Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study
OBJECTIVES: To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units. DESIGN: Multicenter, prospective cohort study. SETTING: Acute care geriatric an...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2011-02, Vol.59 (2), p.193-199 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 199 |
|---|---|
| container_issue | 2 |
| container_start_page | 193 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 59 |
| creator | Palleschi, Lorenzo De Alfieri, Walter Salani, Bernardo Fimognari, Filippo Luca Marsilii, Alberto Pierantozzi, Andrea Di Cioccio, Luigi Zuccaro, Stefano Maria |
| description | OBJECTIVES: To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units.
DESIGN: Multicenter, prospective cohort study.
SETTING: Acute care geriatric and medical wards of five Italian hospitals.
PARTICIPANTS: One thousand forty‐eight elderly patients hospitalized for acute medical diseases.
MEASUREMENTS: Functional status 2 weeks before hospital admission (baseline), at admission, and at discharge, as measured using the Barthel Index (BI).
RESULTS: Geriatric patients were older (P |
| doi_str_mv | 10.1111/j.1532-5415.2010.03239.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_857813522</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2264618361</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5309-98405da4d2df1c0d76f6d3488483a9c739903be7e943517d1f19bf157414cf633</originalsourceid><addsrcrecordid>eNpdkd9u0zAUxi0EYmXwCshCQlwl-G_sXHCBRtsNNjZ1m7Y7y7UdcEmTYjvQ8AQ8NslaioRv7OPz-z5b5wMAYpTjYb1d5ZhTknGGeU7QcIsooWW-fQQmh8ZjMEEIkUwWmB2BZzGuEMIESfkUHBFMpCQUTcDvWdeY5NtG13DhTPvDhR62FZzW1oW6h1c6edekCE_buPFJ1_6Xs9A3cO6C1yl4A3Vjh6pxYbC4cNYb3zh42_gUc3jz1cGrxeUXl1ILP5ytfYzDW_7BYLoz0PA6dbZ_Dp5Uuo7uxX4_Brez6c3JaXZ-OT87eX-eGU5RmZWSIW41s8RW2CAriqqwlEnJJNWlEbQsEV064UpGORYWV7hcVpgLhpmpCkqPwZud7ya03zsXkxo-ZVxd68a1XVSSC4kpJ2QgX_1HrtouDIMaIUwLJuQIvdxD3XLtrNoEv9ahV38nPACv94CORtdV0I3x8R9HS8REOXLvdtxPX7v-0MdIjYmrlRqDVWOwakxcPSSuturj_Ho8Dfpsp_cxue1Br8M3VQgquLr7PFd4Ju_v7hef1AX9A0EnrMw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>851364782</pqid></control><display><type>article</type><title>Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Palleschi, Lorenzo ; De Alfieri, Walter ; Salani, Bernardo ; Fimognari, Filippo Luca ; Marsilii, Alberto ; Pierantozzi, Andrea ; Di Cioccio, Luigi ; Zuccaro, Stefano Maria</creator><creatorcontrib>Palleschi, Lorenzo ; De Alfieri, Walter ; Salani, Bernardo ; Fimognari, Filippo Luca ; Marsilii, Alberto ; Pierantozzi, Andrea ; Di Cioccio, Luigi ; Zuccaro, Stefano Maria</creatorcontrib><description>OBJECTIVES: To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units.
DESIGN: Multicenter, prospective cohort study.
SETTING: Acute care geriatric and medical wards of five Italian hospitals.
PARTICIPANTS: One thousand forty‐eight elderly patients hospitalized for acute medical diseases.
MEASUREMENTS: Functional status 2 weeks before hospital admission (baseline), at admission, and at discharge, as measured using the Barthel Index (BI).
RESULTS: Geriatric patients were older (P<.001) and had lower preadmission functional levels (P<.001) than medical patients. Between baseline and discharge, 43.2% of geriatric and 18.9% of medical patients declined in physical function. In the subpopulation of 464 patients who had declined before hospitalization (between baseline and admission), 59% improved during hospitalization (45% of geriatric and 75% of medical patients), whereas only approximately 1% declined further. High baseline function (odds ratio (OR)=1.03, 95% confidence interval (CI)=1.02–1.04, per point of BI) and greater functional decline before hospitalization (OR 0.95, 95% CI 0.94–0.97, per % point of BI decline) were significant predictors of in‐hospital functional improvement; type of hospital ward and age were not.
CONCLUSION: Although geriatric patients have overall worse functional outcomes, in‐hospital functional recovery may be frequent even in geriatric units, particularly in patients with greater preadmission functional loss and high baseline level of function.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2010.03239.x</identifier><identifier>PMID: 21288230</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Aging - physiology ; Biological and medical sciences ; Clinical outcomes ; Disability Evaluation ; Female ; Follow-Up Studies ; frail elderly ; General aspects ; Geriatric Assessment ; Geriatrics ; Health Services for the Aged ; hospital-related disability ; Hospitalization ; Hospitalization - trends ; Hospitals, General ; Humans ; Inpatients ; Italy ; Length of Stay - trends ; Male ; Medical sciences ; Miscellaneous ; Motor Activity - physiology ; Older people ; Patient Discharge - trends ; Prognosis ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Recovery of Function</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2011-02, Vol.59 (2), p.193-199</ispartof><rights>2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society</rights><rights>2015 INIST-CNRS</rights><rights>2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5309-98405da4d2df1c0d76f6d3488483a9c739903be7e943517d1f19bf157414cf633</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2010.03239.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2010.03239.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23904790$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21288230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palleschi, Lorenzo</creatorcontrib><creatorcontrib>De Alfieri, Walter</creatorcontrib><creatorcontrib>Salani, Bernardo</creatorcontrib><creatorcontrib>Fimognari, Filippo Luca</creatorcontrib><creatorcontrib>Marsilii, Alberto</creatorcontrib><creatorcontrib>Pierantozzi, Andrea</creatorcontrib><creatorcontrib>Di Cioccio, Luigi</creatorcontrib><creatorcontrib>Zuccaro, Stefano Maria</creatorcontrib><title>Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVES: To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units.
DESIGN: Multicenter, prospective cohort study.
SETTING: Acute care geriatric and medical wards of five Italian hospitals.
PARTICIPANTS: One thousand forty‐eight elderly patients hospitalized for acute medical diseases.
MEASUREMENTS: Functional status 2 weeks before hospital admission (baseline), at admission, and at discharge, as measured using the Barthel Index (BI).
RESULTS: Geriatric patients were older (P<.001) and had lower preadmission functional levels (P<.001) than medical patients. Between baseline and discharge, 43.2% of geriatric and 18.9% of medical patients declined in physical function. In the subpopulation of 464 patients who had declined before hospitalization (between baseline and admission), 59% improved during hospitalization (45% of geriatric and 75% of medical patients), whereas only approximately 1% declined further. High baseline function (odds ratio (OR)=1.03, 95% confidence interval (CI)=1.02–1.04, per point of BI) and greater functional decline before hospitalization (OR 0.95, 95% CI 0.94–0.97, per % point of BI decline) were significant predictors of in‐hospital functional improvement; type of hospital ward and age were not.
CONCLUSION: Although geriatric patients have overall worse functional outcomes, in‐hospital functional recovery may be frequent even in geriatric units, particularly in patients with greater preadmission functional loss and high baseline level of function.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>frail elderly</subject><subject>General aspects</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Health Services for the Aged</subject><subject>hospital-related disability</subject><subject>Hospitalization</subject><subject>Hospitalization - trends</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Italy</subject><subject>Length of Stay - trends</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Motor Activity - physiology</subject><subject>Older people</subject><subject>Patient Discharge - trends</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Recovery of Function</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd9u0zAUxi0EYmXwCshCQlwl-G_sXHCBRtsNNjZ1m7Y7y7UdcEmTYjvQ8AQ8NslaioRv7OPz-z5b5wMAYpTjYb1d5ZhTknGGeU7QcIsooWW-fQQmh8ZjMEEIkUwWmB2BZzGuEMIESfkUHBFMpCQUTcDvWdeY5NtG13DhTPvDhR62FZzW1oW6h1c6edekCE_buPFJ1_6Xs9A3cO6C1yl4A3Vjh6pxYbC4cNYb3zh42_gUc3jz1cGrxeUXl1ILP5ytfYzDW_7BYLoz0PA6dbZ_Dp5Uuo7uxX4_Brez6c3JaXZ-OT87eX-eGU5RmZWSIW41s8RW2CAriqqwlEnJJNWlEbQsEV064UpGORYWV7hcVpgLhpmpCkqPwZud7ya03zsXkxo-ZVxd68a1XVSSC4kpJ2QgX_1HrtouDIMaIUwLJuQIvdxD3XLtrNoEv9ahV38nPACv94CORtdV0I3x8R9HS8REOXLvdtxPX7v-0MdIjYmrlRqDVWOwakxcPSSuturj_Ho8Dfpsp_cxue1Br8M3VQgquLr7PFd4Ju_v7hef1AX9A0EnrMw</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Palleschi, Lorenzo</creator><creator>De Alfieri, Walter</creator><creator>Salani, Bernardo</creator><creator>Fimognari, Filippo Luca</creator><creator>Marsilii, Alberto</creator><creator>Pierantozzi, Andrea</creator><creator>Di Cioccio, Luigi</creator><creator>Zuccaro, Stefano Maria</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201102</creationdate><title>Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study</title><author>Palleschi, Lorenzo ; De Alfieri, Walter ; Salani, Bernardo ; Fimognari, Filippo Luca ; Marsilii, Alberto ; Pierantozzi, Andrea ; Di Cioccio, Luigi ; Zuccaro, Stefano Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5309-98405da4d2df1c0d76f6d3488483a9c739903be7e943517d1f19bf157414cf633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>frail elderly</topic><topic>General aspects</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Health Services for the Aged</topic><topic>hospital-related disability</topic><topic>Hospitalization</topic><topic>Hospitalization - trends</topic><topic>Hospitals, General</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Italy</topic><topic>Length of Stay - trends</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Motor Activity - physiology</topic><topic>Older people</topic><topic>Patient Discharge - trends</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Recovery of Function</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palleschi, Lorenzo</creatorcontrib><creatorcontrib>De Alfieri, Walter</creatorcontrib><creatorcontrib>Salani, Bernardo</creatorcontrib><creatorcontrib>Fimognari, Filippo Luca</creatorcontrib><creatorcontrib>Marsilii, Alberto</creatorcontrib><creatorcontrib>Pierantozzi, Andrea</creatorcontrib><creatorcontrib>Di Cioccio, Luigi</creatorcontrib><creatorcontrib>Zuccaro, Stefano Maria</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palleschi, Lorenzo</au><au>De Alfieri, Walter</au><au>Salani, Bernardo</au><au>Fimognari, Filippo Luca</au><au>Marsilii, Alberto</au><au>Pierantozzi, Andrea</au><au>Di Cioccio, Luigi</au><au>Zuccaro, Stefano Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2011-02</date><risdate>2011</risdate><volume>59</volume><issue>2</issue><spage>193</spage><epage>199</epage><pages>193-199</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVES: To investigate the characteristics of patients who regain function during hospitalization and the differences in terms of functional outcomes between patients admitted to geriatric and general medicine units.
DESIGN: Multicenter, prospective cohort study.
SETTING: Acute care geriatric and medical wards of five Italian hospitals.
PARTICIPANTS: One thousand forty‐eight elderly patients hospitalized for acute medical diseases.
MEASUREMENTS: Functional status 2 weeks before hospital admission (baseline), at admission, and at discharge, as measured using the Barthel Index (BI).
RESULTS: Geriatric patients were older (P<.001) and had lower preadmission functional levels (P<.001) than medical patients. Between baseline and discharge, 43.2% of geriatric and 18.9% of medical patients declined in physical function. In the subpopulation of 464 patients who had declined before hospitalization (between baseline and admission), 59% improved during hospitalization (45% of geriatric and 75% of medical patients), whereas only approximately 1% declined further. High baseline function (odds ratio (OR)=1.03, 95% confidence interval (CI)=1.02–1.04, per point of BI) and greater functional decline before hospitalization (OR 0.95, 95% CI 0.94–0.97, per % point of BI decline) were significant predictors of in‐hospital functional improvement; type of hospital ward and age were not.
CONCLUSION: Although geriatric patients have overall worse functional outcomes, in‐hospital functional recovery may be frequent even in geriatric units, particularly in patients with greater preadmission functional loss and high baseline level of function.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>21288230</pmid><doi>10.1111/j.1532-5415.2010.03239.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2011-02, Vol.59 (2), p.193-199 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_857813522 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Activities of Daily Living Aged Aged, 80 and over Aging - physiology Biological and medical sciences Clinical outcomes Disability Evaluation Female Follow-Up Studies frail elderly General aspects Geriatric Assessment Geriatrics Health Services for the Aged hospital-related disability Hospitalization Hospitalization - trends Hospitals, General Humans Inpatients Italy Length of Stay - trends Male Medical sciences Miscellaneous Motor Activity - physiology Older people Patient Discharge - trends Prognosis Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Recovery of Function |
| title | Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T14%3A56%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Functional%20Recovery%20of%20Elderly%20Patients%20Hospitalized%20in%20Geriatric%20and%20General%20Medicine%20Units.%20The%20PROgetto%20DImissioni%20in%20GEriatria%20Study&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Palleschi,%20Lorenzo&rft.date=2011-02&rft.volume=59&rft.issue=2&rft.spage=193&rft.epage=199&rft.pages=193-199&rft.issn=0002-8614&rft.eissn=1532-5415&rft.coden=JAGSAF&rft_id=info:doi/10.1111/j.1532-5415.2010.03239.x&rft_dat=%3Cproquest_pubme%3E2264618361%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=851364782&rft_id=info:pmid/21288230&rfr_iscdi=true |