Evaluation of Functional Improvement in Older Patients With Cognitive Impairment, Depression and/or Delirium Admitted to a Geriatric Convalescence Hospitalization Unit

Functional and clinical outcomes of patients aged younger and older than 85 years after rehabilitation post‐hip fracture surgery in a co‐managed orthogeriatric unit

“…In order to support the use of this parameter, we calculated the REI. This index suggests a clinically relevant rehabilitation improvement for values ≥0.50, and a high rehabilitation efficiency for values >1 . Interestingly, the proportion of patients who achieved high rehabilitation efficiency according to the REI did not significantly differ between the groups.…”

“…This index suggests a clinically relevant rehabilitation improvement for values ≥0.50, and a high rehabilitation efficiency for values >1. 12,14 Interestingly, the proportion of patients who achieved high rehabilitation efficiency according to the REI did not significantly differ between the groups. We speculate that high efficiency, regardless of age, could be a realistic target of older patients' rehabilitation.…”

“…While the AFG expresses the absolute gain in terms of BI score, the REI expresses BI gain over the length of stay (LOS; days). Previous studies suggest that cut‐offs required to define clinically relevant improvements should be ≥20 points for the AFG and ≥0.5 for the REI . Accordingly, we used these same cut‐offs to indicate rehabilitation efficacy.…”

Prognostic factors of functional status improvement in individuals admitted to convalescence care units

“…Another strong point is the clinically relevant definition of functional improvement, used in similar studies [17][18][19]. Other authors have applied criteria that are less patient-oriented, defining functional improvement as a Barthel Index increase 20 points [20][21][22][23] or as an improvement over an individualized threshold based on the individual Barthel score on admission [24]. On the other hand, the main limitation of this study is that it is a retrospective analysis of an anonimized database, and thus it is not possible to explore variables not routinely collected in CMBD-RSS (thus preventing an in-depth study of dimensions like comorbidity), or long-term outcomes after discharge from the convalescence unit.…”

Interdisciplinary Care for Older Adults with Complex Needs: American Geriatrics Society Position Statement

“…Moreover, the care needs are more difficult to manage. Studies have shown that interdisciplinary assessment and care can positively affect the outcomes of targeted older adults with complex comorbidities in a variety of settings 3,5–9,15–17,23–27 …”