Acute Hospitalization of the Older Patient Changes in Muscle Strength and Functional Performance During Hospitalization and 30 Days After Discharge
Acute Hospitalization of the Older Patient Changes in Muscle Strength and Functional Performance During Hospitalization and 30 Days After Discharge
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DOI：
10.1097/phm.0b013e31828cd2b6
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发表时间：
2013-09-01
影响因子：
3
通讯作者：
Bandholm, Thomas
中科院分区：
文献类型：
--
作者：
Bodilsen, Ann Christine;Pedersen, Mette Merete;Bandholm, Thomas
目的：老年患者的急性住院可能与肌肉力量和功能表现的丧失有关。本研究的目的是探讨急性住院治疗的影响，由于医疗疾病的肌肉力量和功能performance in older medical patients.Design：等距膝关节伸展强度;握力;和功能性能，即定时起来和去测试，进行了评估，在入院，出院，出院后30天。结果：平均（SD）年龄为82.7（8.2）岁，平均住院时间为7.5天（四分位数范围，4.25-11）。膝关节伸展强度没有随时间变化（1.0 [N.m]/kg、1.1 [N.m]/kg和1.1 [N.m]/kg，P = 0.138），握力也是如此（24.2 kg、23.3 kg和23.5 kg，P = 0.265）。在住院期间，定时起床和行走测试从入院时的17.3秒改善到出院时的13.3秒（P = 0.003），但在30天随访时没有改善（12.4秒，P = 0.064）。中位时间花在躺，坐，站/走17.4小时，每天，每天4.8小时，每天0.8小时，forecasts.Conclusions：肌力没有改变住院期间和30天后出院急性入院老年内科患者。尽管住院期间活动度较低，但功能性能在住院期间显著改善，没有进一步改善。
Objective: Acute hospitalization of older patients may be associated with loss of muscle strength and functional performance. The aim of this study was to investigate the effect of acute hospitalization as a result of medical disease on muscle strength and functional performance in older medical patients.Design: Isometric knee-extension strength; handgrip strength; and functional performance, that is, the Timed Up and Go test, were assessed at admission, at discharge, and 30 days after discharge. Twenty-four-hour mobility was measured during hospitalization.Results: The mean (SD) age was 82.7 (8.2) years, and the median length of stay was 7.5 days (interquartile range, 4.25-11). Knee-extension strength did not change over time (1.0 [N.m]/kg, 1.1 [N.m]/kg, and 1.1 [N.m]/kg, P = 0.138), as did handgrip strength (24.2 kg, 23.3 kg, and 23.5 kg, P = 0.265). The Timed Up and Go test improved during hospitalization, from 17.3 secs at admission to 13.3 secs at discharge (P = 0.003), but with no improvement at the 30-day follow-up (12.4 secs, P = 0.064). The median times spent in lying, sitting, and standing/walking were 17.4 hrs per day, 4.8 hrs per day, and 0.8 hrs per day, respectively.Conclusions: Muscle strength did not change during hospitalization and 30 days after discharge in the acutely admitted older medical patients. Despite a low level of mobility during hospitalization, functional performance improved significantly during hospitalization, without further improvement.