Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness
Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness
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DOI：
10.1111/j.1532-5415.2008.02023.x
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发表时间：
2008-12-01
影响因子：
6.3
通讯作者：
Covinsky, Kenneth E.
中科院分区：
文献类型：
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作者：
Boyd, Cynthia M.;Landefeld, C. Seth;Covinsky, Kenneth E.
比较急性内科疾病后出院的老年人在基本日常生活自理活动（ADL）方面出现新的或额外残疾后出院一年的功能结局（与入院前2周基线相比）与出院时具有基线ADL功能的老年人进行比较，并确定1年后未能恢复至基线功能的预测因素出院观察三级护理医院、社区教学医院老年（年龄≥ 70岁）非选择性接受普通医疗服务的患者（1993-1998）入院前基线和出院后1、3、6和12个月ADL残疾人数结果为死亡、ADL功能持续下降以及在每个时间点恢复至基线ADL功能。出院后12个月，在出院时伴有新的或额外的ADL功能障碍的患者中，41.3%死亡，28.6%存活但未恢复至基线功能，30.1%处于基线功能。在基线功能出院的患者中，17.8%死亡，15.2%存活但功能比基线差，67%处于基线功能（P
To compare functional outcomes in the year after discharge for older adults discharged from the hospital after an acute medical illness with a new or additional disability in their basic self-care activities of daily living (ADL) (compared with preadmission baseline 2 weeks before admission) with those of older adults discharged with baseline ADL function and identify predictors of failure to recover to baseline function 1 year after discharge.Observational.Tertiary care hospital, community teaching hospital.Older (aged >= 70) patients nonelectively admitted to general medical services (1993-1998).Number of ADL disabilities at preadmission baseline and 1, 3, 6, and 12 months after discharge. Outcomes were death, sustained decline in ADL function, and recovery to baseline ADL function at each time point.By 12 months after discharge, of those discharged with new or additional ADL disability, 41.3% died, 28.6% were alive but had not recovered to baseline function, and 30.1% were at baseline function. Of those discharged at baseline function, 17.8% died, 15.2% were alive but with worse than baseline function, and 67% were at their baseline function (P