Outcomes at 12 Months in a Population of Elderly Patients Discharged From a Rehabilitation Unit

Journal of the American Medical Directors Association

Volumn 9, Issue 1, 2008, Pages 55-64

  Bellelli, Giuseppe ^a,b   Magnifico, Francesca ^a,b   Trabucchi, Marco ^b,c  

^a Ancelle della Carita Hospital   (Italy)

^b GERIATRIC RESEARCH GROUP   (Italy)

^c UNIVERSITY OF ROME TOR VERGATA   (Italy)

Author keywords

institutionalization; mortality; Rehabilitation Unit; rehospitalization

Indexed keywords

ALBUMIN;

AGED; ALBUMIN BLOOD LEVEL; ARTICLE; BARTHEL INDEX; COGNITIVE DEFECT; COMORBIDITY; CORRELATIONAL STUDY; DELIRIUM; DEMOGRAPHY; DEPRESSION; ELDERLY CARE; FEMALE; FOLLOW UP; FUNCTIONAL STATUS; GERIATRIC DEPRESSION SCALE; GERIATRIC DISORDER; HEALTH STATUS; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; INSTITUTIONAL CARE; MAJOR CLINICAL STUDY; MALE; MINI MENTAL STATE EXAMINATION; MORTALITY; OUTCOME ASSESSMENT; PATIENT INFORMATION; POPULATION RESEARCH; PREDICTION; RECURRENT DISEASE; REHABILITATION CENTER; SCORING SYSTEM; SOCIAL STATUS; SYMPTOM;

EID: 37549050200     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2007.09.009     Document Type: Article

References (62)

1. Fried L.P., Ferrucci L., Darer J., et al. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 59 (2004) 255-263
2. Kim H., and Lee J. The impact of comorbidity on wealth changes in later life. J Gerontol B Psychol Sci Soc Sci 61 (2006) S307-S314
3. Hoffman C., Rice D., and Sung H.Y. Persons with chronic conditions: Their prevalence and costs. JAMA 276 (1996) 1473-1479
4. Wagner E.H., Austin B.T., and Von Korff M. Organizing care for patients with chronic illness. Milbank Q 74 (1996) 511-544
5. Ferrucci L., Guralnik J.M., Studenski S., et al. Interventions on Frailty Working Group. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report. J Am Geriatr Soc 52 (2004) 625-634
6. Fried L.P., and Guralnik J.M. Disability in older adults: Evidence regarding significance, etiology, and risk. J Am Geriatr Soc 45 (1997) 92-100
7. Walston J., Hadley E.C., Ferrucci L., et al. Research agenda for frailty in older adults: Toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc 54 (2006) 991-1001
8. Slaets J.P. Vulnerability in the elderly: Frailty. Med Clin North Am 90 (2006) 593-601
9. Comette P., D'Hoore W., Malhomme B., et al. Differential risk factors for early and later hospital readmission of older patients. Aging Clin Exp Res 17 (2005) 322-328
10. Winograd C.H., Gerety M.B., Chung M., et al. Screening for frailty: Criteria and predictors of outcomes. J Am Geriatr Soc 39 (1991) 778-784
11. Satish S., Winograd C.H., Chavez C., et al. Geriatric targeting criteria as predictors of survival and health care utilization. J Am Geriatr Soc 44 (1996) 914-921
12. Sullivan D.H. Risk factors for early hospital readmission in a select population of geriatric rehabilitation patients: The significance of nutritional status. J Am Geriatr Soc 40 (1992) 792-798
13. Librero J., Peiro S., and Ordinana R. Chronic comorbidity and outcomes of hospital care: Length of stay, mortality, and readmission at 30 and 365 days. J Clin Epidemiol 52 (1999) 171-179
14. Fortinsky R.H., Covinsky K.E., Palmer R.M., and Landefeld C.S. Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J Gerontol A Biol Sci Med Sci 54 (1999) M521-M526
15. Rudenberg M.A., Sager M.A., and Zhang J. Risk factors for nursing home use after hospitalization for medical illness. J Gerontol A Biol Sci Med Sci 51 (1996) M189-M194
16. Aditya B.S., Sharma J.T., Allen S.C., and Vassallo M. Predictors of a nursing home placement from a non-acute geriatric hospital. Clin Rehabil 17 (2003) 108-113
17. Fogel J.F., Hyman R.B., Rock B., and Wolf-Klein G. Predictors of hospital length of stay and nursing home placement in an elderly medical population. J Am Med Dir Assoc 1 (2000) 202-210
18. Rozzini R., Sabatini T., and Trabucchi M. Prediction of 6-month mortality among older hospitalized adults. JAMA 286 (2001) 1315-1356
19. Walter L.C., Brand R.J., Counsell S.R., et al. Development and validation of a prognostic index for 1-year mortality in older adults after hospitalization. JAMA 285 (2001) 2987-2994
20. Inouye S.K., Peduzzi P.N., Robison J.T., et al. Importance of functional measures in predicting mortality among older hospitalized patients. JAMA 279 (1998) 1187-1193
21. Wells J.L., Seabrook J.A., Stolee P., et al. State of the art in geriatric rehabilitation. Part II: Clinical challenges. Arch Phys Med Rehabil 84 (2003) 898-903
22. Ottenbacher K.J., Smith P.M., Illig S.B., et al. Trends in lengths of stay, living setting, functional outcome, and mortality following medical rehabilitation. JAMA 292 (2004) 1687-1695
23. Rozzini L., Cornali C., Vicini Chilovi B., et al. Predictor of institutionalization in demented patients discharged from a rehabilitation unit. J Am Med Dir Assoc 7 (2006) 345-349
24. Bellelli G., Guerini F., and Trabucchi M. Geriatric pocket guide and geriatricians in the rehabilitation of older patients. Arch Phys Med Rahabil 86 (2005) 846
25. Charlson M.E., Pompei P., Ales K.L., and MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 40 (1987) 373-383
26. Yesavage J.A., Brink T.L., Rose T.L., et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982- 17 (1983) 37-49
27. Folstein M.F., Folstein S.E., and McHugh P.R. "Mini Mental State": a practical method for grading the cognitive status of patients for the clinician. J Psych Res 12 (1975) 189-198
28. Inouye S.K., Van Dyck C.H., Alessi C.A., Balkin S., Siegal A.P., and Horwitz R.I. Clarifying confusion: The Confusion Assessment Method. Ann Intern Med 113 (1990) 941-948
29. Mahoney F.I., and Barhel D.W. Functional evaluation: the Barthel Index. Mar St Med J 14 (1965) 61-65
30. Tinetti M. Performance-oriented assessment of mobility problems in elderly patient. J Am Geriatr Soc 34 (1986) 119-126
31. Kidd D., Stewart G., Baldry J., et al. The functional independence measure: A comparative validity and reliability study. Disabil Rehabil 17 (1995) 10-14
32. Winograd C.H., Lindenberg E.C., Chavez C.M., et al. Identifying hospitalised older patients at varying risk for physical performance decline: A new approach. J Am Geriatr Soc 45 (1997) 604-609
33. Friedman S.M., Steinwachs D.M., Rathouz P.J., et al. Characteristics predicting nursing home admission in the program of all-inclusive care for elderly people. Gerontologist 45 (2005) 157-166
34. Miller E.A., and Weissert W. Incidence of four adverse outcomes in the elderly population: Implications for home care policy and research. Home Health Care Serv Q 20 (2001) 17-47
35. Shen Q., Cordato D., Chan D.K., et al. Identifying the determinants of 1-year post-stroke outcomes in elderly patients. Acta Neurol Scand 113 (2006) 114-120
36. Caltagirone C., Bianchetti A., Di Luca M., et al. Italian Association of Psychogeriatrics Guidelines for the treatment of Alzheimer's disease from the Italian Association of Psychogeriatrics. Drugs Aging 22 Suppl 1 (2005) 1-26
37. Inouye S.K. Prevention of delirium in hospitalized older patients: Risk factors and targeted intervention strategies. Ann Med 32 (2000) 257-263
38. Inouye S.K., Bogardus S.T., Charpentier P.A., et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 340 (1999) 669-676
39. Inouye S.K., Rushing J.T., Foreman M.D., et al. Does delirium contribute to poor hospital outcomes?. A three-site epidemiologic study. J Gen Intern Med 13 (1998) 234-242
40. Guccione A.A., Fagerson T.L., and Anderson J.J. Regaining functional independence in the acute care setting following hip fracture. Phys Ther 76 (1996) 818-826
41. Hoenig H., Rubenstein L., and Kahn K. Rehabilitation after hip-fracture: Equal opportunities for all?. Arch Phys Med Rehab 77 (1996) 58-63
42. Bellelli G., Guerini F., Bianchetti A., et al. Medical comorbidity and complexity of the rehabilitative procedures for older patients with functional impairments. J Am Geriatr Soc 50 (2002) 2095-2096
43. Speciale S., Bellelli G., Lucchi E., et al. Delirium and functional recovery in elderly patients. J Gerontol A Biol Sci Med Sci 62 (2007) 107-108
44. Bellelli G., Lucchi E., Magnifico M., et al. Rehospitalization and transfers to nursing facilities in elderly patients after hip fracture surgery. J Am Geriatr Soc 53 (2005) 1443-1445
45. Bellelli G., Frisoni G.B., Pagani M., et al. Does cognitive performance affect physical therapy regimen after hip fracture surgery?. Aging Clin Exp Res 19 (2007) 119-124
46. Teri L., McCurry S.M., Buchner D.M., et al. Exercise and activity level in Alzheimer's disease: A potential treatment focus. J Rehabil Res Dev 35 (1998) 411-419
47. Nikolaus T., Specht-Leible N., Bach M., et al. A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients. Age Ageing 28 (1999) 543-550
48. Naylor M.D., Brooten D., Campbell R., Jacobsen B.S., Mezey M.D., Pauly M.V., and Schwartz J.S. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA 281 (1999) 613-620
49. Halm E.A., Magaziner J., Hannan E.L., et al. Frequency and impact of active clinical issues and new impairments on hospital discharge in patients with hip fracture. Arch Intern Med 163 (2003) 108-113
50. Young J., and Inouye S.K. Delirium in older people. BMJ 334 (2007) 842-846
51. Rigney T.S. Delirium in the hospitalized elder and recommendations for practice. Geriatr Nurs 27 (2006) 151-157
52. Lyons W.L. Delirium in postacute and long-term care. J Am Med Dir Assoc 7 (2006) 254-261
53. Flaherty J.H., Rudolph J., Shay K., et al. Delirium is a serious and under-recognized problem: Why assessment of mental status should be the sixth vital sign. J Am Med Dir Assoc 5 (2007) 273-275
54. Speciale S., Bellelli G., and Trabucchi M. Staff training and use of specific protocols for delirium management. J Am Geriatr Soc 53 (2005) 1445-1446
55. Leibson C.L., Tosteson A.N., Gabriel S.E., et al. Mortality, disability, and nursing home use for persons with and without hip fracture: A population-based study. J Am Geriatr Soc 50 (2002) 1644-1650
56. de Jong G., van Raak L., Kessels F., and Lodder J. Stroke subtype and mortality. A follow-up study in 998 patients with a first cerebral infarct. J Clin Epidemiol 56 (2003) 262-268
57. Almagro P., Barreiro B., Ochoa de Echaguen A., et al. Mortality after hospitalization for COPD. Chest 121 (2002) 1441-1448
58. Rozzini R., Sabatini T., Cassinadri A., et al. Relationship between functional loss before hospital admission and mortality in elderly persons with medical illness. J Gerontol A Biol Sci Med Sci 62 (2005) 1180-1183
59. Ranieri P., Rozzini R., Franzoni S., and Trabucchi M. Combined hypoalbuminemia and hypocholesterolemia as a predictor of mortality in older patients in a short-term period. J Am Geriatr Soc 47 (1999) 1386-1387
60. Rozzini R., Barbisoni P., Frisoni G.B., et al. Albumin as a predictor of mortality in elderly patients. J Clin Epidemiol 50 (1997) 865-867
61. Yancik R., Ershler W., Satariano W., et al. Report of the National Institute on Aging Task Force on Comorbidity. J Gerontol A Biol Sci Med Sci 3 (2007) 275-280
62. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders IV. Text Revision (2000), American Psychiatric Association, Washington, DC