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Use of an ambulation assistive devise predicts functional decline associated with hospitalization
Author(s)Jane E Mahoney, Mark A Sager, Muhammad Jalaluddin
Journal titleThe Journals of Gerontology Series A: Biological Sciences and Medical Sciences, vol 54A, no 2, February 1999
Pagespp M83-M88
KeywordsWalking aids ; Walking frames ; Mobility ; Self care capacity ; Admission [hospitals] ; Discharge [hospitals] ; Longitudinal surveys ; United States of America.
AnnotationLower extremity disability is an important predictor of functional loss in older people living at home. Walking sticks and walking frames, as markers of such disability, may predict functional decline associated with admission to hospital. The authors sought to determine the association between mobility impairment as indicated by walking frame or stick use before hospital admission with adverse outcomes at hospital discharge and 3 months post-discharge. Secondary analysis of 1,212 over 70s from the US Hospital Outcomes Project for the Elderly indicated mobility impairment to be significantly associated with functional decline. Use of a walking frame was associated with 2.8 times increased risk for decline in activities of daily living (ADL) function by hospital discharge. 3 months after discharge, those who had used assistive devices prior to hospital admission were more likely to have declined in both ADLs and IADLs. Such patients may benefit from more intensive rehabilitative therapy to maintain function. (RH).
Accession NumberCPA-010117218 A
ClassmarkMG: MGF: C4: CA: LD:QKH: LD:QKJ: 3J: 7T

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