Short-Term Outcomes of Interdisciplinary Hip Fracture Rehabilitation in Frail Elderly Inpatients

Bayon-Calatayud, Manuel; Benavente-Valdepeñas, A

doi:10.1155/2018/1708272

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…Reviews were deemed relevant if they reported the prevalence of malnutrition and its associations in hip fracture patients, but these reviews included studies that used nonestablished nutrition assessment tools. Where studies needed further clarity on whether it meets the inclusion criteria (ie, type of nutrition assessment tool used, if the diagnosis of malnutrition in patients was conducted within 48 h of hospital admission, and if patients were identical between studies), authors were contacted to minimize the unnecessary exclusion of studies 33–48 . Studies were excluded from our review if the authors did not respond.…”

Section: Methodsmentioning

confidence: 99%

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

Foo

Wong

Lew

2021

J Parenter Enteral Nutr

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Background Malnutrition is associated with poorer outcomes in hospitalized patients. However, in hip fracture patients, the associations between malnutrition and poorer outcomes are unclear because of the use of nonestablished nutrition assessment tools in previous studies that may have some degree of misclassification bias. Therefore, this review aims to determine (1) the prevalence of malnutrition diagnosed in hospitalized hip fracture patients using established nutrition assessment tools and (2) the outcomes associated with malnutrition given some of the nonestablished nutrition assessment tools used in previous studies. Methods Four electronic databases were used. Studies that used established nutrition assessment tools to diagnose malnutrition in hip fracture patients within 48 h of hospital admission were included. Results Nine studies were included (n = 1665). Patients’ mean age ranged from 79.9 to 86.1 years. Eight studies reported the frequencies of each sex, and for females, it ranged from 70% to 81.8%. The prevalence of malnutrition was 4.0% to 39.4%. Malnutrition was independently associated with (1) increased mortality and (2) functional dependence. There was also a trend towards more supported living arrangements and impaired mobility in the longer term. Malnutrition was not associated with (1) hospital length of stay, (2) hospital readmissions, and (3) incidence of complications. Conclusion The prevalence of malnutrition in hip fracture patients is highly variable and is associated with poorer outcomes. Therefore, identifying malnourished hip fracture patients using established nutrition assessment tools is important, and adequate resources can be allocated to prevent malnutrition through early screening and intervention.

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Section: Methodsmentioning

confidence: 99%

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

Foo

Wong

Lew

2021

J Parenter Enteral Nutr

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“…A study of patients in a geriatric rehabilitation unit also showed that the patients’ walking function improved with a shorter length of stay, but this may be because the patients whose walking function improved at an early phase were discharged with a shorter length of stay. 27 ) We could not evaluate the cognitive function of the present patients, but it has been reported that (i) cognitive function was not a significant factor in predicting unassisted walking among individuals with stroke, and (ii) only balance function was a significant factor. 28 ) The prediction of walking independence at discharge using only the BBS score at admission could therefore be sufficient, but cognitive function may have an effect on the classification from independent walking to outdoor walking and/or on the speed of walking.…”

Section: Discussionmentioning

confidence: 78%

Development of Cut-off Values on the Berg Balance Scale for Predicting Walking Independence in Older Adults with Hip Fracture

Tamura

Miyata

Kobayashi

et al. 2022

PRM

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Objectives: The aim of the current study was to identify a cut-off value for predicting walking independence at discharge in older adults with hip fracture based on their Berg Balance Scale (BBS) score at admission to a convalescent rehabilitation ward. Methods: This was a retrospective, multicenter, observational study of 187 older adults with hip fractures (mean age 83.7, range 66–97 years). Data was collected on the patients’ age, sex, treatment, and physical function evaluation. An ordinal logistic regression analysis was used to identify predictors associated with the degree of independence in walking at discharge. Receiver operating characteristic curves were used to estimate cut-off values to predict independent and supervised walking at discharge based on the BBS score at admission. The accuracy of the classification was assessed using the area under the curve (AUC). Results: The BBS score at admission was a significant factor predicting the degree of walking independence at discharge (odds ratio = 1.09, 95%CI: 1.06–1.11). The cut-off values of the BBS score at admission for predicting independent walking and supervised walking at discharge were 28 points (AUC = 0.76, 95%CI: 0.69–0.83) and 21 points (AUC = 0.84, 95%CI: 0.77–0.91), respectively. Conclusions: The BBS scores of older adults with hip fracture on admission to a rehabilitation ward are useful for predicting the degree of independence in walking at discharge and can help to structure therapy according to the predicted degree of independence.

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“…16 Selain untuk deteksi bakteremia, CRP juga digunakan untuk justifikasi penggunaan antibiotik. 17 Masa rawat inap kelompok subjek usia lanjut yang lima hari lebih panjang dapat dikaitkan dengan 26 19 Selain itu, komorbiditas pada pasien usia lanjut juga pada umumnya lebih banyak dari pada dewasa muda sehingga interaksi antarberbagai kondisi tersebut dapat memengaruhi status fungsional yang pada gilirannya dapat mengakibatkan rerata lama rawat pasien usia lanjut lebih panjang. 20 Pasien yang dirawat dengan jaminan kesehatan nasional menggunakan skema paket INA-CBG yang telah ditetapkan sebelumnya; dengan demikian makin pendek masa rawat seseorang maka semakin efisien penggunaan sumber daya.…”

Section: Diskusiunclassified

Lama Rawat Inap Pasien Geriatri dengan Bakteremia Gram Negatif: Sebuah Observasi Analitis

Soejono¹

2020

JPDI

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ABSTRAKPendahuluan. Lama rawat pasien berkaitan dengan penggunaan sumber daya rumah sakit. Masa rawat pasien geriatri dengan bakteremia gram negatif berpotensi memanjang sehingga perlu ditemu-kenali kondisi yang berkaitan dengan pemanjangan tersebut. Penelitian ini dilakukan untuk mengidentifikasi kondisi yang berkaitan dengan lama rawat pasien geriatri dengan bakteremia gram negatif.Metode. Deskriptif retrospektif menggunakan rekam medik pasien rawat inap dari 2013 hingga 2019. Kriteria inklusi adalah usia >18 tahun, dengan bakteremia gram negatif; eksklusi jika data tidak lengkap. Selain data demografi, data variabel dependen yang dikumpulkan adalah lama rawat dan kematian. Data variabel independen meliputi status fungsional, status gizi, ada tidaknya diabetes atau keganasan, hemoglobin, albumin, leukosit, neutrofil, kadar ureum, kreatinin, prokalsitonin, dan C-reactive protein (CRP). Data diolah dengan SPSS; uji t-test atau Mann-Whitney tergantung distribusi data. Penelitian ini lolos kaji etik Komite Etik Penelitian Kedokteran FKUI RSCM.Hasil. Terkumpul 205 dokumen medik kasus bakteremia gram negatif; 33,2% berusia >60 tahun; kuman penyebab terbanyak Acinetobacter dan Klebsiella. Sebanyak 80,7% dari mereka berketergantungan sedang hingga total. Sebanyak 83,6% kadar Hb <11,0 g/dL dan 67,3% disertai hipoalbuminemia. Leukositosis terdapat pada 74,7% (86,4% dengan neutrofil >70%). Peningkatan kadar prokalsitonin terjadi pada 100% kasus dengan median 6,59 ng/mL; sedangkan median kadar CRP adalah 130,0 mg/L. Pasien geriatri dirawat lebih lama dari pada pasien berusia < 60 tahun (p 0,04) dengan peningkatan kadar prokalsitonin yang lebih rendah (p 0,019). Tidak didapatkan hubungan antara variabel independen lain dengan lama rawat.Simpulan. Pasien geriatri dengan sepsis gram negatif dirawat lebih lama dari pada pasien dewasa muda; peningkatan kadar prokalsitonin sedikit saja merupakan tanda perlunya kewaspadaan yang lebih tinggi. ABSTRACT Introduction. Length of stay is associated with the utilization of hospital resources. Geriatric patients with gram-negative bacteremia have a potential of prolonged length of stay. Thus, conditions related to prolonged stay should be identified. This study aimed to investigate conditions related to the length of stay of geriatric patients with gram-negative bacteremia.Methods. Retrospective descriptive using the medical records of inpatients from 2013 to 2019. The inclusion criteria were ≥ 18 years of age with gram-negative bacteremia and the exclusion criteria was incomplete data. Other than demographic data, the dependent variables obtained were the length of stay and mortality. Independent variables include functional status, nutritional status, history of diabetes or malignancy, hemoglobin, albumin, leukocyte, neutrophils, level of urea, creatinine, procalcitonin, and C-reactive protein (CRP).Results. There were 205 medical records of gram-negative bacteremia; 33.2% were ≥ 60 years old; the most common causative bacteria were Acinetobacter and Klebsiella. Eighty point seven per...

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Short-Term Outcomes of Interdisciplinary Hip Fracture Rehabilitation in Frail Elderly Inpatients

Cited by 6 publications

References 32 publications

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes

Development of Cut-off Values on the Berg Balance Scale for Predicting Walking Independence in Older Adults with Hip Fracture

Lama Rawat Inap Pasien Geriatri dengan Bakteremia Gram Negatif: Sebuah Observasi Analitis

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