Factors associated with the recovery of activities of daily living after hospitalization for acute medical illness: a prospective cohort study

Abstract

[Purpose] This study investigated the factors associated with the recovery rate of activities of daily living of elderly patients hospitalized for acute medical illness. [Subjects and Methods] A total of 238 elderly patients were enrolled in this study. The main outcome measure was the functional independence measure score which was used as an assessment of activities of daily living. The participants were divided into 2 groups based on their activities of daily living before onset: the independent group and the partially dependent group. The participants of each group were further divided into 2 subgroups based on recovery rates of activities of daily living: the high-recovery group (80%) and the low-recovery group (<80%). The factors associated with the recovery rate were examined using multivariate logistic regression analysis. [Results] The factors associated with the recovery rate were: days of inactivity and cognitive status at the start of rehabilitation for the independent group, and days of inactivity and nutritional status at the start of rehabilitation for the partially dependent group. [Conclusion] The results of this study suggest that the important factors for return to normal activities of daily living are: days of inactivity and cognitive status for the independent group; and days of inactivity and management of nutrition for the partially dependent group.

Clinical Characteristics of Older Heart Failure Patients With Hospital-Acquired Disability: A Preliminary, Single-Center, Observational Study

“…The results of this study similar to several prior studies reported that ≥ 50% of hospitalized among older patients do not walk outside their room except during rehabilitation or medical examinations [30,31]. Goto et al [32] reported that HAD occurred in several diseases associated with cognitive impairment, frailty, and low physical function. A previous study reported that improvement in ADL is not possible among older patients with frailty, even if early rehabilitation is performed during hospitalization, due to their living environment before hospitalization [33].…”

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

“…The association between nutritional status (MNA or MNA-SF) and functional parameters (BI or FIM) was analyzed in ten studies (Online Resource 12). Seven [31,33,34,69,76,81,82] out of ten studies reported a significant association between either low MNA or low MNA-SF and low BI or low FIM. One study [30] did not show an association and in two studies [54,64] heterogeneous outcomes were observed.…”

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

“…These results are in line with other studies, where the direct association between nutritional status and functional outcomes in hospital-deconditioned patients was unclear. Goto et al [ 54 ] reported that a better MNA-SF score at the start of rehabilitation was only significantly associated with functional recovery in deconditioned patients who were previously more dependent for activities of daily living, while in more independent patients, better nutritional status was not an independent factor for predicting better functional outcomes. In contrast, Katano et al [ 42 ] reported higher functional gain in patients with worse nutritional status (MNA-SF ≤ 7) than in those with better nutritional status (MNA-SF > 7).…”