Functional Assessment in Geriatrics

Katz, Sidney; Stroud, Morris W.

doi:10.1111/j.1532-5415.1989.tb06820.x

Cited by 110 publications

(13 citation statements)

References 24 publications

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“…A modified version of Katz model of functional status assessment [19,20] was used to determine the ADL score. This modified version of the Katz Index is an ordinal index that easily allows a brief assessment of the physical functioning of the elderly and chronically ill patients admitted in the Internal Medicine wards of the UHC.…”

Section: Methodsmentioning

confidence: 99%

“…This modified version of the Katz Index is an ordinal index that easily allows a brief assessment of the physical functioning of the elderly and chronically ill patients admitted in the Internal Medicine wards of the UHC. A dichotomous rating (dependent/independent) of six major areas of ADL functions (in order of increasing dependency): bathing, dressing, going to the toilet, transferring from bed to chair, continence, and feeding, assigned patients to a six-point scale of dependence [20]. Cognitive impairment was determined at admission and was based on a ten question questionnaire, the short portable mental status questionnaire (SPMSQ), in which patients were given a score of 1 for each incorrectly answered question [21].…”

Section: Methodsmentioning

confidence: 99%

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Predictors of in-hospital mortality in elderly patients with bacteraemia admitted to an Internal Medicine ward

Rebelo¹,

Pereira²,

Lima³

et al. 2011

Int Arch Med

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BackgroundInfectious diseases are a common cause of increased morbidity and mortality in elderly patients. Bacteraemia in the elderly is a difficult diagnosis and a therapeutic challenge due to age-related vicissitudes and to their comorbidities. The main purpose of the study was to assess independent risk factors for in-hospital mortality among the elderly with bacteraemia admitted to an Internal Medicine Ward.MethodsOverall, a cohort of 135 patients, 65 years of age and older, with bacteraemia were retrospectively studied. Data related to demographic information, comorbidities, clinical parameters on admission, source and type of infection, microorganism isolated in the blood culture, laboratory data and empirical antibiotic treatment was recorded from each patient. Multivariate logistic regression was performed to identify independent predictors of all-cause in-hospital mortality.ResultsOf these 135 patients, 45.9% were women. The most common infections in this group of patients were urinary tract infections (46.7%). The main microorganisms isolated in the blood cultures were Escherichia coli (14.9%), Methicillin-resistant Staphylococcus aureus (MRSA) (12.0%), non-MRSA (11.4%), Klebsiella pneumoniae (9.1%) and Enterococcus faecalis (8.0%). The in-hospital mortality was 22.2%. Independent prognostic factors associated with in-hospital mortality were age ≥ 85 years, chronic renal disease, bacteraemia of unknown focus and cognitive impairment at admission (OR, 2.812 [95% CI, 1.039-7.611; p = 0.042]; OR, 6.179 [95% CI, 1.840-20.748; p = 0.003]; OR, 8.673 [95% CI, 1.557-48.311; p = 0.014] and OR, 3.621 [95% CI, 1.226-10.695; p = 0.020], respectively). By multivariate analysis appropriate antibiotic therapy was not associated with lower odds of mortality.ConclusionBacteraemia in the elderly has a high mortality rate. There are no set of signs or clinical features that can predict bacteraemia in the elderly. However, older age (≥ 85 years), chronic renal disease, bacteraemia of unknown focus and severe cognitive impairment adversely affects the outcome of elderly patients with bacteraemia admitted to an Internal Medicine ward.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predictors of in-hospital mortality in elderly patients with bacteraemia admitted to an Internal Medicine ward

Rebelo¹,

Pereira²,

Lima³

et al. 2011

Int Arch Med

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“…Both scales are widely used tools to check ADL in elderly people and have been noted to be simple and efficient assessment instruments. In particular the IADL correlated with cognitive function (Barberger-Gateau et al, 1992;Katz, 1989). In 1998, with the permission of Dr Lawton, we used the Japanese versions of the PSMS and IADL to examine their usefulness in patients with Alzheimer's disease (AD), and found the two Japanese versions to have satisfactory reliability and validity, as observed for the original.…”

Section: Introductionmentioning

confidence: 91%

Interrater reliability of the Physical Self-Maintenance Scale and the Instrumental Activities of Daily Living Scale in a variety of health professional representatives

Hokoishi

Ikeda

Maki

et al. 2001

Aging & Mental Health

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This study was performed to assess interrater reliability of the Japanese version of the Physical Self-Maintenance Scale (PSMS) and the Instrumental Activities of Daily Living Scale (IADL), which are simple and efficient assessment instruments of functional abilities in elderly patients. The subjects were 25 consecutive patients with Alzheimer's disease who were outpatients of the Department of Neuropsychiatry in Ehime University School of Medicine and their principal caregivers. One neuropsychiatrist administered the PSMS and IADL, and all sessions were videotaped. Then one clinical psychologist, one public health nurse and one neurologist, and one occupational therapist from another institution, viewed the videotape and performed reassessments. All interrater reliabilities between the neuropsychiatrist and the neurologist, the public health nurse, the clinical psychologist and the occupational therapist were extremely good. Interrater reliability between the public health nurse and the clinical psychologist, between the clinical psychologist and the neurologist and between the public health nurse and the neurologist was also extremely good. The PSMS and IADL showed good interrater reliability between personnel from different disciplines. They are likely to be useful tests for everyday medical consultations and for field research.

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“…A total of six fitness tests were conducted, namely 2-minute step (endurance), back scratch (upper body flexibility), chair sit and reach (lower body flexibility), chair stand (lower body strength), timed up and go (TUG) (balance and mobility), handgrip strength (upper body strength), and rapid pace gait speed tests. The activity of Daily Living (ADL) [33] and Instrumental Activity of Daily Living (IADL) [34] was also administered to assess the functional status.…”

Section: Physical Fitness and Functional Statusmentioning

confidence: 99%

Incidence and Predictors of Cognitive Frailty Among Older Adults: A Community-based Longitudinal Study

Rivan

Shahar

Rajab

et al. 2020

IJERPH

104

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1) Background: Cognitive frailty (CF) is the simultaneous presence of physical frailty and cognitive impairment with an increased risk of dementia. Considering that the risk factors of CF are mostly elucidated from cross-sectional studies, we conducted a community-based longitudinal study to determine the incidence and the predictors of CF among Malaysian older adults.; (2) Methods: Out of 490 older adults participating in the Malaysian Towards Useful Aging (TUA) study, 282 were successfully followed-up at five-years for an analysis of the CF incidence. CF was defined as a comorbid physical frailty (>1 Fried criteria) and mild cognitive impairment (Petersen criteria). A comprehensive interview-based questionnaire was administered for sociodemographic information, cognitive function, physical function, dietary intake, psychosocial, and biochemical indices. Univariate analyses were performed for each variable, followed by a regression analysis to identify the predictors of CF that accounted for confounding effects between the studied factors; (3) Results: The incidence Int.rate of CF was 7.1 per 100 person-years. Advancing age (OR=1.12, 95% CI:1.04-1.21, p < 0.05), depression (OR=1.20, 95% CI:1.05-1.37, p < 0.05), decreased processing speed, assessed by a lower digit symbol score (OR=0.67, 95%CI:0.0.56-0.80, p < 0.05), decreased functional mobility measured using Timed-Up-and-Go (TUG) (OR=1.23, 95% CI:1.04-1.46, p < 0.05), low vitamin D intake (OR:0.36, 95% CI:0.14-0.93, p < 0.05) and physical frailty (OR=2.16, 95% CI:1.02-4.58, p < 0.05) were predictors for CF incidence; and (4) Conclusions: Our study results could be used as an initial reference for future studies to formulate effective preventive management and intervention strategies to decelerate CF development among older adults.

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Functional Assessment in Geriatrics

Cited by 110 publications

References 24 publications

Predictors of in-hospital mortality in elderly patients with bacteraemia admitted to an Internal Medicine ward

Predictors of in-hospital mortality in elderly patients with bacteraemia admitted to an Internal Medicine ward

Interrater reliability of the Physical Self-Maintenance Scale and the Instrumental Activities of Daily Living Scale in a variety of health professional representatives

Incidence and Predictors of Cognitive Frailty Among Older Adults: A Community-based Longitudinal Study

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