Physical performance characteristics of assisted living residents and risk for adverse health outcomes

Physical performance characteristics of assisted living residents and risk for adverse health outcomes
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DOI:
10.1093/geront/48.2.203
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发表时间:
2008-04-01
期刊:
影响因子:
5.7
通讯作者:
Zimmerman, Sheryl
Zimmerman, Sheryl
中科院分区:
医学1区
文献类型:
--
作者:
Giuliani, Carol A.;Gruber-Baldini, Ann L.;Zimmerman, Sheryl

文献摘要

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目的:研究人员对住宅护理/辅助生活(RC/AL)居民的身体表现能力及其与骨折,养老院安置,功能下降和死亡等不良后果的关系知之甚少。本文的目的是(a)描述RC/AL居民的功能特征,(B)检查居民和设施水平的特征和身体表现之间的关系,(c)确定身体表现的预测值为不良后果。设计和方法:数据来自189个RC/AL机构的1,791名居民,他们参与了长期护理的合作研究。在基线,居民进行了测试的四个性能指标(握力,椅子上升,平衡,步行速度),和其他居民和设施水平的信息收集。在1年内测量不良结局。结果:平均握力为14 +/- 7 kg,61%的居民步行
Purpose: Researchers know little about the physical performance ability of residential care/assisted living (RC/AL) residents and its relationship to adverse outcomes such as fracture, nursing home placement, functional decline, and death. The purposes of this article are to (a) describe the functional characteristics of RC/AL residents, (b) examine the relationships between resident- and facility-level characteristics and physical performance, and (c) determine the predictive value of physical performance for adverse outcomes. Design and Methods: Data came from 1,791 residents in 189 RC/AL facilities participating in the Collaborative Studies of Long-Term Care. At baseline, residents were tested on four performance measures (grip strength, chair rise, balance, and walking speed), and other resident- and facility-level information was collected. Adverse outcomes were measured over 1 year. Results: Average grip strength was 14 +/- 7 kg, 61% of residents walked