[The functional continuum and hospital-associated functional decline in an Acute Geriatric Unit].

Autor:	Muñoz Muñetón C; Unidad Geriatría, Hospital Universitario San Ignacio, Bogotá, Colombia. Electronic address: ca.munoz@javeriana.edu.co., Venegas-Sanabria LC; Departamento de Investigaciones, Hospital Universitario Mayor-Méderi, Bogotá, Colombia; Instituto Rosarista para el Estudio del Envejecimiento y la Longevidad, Universidad del Rosario, Bogotá, Colombia., Martínez Sierra MT; Unidad Geriatría, Hospital Universitario San Ignacio, Bogotá, Colombia., Valencia Murillo MM; Unidad Geriatría, Hospital Universitario San Ignacio, Bogotá, Colombia., Chavarro-Carvajal DA; Unidad Geriatría, Hospital Universitario San Ignacio, Bogotá, Colombia; Semillero de Neurociencias y Envejecimiento del Instituto de Envejecimiento de la Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia., Cano-Gutiérrez CA; Unidad Geriatría, Hospital Universitario San Ignacio, Bogotá, Colombia; Semillero de Neurociencias y Envejecimiento del Instituto de Envejecimiento de la Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Jazyk:	Spanish; Castilian
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2024 Oct 18; Vol. 60 (2), pp. 101564. Date of Electronic Publication: 2024 Oct 18.
DOI:	10.1016/j.regg.2024.101564
Abstrakt:	Background: Older adults are particularly vulnerable to experiencing hospital-associated functional decline; a multifaceted phenomenon linked to poorer outcomes and increased healthcare costs. Given that functionality serves as a crucial indicator of health in the elderly, various scales have been developed to gauge the continuum of functional ability, potentially serving as prognostic tools to inform tailored interventions. Objectives: The aim of this study is to determine the prevalence of hospital-associated functional decline in an acute geriatric unit and examine its correlation with the functional continuum through a descriptive analysis of the patient population and exploration of associated factors. Results: 142 patients aged 75 and above were included in the analysis, revealing that 57% exhibited hospital-associated functional decline. Among patients with functional impairment, 26% fell into category 4 (dependence for instrumental activities of daily living and pre-frailty). Among the factors examined, age (OR 1.280, 95% CI 1.099 - 1.547) and prior independence (OR 15.939, 95% CI 1.857 - 186.655) were found to be associated with hospital functional decline. Conclusion: Hospital-associated functional decline was observed in over half of the patients, with age and prior independence identified as significant contributing factors. This underscores the importance of implementing intervention measures for all elderly patients during their hospitalization, particularly for frail or pre-frail individuals with some level of instrumental dependency. (Copyright © 2024 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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