O emprego da medida de independência funcional em idosos

Ribeiro, Dâmarys Kohlbeck de Melo Neu; Lenardt, Maria Helena; Lourenço, Tânia Maria; Betiolli, Susanne Elero; Seima, Márcia Daniele; Guimarães, Carlos Alberto

doi:10.1590/1983-1447.2017.04.66496

Cited by 15 publications

(16 citation statements)

References 25 publications

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“…Rehabilitation outcomes have often been measured with evaluation indices based on FIM, which were designed to quantify the degree of disability. 6,9) Adding length of ward stay, rate of discharge to home, and training time as the evaluation indices in this study allowed a more detailed and multi-layered assessment. FIM gain is calculated by subtracting the FIM score at admission from the FIM score at discharge, and FIM efficiency is calculated by dividing the FIM gain by the number of days in the ward, all of which are indicators of the quality of inpatient rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Inpatient Rehabilitation and the Original Infection Control Measures for Rehabilitation Team

Igawa¹,

H³

et al. 2021

Preprint

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ObjectiveThis study aimed to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on inpatient rehabilitation, and to determine the effectiveness of the original infection control measures implemented for the rehabilitation team.MethodsIn this single-center, retrospective, observational study, we calculated multiple rehabilitation indices of patients discharged from our rehabilitation ward between February 28 and May 25, 2020 when Hokkaido was initially affected by COVID-19, and compared them with those calculated during the same period in 2019. Fisher’s exact test and the Mann-Whitney U test were used for statistical analysis. We also verified the impact of implementing the original infection control measures for the rehabilitation team on preventing nosocomial infections.ResultsA total of 93 patients (47 of 2020 group, 46 of 2019 group) were included. The median age was 87 and 88 years, respectively, with no differences in age, sex, and main disease between the groups. Training time per day in the ward in 2020 was significantly lower than that in 2019 (p = 0.013). No significant differences were found in the qualitative evaluation indices of Functional Independence Measure (FIM) score at admission, FIM gain, length of ward stay, FIM efficiency, and rate of discharge to home. None of the patients or staff members had confirmed COVID-19 during the study period.ConclusionsEarly COVID-19 pandemic in Hokkaido affected the quantitative index for inpatient rehabilitation but not the qualitative indices. No symptomatic nosocomial COVID-19 infections were observed with our infection control measures.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Inpatient Rehabilitation and the Original Infection Control Measures for Rehabilitation Team

Igawa¹,

H³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…FIM has been used in international research mainly for rehabilitation evaluation in follow-up studies. Nationally, its use has been limited to cross-sectional studies (11) . In this sense, Gerontology researchers should be encouraged to use this instrument that is well accepted in the scientific community, in researches with different methodological designs.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the existence of current studies on the subject, population surveys that evaluate functional independence in the longitudinal perspective are still discrete, especially in the Brazilian reality (11) . Considering the magnitude of falls effects, it is necessary to know the interference of these in functional independence of the elderly in different moments after the accident.…”

Section: Introductionmentioning

confidence: 99%

Functional independence of elderly patients who fell: a follow-up study

Sá

Santos

2019

Rev. Bras. Enferm.

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Objective: to evaluate, in emergency hospital service and at home, the functional independence of elderly people who fell. Method: longitudinal study with 151 elderly. Functional Independence Measure (FIM) was used. Statistical tests were performed with univariate and bivariate analysis. Results: mean of total FIM value in the hospital was 70.4; and at home 84.3 (p <0.001). Independence was lower in the motor domain, in “self-care”, “mobility” and “locomotion” dimensions, in the two evaluations (p <0.001). Dependence reduced from 97.3% elderly in the hospital to 82.8% at home (p <0.001). There was a negative correlation between total FIM and age, number of medications, number of diseases and hospitalization time in both evaluations. Femoral and hip fractures were associated with lower total FIM values (p <0.001). Conclusion: the elderly had less independence in the hospital compared to at home, with greater impairment in the motor domain and “self-care”, “mobility” and “locomotion” dimensions, in the two moments evaluated.

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“…Problems with nutritional status can impact functional ability. Problems associated with nutritional status impairment constitute one of the vital prognostic factors concerning the incidence of functional ability limitations in the elderly population [1,2]. In particular, the issue of physical disability among the elderly remains crucial, since along with the age it constitutes the most significant prognostic factor of mortality [3].…”

Section: Introductionmentioning

confidence: 99%

“…In particular, the issue of physical disability among the elderly remains crucial, since along with the age it constitutes the most significant prognostic factor of mortality [3]. The risk of functional disability increases with the gradual decrease in the organ and systems' functional reserve, whereas age-related physiological changes, especially in connection with other social, economic and psychological factors, as well as with diseases, may predispose patients to protein-energetic malnutrition [2,3]. Malnutrition (according to the scale MNA below 17 points) causes a compromised immune system, increases the risk of infections, delays wound healing, and leads to a progressive worsening of the clinical conditions of older people.…”

Section: Introductionmentioning

confidence: 99%

Assessment of nutritional status and functional ability in the elderly

Strugała¹,

Wieczorowska‐Tobis²,

Talarska³

2019

Med Og Nauk Zdr.

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Introduction and objective. The incidence of problems related with nutrition disorders and decrease of functional activity among the elderly are often an important element of their disability. The aim of the study was to analyse the relationship between the nutritional status and functional fitness of aselected population of elderly people. Materials and method. The cross-sectional study comprised 412 elderly persons, including 318 females (77%). The mean age of the study group was 75.8 years ± 7.6. Within the entire group an analysis of correlation between nutritional status and functional ability was performed, assessed according to the Mini Nutritional Assessment (MNA) scale, as well as social and demographic parameters, health condition (number of chronic diseases, drugs taken) and the functional independence exponents. To identify factors significantly affecting the risk of malnutrition, the logistic regression model was used. Results obtained were presented as odds ratios with 95% confidence intervals. A stepwise multiple logistic regression with backward elimination was also performed. Results The normal nutritional status (MNA 23-30 point), good mental status (MMSE 24-30), no risk of depression (GDS -0-5 points), risk of falls (TUG -less than 14 seconds) and correct functional capability (Barthel index 86-100; IADL -27), were determined in 253 (61.4%) respondents. Multi-parameter analysis proved that the independent determinants of nutrition status were: risk of depression (p<0.001), risk of falling (p<0.01), cognitive ability (p<0.05) and education (p<0.05). Conclusions Incorrect nutritional status can be both a consequence and cause of disability. Due to the determined correlation between nutritional status and the components of functional fitness, the existence of irregularities in the area of any element should necessitate the conduction of screening tests to determine nutritional status. StreszczenieWprowadzenie. Problemy związane z zaburzeniami stanu odżywienia przyczyniają się do wzrostu chorobowości osób starszych i wraz ze spadkiem aktywności funkcjonalnej stanowią często ważny element niesprawności. Celem podjętych badań była analiza związku pomiędzy stanem odżywienia a sprawnością funkcjonalną u osób w wieku podeszłym. Materiał i metoda. Badaniem przekrojowym objęto 412 osób starszych, w tym 318 kobiet (77%). Średni wiek pacjentów w badanej grupie wynosił 75,8 ± 7,6 lat. W obrębie całej grupy przeprowadzono analizę korelacji między stanem odżywiania, ocenianym według skali MNA (Mini Nutritional Assessment), a parametrami społecznymi i demograficznymi, stanem zdrowia (liczba chorób przewlekłych, przyjmowanych leków) oraz wykładnikami sprawności funkcjonalnej. Aby zidentyfikować czynniki istotnie wpływające na ryzyko niedożywienia, zastosowano model regresji logistycznej. Uzyskane wyniki przedstawiono jako iloraz szans z 95-proc. przedziałami ufności. Przeprowadzono również stopniową regresję logistyczną z eliminacją wsteczną. Wyniki. Prawidłowy stan odżywienia (MNA 23-30 pkt), dobry stan psychic...

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O emprego da medida de independência funcional em idosos

Abstract: The FIM was used in several scenarios of healthcare for the elderly, particularly in rehabilitation and outpatient clinics or health centers.

Cited by 15 publications

References 25 publications

Impact of COVID-19 Pandemic on Inpatient Rehabilitation and the Original Infection Control Measures for Rehabilitation Team

Impact of COVID-19 Pandemic on Inpatient Rehabilitation and the Original Infection Control Measures for Rehabilitation Team

Functional independence of elderly patients who fell: a follow-up study

Assessment of nutritional status and functional ability in the elderly

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