Martins, MM

Mendonça, Denisa

Rodrigues, Cecília

English

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22NURSID2018NOVAS PERSPETIVAS DA ENFERMAGEMROL  Novembro-DezembroÍndiceFunctional trajectories of older acute medical inpatients: increased vulnerability with ageIntroduction and objectives: Acute diseases and hospitaliza-tion are associated with functional decline in older persons. The aim of this study was to describe changes in basic activities of daily living (BADL) function before and during hospital admission in older acute medical patients and to assess the effect of age on loss of BADL function. Methods: This was a single-cen-tre, observational, and prospective study which included 91 patients who were admitted to an Acute Care Unit of a Portugal academic hospital and were aged 65 years and older. Performance in basic activities of daily living at home (self-reported), at hospital admission (observed) and at discharge (observed) was collected. Functional status of the elderly patients at 2 weeks before hospitalization (baseline), at hospi-tal admission, and at discharge was measured by the Katz Index. Differ-ences in scores for basic activities daily living between baseline and admission, between admission and discharge, and between baseline and discharge were used to define pre-admission, in-hospital and overall functional decline. Results and Discussion: Pre-admission, in-hospital and overall functional decline occurred in 78.0%, 4.4% and 63.7% of the par-ticipants, respectively. In contrast, in-hospital functional improve-ment occurred in a minority of the patients (14.3%). Hospitalized older people are discharged with BADL function that is worse than their baseline function. The oldest pa-tients are at particularly high risk of poor functional outcomes because they are less likely to recover BADL function lost before admission. Conclusion: These results emphasize the overriding need for implementing in-hospital processes to prevent functional decline and enhance functional recovery. This study also highlights the need for nurses to closely monitor the func-tional status of hospitalized older people, particularly in the oldest patients.CECÍLIA RODRIGUES; Depar-tamento de Medicina, Centro Hospitalar do Porto, Porto, Portugal, Gabinete de Governação Clínica, Departamento da Qualidade, Centro Hospitalar do Porto, Porto, Portugal; Doutoramento em Ciências de Enfermagem, Instituto de Ciências Biomédicas Abel Salazar, Universida-de do Porto, Porto, Portugal;   ceciliarodrigue@gmail.comDENISA MENDONÇA; Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal, EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, PortugalMARIA MANUELA MARTINS; ESEP - Escola Superior de Enfer-magem do Porto, Porto, Portugal, Grupo de Investigação NursID: Inovação e Desenvolvimento em En-fermagem – Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS), Porto, Portugal  mmartins@esenf,ptPALAVRAS-CHAVE: Functional decline; older people; activities of daily living; hospitalizationBastos, C., Santos, C., Lima, L. Barroso, C. Regufe, V., Rocha, A.L. Functional trajectories of older acute medical inpatients: increased vulnerability with age. Suplemento digital Rev ROL Enferm 2019; 42(11-12)

Functional trajectories of older acute medical inpatients: increased vulnerability with age

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Functional trajectories of older acute medical inpatients: increased vulnerability with age

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