Epidemiology of adverse clinical events (ACEs) as a dynamic measure of geriatric care management

Effect of nutritional status on clinical outcome in a population of geriatric rehabilitation patients

“…Neither age nor functional status entered the model, although having high RR values (2.7 and 2.5 respectively). As for functional dependence, our data are far from those achieved by the authors of the ACE classification (28). Their findings demonstrated a close association between functional dependence and comorbidity, and clinical instability.…”

“…Others have already noted that, the sicker the patients, the more they are prone to ACE (28). Cognitive status is also part of the predicting model, both for its direct capability to predict ACE (especially traumatic ACE) and because it summarizes the correlated predicting capability of age and functional status.…”

Predictors of recovering ambulation after hip fracture inpatient rehabilitation

“…This result indirectly supports our previously expressed view that HF patients require high standard clinical and nursing care to obtain the highest possible functional gain [35]. Bernardini et al already showed in a large sample of inpatient rehabilitation patients, including HF, that those with clinical complexity on admission presented a lower functional recovery than those without clinical complexity [9]; Kim et al [27] showed that pre-fracture ambulatory capacity and combined medical disease predicted ambulatory capacity with walking aid, whereas MMSe and functional status on admission did not.…”

“…As to this secondary analysis, we must mention the exclusion of 28 patients, either due to death/acute care readmission or missing data. However, these patients presented lower SDC and higher comorbidity on admission and overall worse outcome, thus suggesting that their exclusion was not a substantial bias to our final results, that are in line with some [9, 27], but not all studies focusing on HF recovery [25, 26, 32, 33]. Indeed, we must also point out that our model, although significant, explained only 24% of the variance of the final outcome; as we already acknowledged, the lack of information on the first stages of care and on surgery (timing, type) is the main limitation of our study, and, probably, our model would have been empowered by including this information [24, 27].…”

“…Rehabilitation is crucial for the functional recovery of elderly patients with HF [ 7 , 8 ]. The optimal setting, intensity, and duration of rehabilitation are current issues of debate, but the evaluation of rehabilitation performance is often confined to the variation of a single functional scale, undervaluing the contribution of care processes and of clinical complexity and nursing needs to a final functional outcome [ 9 ]. Furthermore, practice is still inconsistent across different facilities [ 10 ].…”