. Our team established that education of junior doctors on sarcopenia and implementation of SARC-CAIF screening were the most appropriate interventions to achieve our objective.
Results
A total of 26 patients were identified, with an average age of 76.7 [6.7] years old. The mean SARC-F and SARC-CaIF scores were 4.51 [3.5] and 14.6 [2.4] respectively. 50% (13/26) of patients were admitted for falls. After implementation of SARC-CaIF screening, mean time to PT review was shortened to 1.38 days from admission, with an increase in PT interventions to 2.23 per patient. Prevalence of possible sarcopenia is high among inpatients.
Conclusion
More can be done to enhance its detection among frail hospitalized older patients, so as to deliver targeted physiotherapy interventions. Doctor education and SARC-CaIF screen are simple and practical tools that can be utilised.</description><subject>Age</subject><subject>Age differences</subject><subject>Frail</subject><subject>Gait</subject><subject>Hospitalization</subject><subject>Inpatient care</subject><subject>Intervention</subject><subject>Medical screening</subject><subject>Older people</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Physical training</subject><subject>Physicians</subject><subject>Physiotherapy</subject><subject>Resident physicians</subject><subject>Sarcopenia</subject><subject>Strength training</subject><subject>Teams</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkE1qwzAQRkVpoWnaC3Ql6NqJJEuyvCwh_YFAN9mbiSzHCo6kSk7AB-i9q5AeoKth4H1vmA-hZ0oWlNTlEvbGuv0SOmgZlwsiyQ2aUS5VwVTJb9GMEMIKUrH6Hj2kdMgrFZTN0A9VNcdr14PT2YBbMxo9Wu-w73DwKdndYHCCqH0wzgIG12ZosGcTpwszQtznTItDPyXrx95ECBO2bjTxbNxFlTAcfXb3PgU7wmBTxv3QmogDjDZDj-iugyGZp785R9u39Xb1UWy-3j9Xr5tC5y-roiOSE0Uko4LIUigtJNRKKhCMi50yLa-AS6F1XTGiWbnrVMWNagU3NZOsnKOXqzZE_30yaWwO_hRdvtiwWghWSsarTLErpWP-P5quCdEeIU4NJc2l7ebadvPXdpPbzqHiGvKn8B_-F1DxhgA</recordid><startdate>20240122</startdate><enddate>20240122</enddate><creator>Tan, S Y</creator><creator>Tan, L L S</creator><creator>Cheng, Z C D</creator><creator>Yong, H W Q</creator><creator>Wong, L L</creator><creator>Seow, C C D</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20240122</creationdate><title>1894 Enhancing detection of possible sarcopenia and delivery of targeted physiotherapy interventions among hospitalised older patient</title><author>Tan, S Y ; Tan, L L S ; Cheng, Z C D ; Yong, H W Q ; Wong, L L ; Seow, C C D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1097-f064080621506358c56a9868a5245b8ed47a465cc9720c23bf874e8d54e92623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age</topic><topic>Age differences</topic><topic>Frail</topic><topic>Gait</topic><topic>Hospitalization</topic><topic>Inpatient care</topic><topic>Intervention</topic><topic>Medical screening</topic><topic>Older people</topic><topic>Patient admissions</topic><topic>Patients</topic><topic>Physical therapists</topic><topic>Physical therapy</topic><topic>Physical training</topic><topic>Physicians</topic><topic>Physiotherapy</topic><topic>Resident physicians</topic><topic>Sarcopenia</topic><topic>Strength training</topic><topic>Teams</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, S Y</creatorcontrib><creatorcontrib>Tan, L L S</creatorcontrib><creatorcontrib>Cheng, Z C D</creatorcontrib><creatorcontrib>Yong, H W Q</creatorcontrib><creatorcontrib>Wong, L L</creatorcontrib><creatorcontrib>Seow, C C D</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, S Y</au><au>Tan, L L S</au><au>Cheng, Z C D</au><au>Yong, H W Q</au><au>Wong, L L</au><au>Seow, C C D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1894 Enhancing detection of possible sarcopenia and delivery of targeted physiotherapy interventions among hospitalised older patient</atitle><jtitle>Age and ageing</jtitle><date>2024-01-22</date><risdate>2024</risdate><volume>53</volume><issue>Supplement_1</issue><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Introduction
Sarcopenia, defined as age-related loss of muscle function and strength, has a reported prevalence of up to 40.4% in the older adult. Despite its association with frailty, disability and mortality, it is underdiagnosed among hospitalised older patients. Exercise interventions have also been shown to improve fall risk scores for sarcopenic patients. A QI initiative was started by a team comprising doctors and physiotherapists.
Method
Our aim was to enhance detection of possible sarcopenia and reduce time to delivery of targeted physiotherapy interventions to 1 working day from admission in patients aged > 65 admitted to our ward. Interventions were grouped into three main categories – strength training, balance and gait stability training. A pilot study of 12 patients showed that no sarcopenia assessments were carried out and mean time to PT review was 2.6 days from admission, with an average of 1.08 interventions performed per patient. Fishbone analysis and Pareto chart were conducted to identify and prioritise factors behind low screening rates of sarcopenia, before driver diagram was performed to develop solutions. Our team established that education of junior doctors on sarcopenia and implementation of SARC-CAIF screening were the most appropriate interventions to achieve our objective.
Results
A total of 26 patients were identified, with an average age of 76.7 [6.7] years old. The mean SARC-F and SARC-CaIF scores were 4.51 [3.5] and 14.6 [2.4] respectively. 50% (13/26) of patients were admitted for falls. After implementation of SARC-CaIF screening, mean time to PT review was shortened to 1.38 days from admission, with an increase in PT interventions to 2.23 per patient. Prevalence of possible sarcopenia is high among inpatients.
Conclusion
More can be done to enhance its detection among frail hospitalized older patients, so as to deliver targeted physiotherapy interventions. Doctor education and SARC-CaIF screen are simple and practical tools that can be utilised.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/ageing/afad246.060</doi></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current) |
| subjects | Age Age differences Frail Gait Hospitalization Inpatient care Intervention Medical screening Older people Patient admissions Patients Physical therapists Physical therapy Physical training Physicians Physiotherapy Resident physicians Sarcopenia Strength training Teams |
| title | 1894 Enhancing detection of possible sarcopenia and delivery of targeted physiotherapy interventions among hospitalised older patient |
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