Predictors of functional recovery (FR) for elderly hospitalized patients in a geriatric evaluation and management unit (GEMU) in Taiwan

Archives of Gerontology and Geriatrics

Volumn 50, Issue , 2010, Pages S1-S5

  Chen, Yi Ming ^a,b   Chuang, Ya Wen ^a   Liao, Szu Chia ^a   Lin, Chu Sheng ^a   Yang, Shu Hui ^a   Tang, Yih Jing ^a,c   Tsai, Jaw Ji ^a   Lan, Jong Liang ^a,b,c,d   Chen, Der Yuan ^a,b,c,d  

^a TAICHUNG VETERANS GENERAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c NATIONAL CHUNG HSING UNIVERSITY   (Taiwan)

^d CHUNG SHAN MEDICAL UNIVERSITY   (Taiwan)

Author keywords

Functional recovery; Geriatric evaluation and management unit; Predictors in elderly; Timed up and go test

Indexed keywords

AGED; ARTICLE; BARTHEL INDEX; CLINICAL EVALUATION; CONTROLLED STUDY; DAILY LIFE ACTIVITY; FEMALE; FUNCTIONAL STATUS; GENERAL HOSPITAL; GERIATRIC ASSESSMENT; HOSPITAL PATIENT; HUMAN; INDEPENDENT VARIABLE; MAJOR CLINICAL STUDY; MALE; REMISSION; TAIWAN; TIMED UP AND GO TEST; VERY ELDERLY; VETERAN; COGNITIVE DEFECT; CONVALESCENCE; ELDERLY CARE; FALLING; HEALTH STATUS; HOSPITALIZATION; MALNUTRITION; MANPOWER; MOTOR ACTIVITY; PREDICTION AND FORECASTING; PREVALENCE; PROSPECTIVE STUDY; STATISTICS; URINE INCONTINENCE;

ACCIDENTAL FALLS; ACTIVITIES OF DAILY LIVING; AGED; COGNITION DISORDERS; FEMALE; GERIATRIC ASSESSMENT; HEALTH SERVICES FOR THE AGED; HEALTH STATUS; HOSPITALIZATION; HUMANS; MALE; MALNUTRITION; MOTOR ACTIVITY; PREDICTIVE VALUE OF TESTS; PREVALENCE; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; TAIWAN; URINARY INCONTINENCE;

EID: 77952517562     PISSN: 01674943     EISSN: 18726976     Source Type: Journal    
DOI: 10.1016/S0167-4943(10)00041-5     Document Type: Article

References (39)

1. Baztán, J.J., Suárez-García, F.M., López-Arrieta, J., Rodríguez-Artalejo, F., Rodríguez-Mañas, Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. Br. Med. J., 338, 2009, b50.
2. Bernabei, R., Landi, F., Manigrasso, L., Sgadari, A., 1998. MDS-PAC–Instruction Manual.: Pfizer Italia SpA. Rome, Italy.
3. Brooks, D., Davis, A.M., Naglie, G., Validity of 3 physical performance measures in inpatient geriatric rehabilitation. Arch. Phys. Med. Rehabil. 87 (2006), 105–110.
4. Carlson, J.E., Zocchi, K.A., Bettencourt, D.M., Gambrel, M.L., Freeman, J.L., Zhang, D., Goodwin, J.S., Measuring frailty in the hospitalized elderly: Concept of functional homeostasis. Am. J. Phys. Med. Rehabil. 77 (1998), 252–257.
5. Charlson, M.E., Pompei, P., Ales, K.L., MacKenzie, C.R., A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J. Chronic Dis. 40 (1987), 373–383.
6. Chen, C.C., Wang, C., Huang, G.H., Functional trajectory 6 months posthospitalization: a cohort study of older hospitalized patients in Taiwan. Nurs. Res. 57 (2008), 93–100.
7. Covinsky, K.E., Justice, A.C., Rosenthal, G.E., Palmer, R.M., Landefeld, C.S., Measuring prognosis and case mix in hospitalized elders. The importance of functional status. J. Gen. Intern. Med. 12 (1997), 203–208.
8. Denti, L., Agosti, M., Franceschini, M., Outcome predictors of rehabilitation for first stroke in the elderly. Eur. J. Phys. Rehabil. Med. 44 (2008), 3–11.
9. Deutsch, A., Braun, S., Granger, C.V., The Functional Independence Measure (FIM instrument). J. Rehabil. Outcome Measures 1 (1997), 67–71.
10. Duncan, P.W., Weiner, D.K., Chandler, J., Studenski, S., Functional reach: a new clinical measure of balance. J. Gerontol. 45 (1990), M192–M197.
11. Folstein, M.F., Folstein, S.E., McHugh, P.R., “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12 (1975), 189–198.
12. Freter, S.H., Fruchter, N., Relationship between timed ‘up and go’ and gait time in an elderly orthopaedic rehabilitation population. Clin. Rehabil. 14 (2000), 96–101.
13. Guigoz, Y., Vellas, B., Garry, P.J., Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr. Rev. 54 (1996), S59–S65.
14. Guo, N.W., Liu, H.C., Wong, P.F., Liao, K.K., Yan, S.H., Lin, K.P., Chang, C.Y., Hsu, T.C., Chinese version and norms of the mini-mental state examination. J. Chin. Rehabil. Med. 16 (1998), 52–59.
15. Guralnik, J.M., Ferruci, L., Simonsick, E.M., Salive, M.E., Wallace, R.B., Lower-extremity function in persons over the age of 70 years as predictor of subsequent disability. N. Engl. J. Med. 332 (1995), 556–561.
16. Hershkovitz, A., Gottlieb, D., Beloosesky, Y., Brill, S., Assessing the potential for functional improvement of stroke patients attending a geriatric day hospital. Arch. Gerontol. Geriatr. 43 (2006), 243–248.
17. Inouye, S.K., Wagner, D.R., Acamphora, D., Horwitz, R.I., Cooney, L.M. Jr., Hurst, L.D., Tinetti, M.E., A predictive index for functional decline in hospitalized elderly medical patients. J. Gen. Intern. Med. 8 (1993), 645–652.
18. Inouye, S.K., Peduzzi, P.N., Robison, J.T., Hughes, J.S., Horwitz, R.I., Concato, J., Importance of functional measures in predicting mortality among older hospitalized patients. J. Am. Med. Assoc. 279 (1998), 1187–1193.
19. Inouye, S.K., Studenski, S., Tinetti, M.E., Kuchel, G.A., Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J. Am. Geriatr. Soc. 55 (2007), 780–791.
20. Kennedy, D.M., Stratford, P.W., Wessel, J., Gollish, J.D., Penney, D., Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC. Musculoskelet. Disord., 6, 2005, 3.
21. Landi, F., Bernabei, R., Russo, A., Zuccalà, G., Onder, G., Carosella, L., Cesari, M., Cocchi, A., Predictors of rehabilitation outcomes in frail patients treated in a geriatric hospital. J. Am. Geriatr. Soc. 50 (2002), 679–684.
22. Large, J., Gan, N., Basic, D., Jennings, N., Using the timed up and go test to stratify elderly inpatients at risk of falls. Clin. Rehabil. 20 (2006), 421–428.
23. Lawton, M.P., Brody, E.M., Assessment of older people. Self-maintaining and instrumental activities of daily living. Gerontologist 9 (1969), 179–186.
24. Lin, J.H., Hsieh, C.L., Lo, S.K., Hsiao, S.F., Huang, M.H., Prediction of functional outcomes in stroke inpatients receiving rehabilitation. J. Formos. Med. Assoc. 102 (2003), 695–700.
25. Mahoney, F.I., Barthel, D., Functional evaluation: the Barthel Index. Md. Med. J. 14 (1965), 61–65.
26. McCusker, J., Kakuma, R., Abrahamowicz, M., Predictors of functional decline in hospitalized elderly patients: A systematic review. J. Gerontol. A: Biol. Sci. Med. Sci. 57 (2002), M569–M577.
27. Miralles, R., Sabartes, O., Ferrer, M., Esperanza, A., Llorach, I., García-Palleiro, P., Cervera, A.M., Development and validation of an instrument to predict probability of home discharge from a geriatric convalescence unit in Spain. J. Am. Geriatr. Soc. 51 (2003), 252–257.
28. Nordin, E., Lindelöf, N., Rosendahl, E., Jensen, J., Lundin-Olsson, L., Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities. Age Ageing 37 (2008), 442–448.
29. Palmer, R.M., Landefeld, C.S., Kresevic, D., Kowal, J., A medical unit for the acute care of the elderly. J. Am. Geriatr. Soc. 42 (1994), 545–552.
30. Podsiadlo, D., Richardson, S., The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J. Am. Geriatr. Soc. 39 (1991), 142–148.
31. Reuben, D.B., Siu, A.L., Kimpau, S., The predictive validity of selfreport and performance based measures of function and health. J. Gerontol. 47 (1992), M106–M110.
32. Saltvedt, I., Mo, E.S., Fayers, P., Kaasa, S., Sletvold, O., Reduced mortality in treating acutely sick, frail older patients in a geriatric evaluation and management unit. A prospective randomized trial. J. Am. Geriatr. Soc. 50 (2002), 792–798.
33. Shumway-Cook, A., Brauer, S., Woollacott, M., Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys. Ther. 80 (2000), 896–903.
34. Shyu, Y.I., Chen, M.C., Liang, J., Wu, C.C., Su, J.Y., Predictors of functional recovery for hip fractured elders during 12 months following hospital discharge: a prospective study on a Taiwanese sample. Osteoporos. Int. 15 (2004), 475–482.
35. Sze, K.H., Wong, E., Or, K.H., Lum, C.M., Woo, J., Factors predicting stroke disability at discharge: A study of 793 Chinese. Arch. Phys. Med. Rehabil. 81 (2000), 876–880.
36. United Nations Program on Aging, United Nations principle for older persons. Available at: http://www.un.org/esa/socdev/ageing/un_principles.html, 2007 (accessed: September 28, 2007.
37. Winograd, C.H., Gerety, M.B., Chung, M., Goldstein, M.K., Dominguez, F. Jr., Vallone, R., Screening for frailty: criteria and predictors of outcomes. J. Am. Geriatr. Soc. 39 (1991), 778–784.
38. Wong, M.T., Ho, T.P., Ho, M.Y., Yu, C.S., Wong, Y.H., Lee, S.Y., Development and inter-rater reliability of a standardized verbal instruction manual for the Chinese Geriatric Depression Scale-short form. Int. J. Geriatr. Psychiatry 17 (2002), 459–463.
39. Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., Leirer, V.O., Development and validation of a geriatric depression scale: a preliminary report. J. Psychiatr. Res. 17 (1982), 37–49.