skip to main content
Idioma:

Frailty Related Factors as Predictors of Functional Recovery in Geriatric Rehabilitation: The Sarcopenia and Function in Aging Rehabilitation (SAFARI) Multi-Centric Study

Calle, Alicia ; Onder, G. ; Morandi, A. ; Bellelli, G. ; Ortolani, E. ; Pérez, L. M. ; Mesas, M. ; Sanniti, A. ; Mazzanti, P. ; Platto, C. N. ; Gentile, S. ; Martínez, N. ; Roquè, M. ; Inzitari, M.

The Journal of nutrition, health & aging, 2018-11, Vol.22 (9), p.1099-1106 [Periódico revisado por pares]

Paris: Springer Paris

Texto completo disponível

Citações Citado por
  • Título:
    Frailty Related Factors as Predictors of Functional Recovery in Geriatric Rehabilitation: The Sarcopenia and Function in Aging Rehabilitation (SAFARI) Multi-Centric Study
  • Autor: Calle, Alicia ; Onder, G. ; Morandi, A. ; Bellelli, G. ; Ortolani, E. ; Pérez, L. M. ; Mesas, M. ; Sanniti, A. ; Mazzanti, P. ; Platto, C. N. ; Gentile, S. ; Martínez, N. ; Roquè, M. ; Inzitari, M.
  • Assuntos: Aged ; Aged, 80 and over ; Aging ; Bone surgery ; Female ; Frailty ; Frailty - rehabilitation ; Geriatric Assessment - methods ; Geriatrics ; Geriatrics/Gerontology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Nutrition ; Primary Care Medicine ; Quality of Life Research ; Recovery (Medical) ; Rehabilitation ; Sarcopenia ; Sarcopenia - rehabilitation ; Stroke
  • É parte de: The Journal of nutrition, health & aging, 2018-11, Vol.22 (9), p.1099-1106
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Background Frailty-related characteristics, such as sarcopenia, malnutrition and cognitive impairment, are often overlooked, both in clinical practice and research, as potential contributors to functional recovery during geriatric rehabilitation. Objective The aim of the study was to identify frailty-related characteristics associated with functional recovery in a cohort of post-orthopedic surgery and post-stroke older adults. Design Multi-centric cohort study. Participanst and Settings Patients over 65 years, admitted to three geriatric rehabilitation units, in Spain and Italy, after an orthopedic event or a stroke, from December 2014 to May 2016. Measurements The Absolute Functional Gain (AFG) defined as the difference between Barthel Index score at discharge and at admission, and the Relative Functional Gain (RFG) that represents the percentage of recovery of the function lost due to the event, were selected as outcomes. Both outcomes were analyzed as continuous and dichotomous variables. Analyses were also stratified as diagnostic at admission. Results We enrolled 459 patients (mean age±SD=80.75±8.21 years), 66.2% women, 69.5% with orthopedic conditions and with a length of stay of 28.8±9.1 days. Admission after a stroke (Odds Ratio=0.36, 95% Confidence Interval=0.22-0.59]) and a better functional status at admission (OR=0.96, 95% CI=0.94-0.97), were associated with a lower likelihood of AFG, while a better pre-event Barthel index (OR=1.03 for each point in score, 95% CI=1.01-1.04), being able to walk (OR=2.07, 95% CI=1.16-3.70), and a better cognitive status at admission (OR=1.05, 95% CI=1.01-1.09), were associated with a higher chance of AFG. Post-stroke patients with delirium at admission had a re-duced chance of AFG (OR=0.25, 95% CI=0.07-0.91]). Patients admitted after an orthopedic event with better pre-event functional status (OR=1.04, 95% CI=1.02-1.06) and able to walk at admission (OR=2.79, 95% CI=1.29-6.03]) had an increased chance of AFG. Additionally, in both diagnostics groups, a better handgrip strength increased the chance of RFG. Conclusions Among frailty-related variables, physical, cognitive and muscular function at admission could be relevant for functional improvement during geriatric reha-bilitation. If confirmed, this data might orient targeted interventions.
  • Editor: Paris: Springer Paris
  • Idioma: Inglês
Links
Voltar para lista de resultados

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.