Outcomes of hospitalized elderly patients with geriatric syndrome: report of a community hospital reform plan in Taiwan

Chang, Hao; Tsai, Shih-Li; Chen, Ching-Yu; Liu, Wenjing

doi:10.1016/s0167-4943(10)70009-1

Cited by 41 publications

(39 citation statements)

References 24 publications

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“…Poor ADL and IADL status has been found to be correlated with poor nutritional status rated with the MNA in community-living (23) , institutionalised (6,31) and hospitalised elderly (32) . In several studies involving hospitalised or institutionalised elderly, the MNA has also been observed to have a functional status-predictive ability (7,23,24,33) . Cereda et al (33) have shown that the MNA is suitable for grading functional status of institutionalised elderly.…”

Section: Predicting Functional Dependency and Declinementioning

confidence: 96%

Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

Lee

Tsai

2011

Br J Nutr

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Nutrition is a key element in geriatric health and is important for functional ability. The present study examined the functional statuspredictive ability of the Mini-Nutritional Assessment (MNA). We analysed the dataset of the 'Survey of Health and Living Status of the Elderly in Taiwan', a population-based study conducted by the Bureau of Health Promotion of Taiwan. Study subjects ($ 65 years old) who completed both the 1999 and 2003 surveys were rated with the long form and short form of the MNA at baseline and with the Activities of Daily Living (ADL) and the Instrument Activities of Daily Living (IADL) scales 4 years later (end-point). The ability of the MNA to predict ADL or IADL dependency was evaluated with logistic regression models. The results showed that the elderly who were rated malnourished or at risk of malnutrition at baseline generally had significantly higher ADL or IADL scores 4 years later. Lower baseline MNA scores also predicted a greater risk of ADL or IADL dependency. These associations exist even among the elderly who were free of ADL or IADL dependency at baseline. The results clearly indicate that the MNA is able to predict ADL and IADL dependency (in addition to rating current nutritional status) of the elderly. The MNA, especially the short form, should be a valuable tool for identifying elderly at risk of functional decline and/or malnutrition in clinical practice or community programmes.

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Section: Predicting Functional Dependency and Declinementioning

confidence: 96%

Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

Lee

Tsai

2011

Br J Nutr

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“…There are other recognized factors that contribute to the development of functional decline during hospitalization and are related to bed rest besides immobility, includes rapid bone loss, dehydration, malnutrition, delirium, sensory deprivation, isolation, sheering forces on the skin, and incontinence [34]. Because of functional decline, the patients lose part of their independence in basic activities of daily living (ADL) [35]. This decline may increase the risk of readmission, nursing home placement or death [36,37].…”

Section: ) Functional Decline In Hospitalized Elderly Patientsmentioning

confidence: 99%

“…As people age, the percentage of being dependant increases. For hospitalized elderly patients, the majority of studies reported that age is a principal element and independent risk factor for functional decline during hospitalization [35,41,53], and after discharge [54,55]. For community-dwelling seniors, chronological age is considered the most important demographic risk factor for functional decline.…”

Section: ) Demographic Characteristics 1 Agementioning

confidence: 99%

The most important considerations in the assessment of functional decline in seniors: a literature review

Jahan¹

2017

APJHS

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In recent years, there has been much focus on functional decline associated with aging, but not many studies have examined how functional decline can be effectively evaluated and detected at earlier stages of the aging process. Early detection of functional decline helps to intervene much earlier to avoid many of negative consequences of functional decline and frailty. Late identification of functional decline is problematic to the individuals and the healthcare systems considering that the percentage of the world population represented by people over the age of 65 is increasing rapidly worldwide. The aim of this review was to investigate the most important considerations in the assessment of functional decline in the population of seniors, and to explore relevant literature to provide a ground for an effective functional assessment for this population. Comprehensive literature search of the English-language articles for people aged 65 and over were conducted by searching MEDLINE and PubMed. The literature describes two main segments of elderly population with functional decline that should be assessed in different ways: Hospitalized and community-dwelling elders. When working with elderly clients, it is significantly important to identify all the factors that may contribute to the clinical picture of the client. Identification of risk factors, such as inability to do basic activities of daily living, social isolation, or lack of resources may help healthcare providers to intervene on time to avoid many catastrophic changes that affect seniors' health-related quality of life.

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“…anemia, sleep disturbance, dehydration, visual and hearing impairment [3,14] . This high prevalent syndrome is associated with morbidity and bad outcomes in hospitalized elderly patients, for being more vulnerable and more susceptible to severe health problems [9].…”

Section: Journal Of Affective Disordersmentioning

confidence: 99%

“…According to Chang et al (2010) [14] the predictors of functional deterioration were older age, high baseline functional capacity, poorer cognitive function, and poorer nutritional status.…”

Section: Depression and Its Consequences In The Hospitalized Elderlymentioning

confidence: 99%

Depression Post-Hospitalization In Elderly Patients: A Systematic Review

Macedo¹,

Albuquerque²,

Neto³

2015

Int Arch Med

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Outcomes of hospitalized elderly patients with geriatric syndrome: report of a community hospital reform plan in Taiwan

Cited by 41 publications

References 24 publications

Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

The most important considerations in the assessment of functional decline in seniors: a literature review

Depression Post-Hospitalization In Elderly Patients: A Systematic Review

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