Predictors of functional recovery (FR) for elderly hospitalized patients in a geriatric evaluation and management unit (GEMU) in Taiwan

Chen, Yiming; Chuang, Ya‐Wen; Liao, Szu-Chia; Lin, Chu-Sheng; Yang, Shuhui; Tang, Yih-Jing; Tsai, Jaw-Ji; Lan, Joung Liang; Chen, Der‐Yuan

doi:10.1016/s0167-4943(10)00041-5

Cited by 23 publications

(26 citation statements)

References 31 publications

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“…27,28 Overall, these studies reported an inverse linear association of LOS and the likelihood of functional recovery at hospital discharge. Our analyses suggest a curvilinear relationship between LOS and change in MPI score during hospitalization and a different shape of the association as a function of baseline clinical status.…”

Section: Volpato Et Almentioning

confidence: 93%

Change in the Multidimensional Prognostic Index Score During Hospitalization in Older Patients

Volpato

Daragjati

Simonato

et al. 2016

Rejuvenation Research

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on behalf of the MPI-TriVeneto Study Group * AbstractWe investigated and describe change in the Multidimensional Prognostic Index (MPI) score between admission and discharge in 960 older patients admitted to 20 geriatric units for an acute disease or a relapse of a chronic disease. The MPI was calculated at admission and at discharge. Subjects were divided into three groups of MPI score, low risk (MPI-1 value £0.33), moderate risk (MPI-2 value 0.34-0.66), and severe risk of mortality (MPI-3 value ‡0.67), on the basis of previously established cutoffs. Variation of MPI values over length of hospital stay (LOS) was analyzed with a multivariable longitudinal linear model for repeated measurements. At admission, 23.5% subjects had an MPI-1 score, 33.3% had an MPI-2 score, and 43.0% had an MPI-3 score. Overall, for almost 60% of the patients, MPI score at hospital discharge was different compared with the score at admission, although the difference was not statistically significant (-0.003; p = 0.708). Patients with high and intermediate MPI scores at admission had a decrease of MPI score at discharge (delta-MPI -0.026, p < 0.001, and delta-MPI -0.066, p = 0.569, respectively), whereas patients in the MPI-low group, experienced a significant increase in MPI score (delta-MPI 0.041, p < 0.001). The evolution of MPI score as a function of LOS had a curvilinear shape because it significantly decreased for patients with short hospitalization (1-6 days) and tended to increase for those with longer LOS. The MPI, a well-established prognostic tool, is sensitive to change of patient's health status and might be used to objectively track and monitor the clinical evolution of acutely ill geriatric patients admitted to the hospital.

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Section: Volpato Et Almentioning

confidence: 93%

Change in the Multidimensional Prognostic Index Score During Hospitalization in Older Patients

Volpato

Daragjati

Simonato

et al. 2016

Rejuvenation Research

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“…With the increasing aging population worldwide, geriatric evaluation and management units (GEMUs) have been established to meet special needs and deliver integrated care to elderly hospitalized patients [19,20]. In previous studies of GEMUs, the research has focused on functional recovery, mortality rates, readmissions, and costs of medical service among the elderly [19,21-23].…”

Section: Introductionmentioning

confidence: 99%

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

et al. 2014

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BackgroundLate-life depression is common among elderly patients. Ignorance of the health problem, either because of under-diagnosis or under-treatment, causes additional medical cost and comorbidity. For a better health and quality of life (QoL), evaluation, prevention and treatment of late-life depression in elderly patients is essential.MethodsThis study examined (1) the differences of clinical characteristics, degree of improvement on QoL and functionality on discharge between non-depressed and depressed elderly inpatients and (2) factors associated with QoL on discharge. Four hundred and seventy-one elderly inpatients admitted to a geriatric evaluation and management unit (GEMU) from 2009 to 2010 were enrolled in this study. Comprehensive geriatric assessment including the activities of daily living (ADL), geriatric depression scale, and mini-mental state examination were conducted. QoL was assessed using the European Quality of Life-5 Dimensions and the European Quality of Life-5 Dimensions Visual Analog Scale on discharge. Information on hospital stay and Charlson comorbidity index were obtained by chart review. Chi-square tests, independent t-tests, Mann–Whitney U tests and multiple linear regressions were used in statistical analysis.ResultsWorse QoL and ADL on discharge were found among the depressed. Depressive symptoms, female gender, duration of hospital stay, and rehabilitation were significant factors affecting QoL on discharge in linear regression models.ConclusionsThe importance of the diagnosis and treatment of depression among elderly inpatients should not be overlooked during hospital stay and after discharge. Greater efforts should be made to improve intervention with depressed elderly inpatients.

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“…In many national health systems, elderly patients seen in emergency departments (EDs) because of acute medical problems are usually assigned to geriatric or general internal medicine wards, mostly on the basis of age and the availability of beds, 10 but the potential differences between the functional trajectories of patients admitted to geriatric units and those hospitalized in medical wards have never been investigated. This “real world” observation may be important, even in view of the recent dissemination of a “geriatric” approach to acutely ill older patients based on an integrated comprehensive evaluation aimed at minimizing functional deterioration 4,6,11,12 …”

mentioning

confidence: 99%

Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study

Palleschi

Alfieri

Salani

et al. 2011

Journal of the American Geriatrics Society

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Predictors of functional recovery (FR) for elderly hospitalized patients in a geriatric evaluation and management unit (GEMU) in Taiwan

Cited by 23 publications

References 31 publications

Change in the Multidimensional Prognostic Index Score During Hospitalization in Older Patients

Change in the Multidimensional Prognostic Index Score During Hospitalization in Older Patients

Late-life depression and quality of life in a geriatric evaluation and management unit: an exploratory study

Functional Recovery of Elderly Patients Hospitalized in Geriatric and General Medicine Units. The PROgetto DImissioni in GEriatria Study

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