Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review
Objectives Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in pre...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2021-04, Vol.75 (4), p.e13838-n/a |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Soh, Cheng Hwee Hassan, Syed Wajih Ul Sacre, Julian Lim, Wen Kwang Maier, Andrea B. |
| description | Objectives
Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients.
Methods
A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included.
Results
Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients.
Conclusion
Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow‐up duration does not alter the performance of morbidity measures. |
| doi_str_mv | 10.1111/ijcp.13838 |
| format | Article |
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Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients.
Methods
A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included.
Results
Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients.
Conclusion
Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow‐up duration does not alter the performance of morbidity measures.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.13838</identifier><identifier>PMID: 33202078</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Activities of Daily Living ; Aged ; Comorbidity ; Female ; Hospitalization ; Humans ; Inpatients ; Male ; Morbidity ; Systematic Review ; Systematic Reviews</subject><ispartof>International journal of clinical practice (Esher), 2021-04, Vol.75 (4), p.e13838-n/a</ispartof><rights>2020 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd</rights><rights>2020 The Authors. International Journal of Clinical Practice published by John Wiley & Sons Ltd.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4488-1b139dd4a2c97d379f77b96599a54ca7695782a698ee4489c8239d7e140e12763</citedby><cites>FETCH-LOGICAL-c4488-1b139dd4a2c97d379f77b96599a54ca7695782a698ee4489c8239d7e140e12763</cites><orcidid>0000-0001-7206-1724</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.13838$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.13838$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33202078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soh, Cheng Hwee</creatorcontrib><creatorcontrib>Hassan, Syed Wajih Ul</creatorcontrib><creatorcontrib>Sacre, Julian</creatorcontrib><creatorcontrib>Lim, Wen Kwang</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><title>Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Objectives
Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients.
Methods
A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included.
Results
Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients.
Conclusion
Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow‐up duration does not alter the performance of morbidity measures.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Morbidity</subject><subject>Systematic Review</subject><subject>Systematic Reviews</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhSMEoqWw4QGQJTYIKcV_ie0NVTX8FVWCBawtj31n6pETB9uZKo_Dm-IypQIW9eba93736FinaZ4TfErqeeN3djolTDL5oDkmgtOWUE4e1jvrZdthRo6aJznvMKZdJ_Hj5ogxiikW8rj5-S6iIaa1d74saACT5wQZTQmctwWVK0AObPAjoLhBxha_98VXor6c8WFBoXbGLTKjQ37MJc0DjMWEe9khjttcUAwOUt2aTMXGks_QOcpLLjDUhkUJ9h6unzaPNiZkeHZbT5rvH95_W31qL798vFidX7aWcylbsiZMOccNtUo4JtRGiLXqO6VMx60RveqEpKZXEqAuKCtp5QUQjoFQ0bOT5u1Bd5rXAzhbDSUT9JT8YNKio_H638nor_Q27rXEXCiMq8CrW4EUf8yQix58thCCGSHOWVPeE9kJhnlFX_6H7uKcxvo9TTusKKMEs0q9PlA2xZwTbO7MEKxvktc3yevfyVf4xd_279A_UVeAHIBrH2C5R0pffF59PYj-AqQOvH4</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Soh, Cheng Hwee</creator><creator>Hassan, Syed Wajih Ul</creator><creator>Sacre, Julian</creator><creator>Lim, Wen Kwang</creator><creator>Maier, Andrea B.</creator><general>Hindawi Limited</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7206-1724</orcidid></search><sort><creationdate>202104</creationdate><title>Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review</title><author>Soh, Cheng Hwee ; Hassan, Syed Wajih Ul ; Sacre, Julian ; Lim, Wen Kwang ; Maier, Andrea B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4488-1b139dd4a2c97d379f77b96599a54ca7695782a698ee4489c8239d7e140e12763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Male</topic><topic>Morbidity</topic><topic>Systematic Review</topic><topic>Systematic Reviews</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soh, Cheng Hwee</creatorcontrib><creatorcontrib>Hassan, Syed Wajih Ul</creatorcontrib><creatorcontrib>Sacre, Julian</creatorcontrib><creatorcontrib>Lim, Wen Kwang</creatorcontrib><creatorcontrib>Maier, Andrea B.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</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><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soh, Cheng Hwee</au><au>Hassan, Syed Wajih Ul</au><au>Sacre, Julian</au><au>Lim, Wen Kwang</au><au>Maier, Andrea B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2021-04</date><risdate>2021</risdate><volume>75</volume><issue>4</issue><spage>e13838</spage><epage>n/a</epage><pages>e13838-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Objectives
Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients.
Methods
A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included.
Results
Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients.
Conclusion
Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow‐up duration does not alter the performance of morbidity measures.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33202078</pmid><doi>10.1111/ijcp.13838</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0001-7206-1724</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1368-5031 |
| ispartof | International journal of clinical practice (Esher), 2021-04, Vol.75 (4), p.e13838-n/a |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Activities of Daily Living Aged Comorbidity Female Hospitalization Humans Inpatients Male Morbidity Systematic Review Systematic Reviews |
| title | Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review |
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