Abstract
Introduction: One month after admission to emergency department (ED) a fifth of the elderly patients have a low physical ability and therefore a need for rehabilitation.
Early identification of these patients is difficult and has so far been based on self-reported information, a challenge as elderly might be confused or unrealistic about their physical abilities. The 30-s Chair Stand Test (30s-CST) has not been validated in ED, but is used at community level for this purpose. The De Morton Mobility Index (DEMMI) has been validated for acute patients. Our study evaluated if a 30s-CST-score ≤8 combined with DEMMI and other risk factors was able to predict rehabilitation needs due to functional decline after acute admission of elderly patients.
Methods: Elderly (65+years) admitted to the ED at weekdays with medical complaints were included if oriented in time and with a 30s-CST–score ≤8. All patients were assessed on admission and one month after. Predictors for later functional decline were analysed in logistics regression models.
Results: 117 patients were included. The baseline predictors were: Female gender: (OR 1.6); using assistive device (OR 4.6); reduced ability to climb a stairway (OR 2.8); no physical activity beside daily basic activities (OR 2.5). A clinical prediction model based on these variables had an AUC of 0.80. DEMMI did not add any value to the model.
Conclusion: It seems possible to identify rehabilitation needs after ED admission by using 30s-CTS when combined with habitual mobility.
Early identification of these patients is difficult and has so far been based on self-reported information, a challenge as elderly might be confused or unrealistic about their physical abilities. The 30-s Chair Stand Test (30s-CST) has not been validated in ED, but is used at community level for this purpose. The De Morton Mobility Index (DEMMI) has been validated for acute patients. Our study evaluated if a 30s-CST-score ≤8 combined with DEMMI and other risk factors was able to predict rehabilitation needs due to functional decline after acute admission of elderly patients.
Methods: Elderly (65+years) admitted to the ED at weekdays with medical complaints were included if oriented in time and with a 30s-CST–score ≤8. All patients were assessed on admission and one month after. Predictors for later functional decline were analysed in logistics regression models.
Results: 117 patients were included. The baseline predictors were: Female gender: (OR 1.6); using assistive device (OR 4.6); reduced ability to climb a stairway (OR 2.8); no physical activity beside daily basic activities (OR 2.5). A clinical prediction model based on these variables had an AUC of 0.80. DEMMI did not add any value to the model.
Conclusion: It seems possible to identify rehabilitation needs after ED admission by using 30s-CTS when combined with habitual mobility.
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 18. mar. 2016 |
| Antal sider | 1 |
| Status | Udgivet - 18. mar. 2016 |