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Titolo:
Medical comorbidity and rehabilitation efficiency in geriatric inpatients
Autore:
Patrick, L; Knoefel, F; Gaskowski, P; Rexroth, D;
Indirizzi:
SCO Hlth Serv, Clin Neuropsychol, Geriatr Rehabil, Ottawa, ON K1R 7A5, Canada SCO Hlth Serv Ottawa ON Canada K1R 7A5 ehabil, Ottawa, ON K1R 7A5, Canada
Titolo Testata:
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
fascicolo: 11, volume: 49, anno: 2001,
pagine: 1471 - 1477
SICI:
0002-8614(200111)49:11<1471:MCAREI>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
FUNCTIONAL INDEPENDENCE; LENGTH; STAY;
Keywords:
rehabilitation efficiency; medical comorbidity; cumulative illness;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Patrick, L SCO Hlth Serv, Clin Neuropsychol, Geriatr Rehabil, 60 CambridgeSt N, Ottawa, ON K1R 7A5, Canada SCO Hlth Serv 60 Cambridge St N Ottawa ONCanada K1R 7A5 Canada
Citazione:
L. Patrick et al., "Medical comorbidity and rehabilitation efficiency in geriatric inpatients", J AM GER SO, 49(11), 2001, pp. 1471-1477

Abstract

OBJECTIVES: To measure and describe medical comorbidity in geriatric rehabilitation patients and investigate its relationship to rehabilitation efficiency. DESIGN: Prospective, multivariate, within-subject design. SETTING: The Geriatric Rehabilitation inpatient unit of the SCO Health Service in Ottawa, Canada. PARTICIPANTS: One hundred ten patients, with a mean age of 82 years. MEASUREMENTS: The rehabilitation efficiency ratio, based on gains in functional status achieved with rehabilitation treatment, and the length of staywere computed for all patients. Values were regressed on the scores of theCumulative Illness Rating Scale (CIRS), the Mini-Mental State Examination,and the Geriatric Depression Scale to establish predictive power. RESULTS: The findings suggest that geriatric rehabilitation patients experience considerable medical comorbidity. Sixty percent of patients had impairments across six of the 13 dimensions of the CIRS, whereas 36% of patientshad impairments across 11 of the 13 dimensions. In addition, medical comorbidity was negatively related to rehabilitation efficiency. This relationship was significant even after controlling for age, cognitive status, depressive symptoms, and functional independence status at admission. CONCLUSION: Medical comorbidity was a significant predictor of rehabilitation efficiency in geriatric patients. Comorbidity scores >5 were prognosticof poorer rehabilitation outcomes and can serve as an empirical guide in estimating a patient's suitability for rehabilitation. Medical comorbidity predicted both the overall functional change achieved with rehabilitation (Functional Independence Measure gains) and the rate at with which those gains were reached (rehabilitation efficiency ratio).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 03:12:16