Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients

Trevissón-Redondo, Bibiana; López‐López, Daniel; Pérez-Boal, Eduardo; Marqués‐Sánchez, Pilar; Liébana‐Presa, Cristina; Navarro‐Flores, Emmanuel; Jiménez-Fernández, Raquel; Liria, Inmaculada Corral; Iglesias, Marta Elena Losa; Becerro-de-Bengoa-Vallejo, Ricardo

doi:10.3390/ijerph18147258

Cited by 29 publications

(23 citation statements)

References 39 publications

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“…In their cohort (mean age 85.9 ± 6.42, 34 male/34 female) the post Covid Barthel total score was 52.30 ± 27.22 (44.56-60.04), which was higher than in the cohort analyzed here (40.2 ± 26.8), emphasizing the burden of PJI. 29 Further, the geriatric multimorbidity was considered. The results showed that patients were diagnosed with 2.7 ± .9 multimorbidity feature complexes on average and that incontinence (38.1%) and immobility (25.6%) were the most prevalent.…”

Section: Discussionmentioning

confidence: 99%

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

Walter

Rupp

Bärtl

et al. 2022

Geriatr Orthop Surg Rehabil

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Introduction In the background of the aging population, an increase of geriatric patients with specific age-related co-morbidities has already been seen over the years for proximal femur fractures in orthopaedic surgery as well as other medical disciplines. However, the geriatric aspect has not been well recognized in periprosthetic joint infection (PJI) patients so far. Therefore, this paper seeks to provide an overview on the co-morbidities of PJI patients with respect to the definition of geriatric patients. Material and methods In this single-center retrospective study, patients treated between 2007 and 2020 for PJI were included (n = 255). Patients were defined as geriatric according to the consensus definition criteria of the Federal Working Group of Clinical Geriatric Facilities e.V., the German Society for Geriatrics e.V. and the German Society for Gerontology and Geriatrics e.V. based on age (≤70 years), geriatric multimorbidity and the Barthel index (≤30). Results Applying the criteria defined 184 of the 255 (72.2%) PJI patients as geriatric infection patients. Regarding geriatric comorbidity, incontinence was most prevalent (38.1%), followed by immobility (25.6%). Comparing the geriatric infection patients with those classified as non-geriatric (n = 71) revealed that geriatric patients had a longer hospital stay and spent more days in the intensive care unit (ICU). Also, the amputation rate and the 5-year mortality rate was significantly increased (n = 15, 8.2% vs n = 1, 1.4%, P = .007 and n = 24, 13.0% vs n = 5, 7.0%, P = .005). The Barthel index showed a significant correlation with mortality ( r = −.22, P = .011). Discussion We propose to use the term orthogeriatric infection patients in those cases in order to focus treatment not only on the orthopaedic infections but also on the important geriatric aspects. Conclusion The inclusion of geriatric physicians into the multidisciplinary team approach for PJI patients might be beneficial.

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Section: Discussionmentioning

confidence: 99%

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

Walter

Rupp

Bärtl

et al. 2022

Geriatr Orthop Surg Rehabil

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“…The Barthel index is an instrument used in medicine for the functional assessment of a patient [24,25]. This scale is used to measure the ability of a person to perform 10 basic ADLs; in this way, a quantitative estimate of their degree of independence can be obtained regarding ADL in institutionalized nursing home patients, for example, nutrition or walking, with a score from 0 to 100 [26].…”

Section: Methodsmentioning

confidence: 99%

Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study

León-Ramón

Navarro‐Flores

Iglesias

et al. 2022

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Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman’s correlation coefficients were categorized as weak (rs ≤ 0.40), moderate (0.41 ≤ rs ≥ 0.69) or robust (0.70 ≤ rs ≥ 1.00), with a strong indirect correlation between the domains using the toilet, transferring and wandering on the Frail-VIG scale with an r (s) value −0.810 (p < 0.001), −0.831 (p < 0.001) and −0.805 (p < 0.001), respectively, and a moderate indirect correlation for the domains of eating −0.718 (p < 0.001), dressing −0.770 (p < 0.001) and urination −0.704 (<0.001). The Frail-VIG index above 0.35 points, that is, from moderate to severe, does not affect ADLs except in the nutritional dimension in a palliative oncological population in home hospitalization. The preliminary outcomes obtained should be considered to determine the impact of nutritional status with regard to ADLs in palliative oncological patients in a home hospitalization unit.

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“…The summarised results of the patient are described as: I) 85 to 100 points, mild dependency of a patient; II) 21 to 85 points, moderate dependency; III) 0 to 20 points, severe dependency. First described in 1965 (Mahoney, Barthel 1965), the Barthel index has been successfully used to assess daily activities in patients with different cardio-pulmonary problems, old age patients, and post-Covid patients (Trevissón-Redondo et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

Witana-Hebda¹,

Pietrzykowska²

2022

Regional Formation and Development Studies

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Post-Covid rehabilitation deals with properly selected exercises for the respiratory muscles, respiratory rehabilitation, learning to relax, and exercise. The aim of the study was to evaluate the results of post-Covid rehabilitation in pulmonary care patients. The study was performed on a group of 50 patients (15 women, 35 men; the mean age was 59.4 years) undergoing pulmonary rehabilitation in January 2022 in the rehabilitation department of a pulmonary hospital in southern Poland. Patients’ physical activity tolerance was assessed before and after rehabilitation using the walk test, mMRC test, Barthel’s scale, CAT questionnaire and Borg’s scale. The research results show a statistically significant improvement in all patients and in each of the methods for assessing physical activity tolerance. There is an urgent need for a rehabilitation programme aimed specifically at post-Covid patients.

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Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients

Cited by 29 publications

References 39 publications

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study

The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

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