Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Gait Speed and Frailty Status in Relation to Adverse Outcomes in Geriatric Rehabilitation (2019) |
Auteurs : | Aparna Arjunan ; Nancye M. Peel ; Ruth E. Hubbard |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 5, 2019) |
Article en page(s) : | p. 859-864 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Gériatrie ; Personne âgée fragile ; Rééducation et réadaptation ; Vitesse de marche |
Résumé : |
Objective
Both slow gait speed (GS) and higher levels of frailty are associated with adverse outcomes in community-dwelling older people. However these measures are not routinely utilized to stratify risk status in the hospital setting. Here we assessed their predictive validity in older inpatients. Design A prospective cohort study. Setting Inpatient rehabilitation wards of a tertiary hospital. Participants Adults 65 years and older (N=258). Interventions A frailty index (FI) was calculated from routinely collected data and GS was determined from a timed 10-meter walk test. Main Outcome Measures Adverse outcomes were longer length of stay (≥75th percentile), poor discharge outcome (discharge to a higher level of care or inpatient mortality), and inpatient delirium and falls. Results Mean age ± SD was 79±8 years and 54% were women. Mean FI ± SD on admission was 0.42±0.13 and an FI could be derived in all participants. Mean GS ± SD was 0.26±0.33 m/sec. Those unable to complete a timed walk on admission (50%) were allocated a GS of 0. There was a weak but significant inverse relationship between FI and GS (correlation coefficient -0.396). Both parameters were significantly associated with longer length of stay (P<.001 poor discharge outcome and delirium prevalence of adverse outcomes was highest in the cohort who were more frail unable to mobilize at admission rehabilitation.> Conclusions FI and GS each showed predictive validity for adverse outcomes. In a geriatric rehabilitation setting, they measure different aspects of vulnerability and combining the 2 may add value in identifying patients most at risk. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318313704 |