New horizons in hospital-associated deconditioning: a global condition of body and mind.

Autor:	Welch C; Department of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Campus, 3rd & 4th Floor South Wing Block D, Westminster Bridge Road, London SE1 7EH, UK.; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, 9th Floor North Wing, Westminster Bridge Road, London SE1 7EH, UK., Chen Y; Univ Lille, CHU Lille, U1172, Degenerative and Vascular Cognitive Disorders, Department of Geriatrics, Lille, France.; Global Brain Health Institute, Trinity College Dublin, Dublin 2, Ireland., Hartley P; Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge CB2 0QQ, UK.; Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SZ, UK., Naughton C; University College Dublin, School of Nursing Midwifery and Health Systems, Health Sciences Centre Belfield, Dublin 4, Ireland., Martinez-Velilla N; Navarre Health Service (SNS-O), Navarre University Hospital (HUN), Department of Geriatrics, Navarrabiomed, Navarre Public University (UPNA), Navarra Institute for Health Research (IdiSNA), Pamplona, Spain., Stein D; Department of Twin Research & Genetic Epidemiology, King's College London, St Thomas' Campus, 3rd & 4th Floor South Wing Block D, Westminster Bridge Road, London SE1 7EH, UK.; Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, 9th Floor North Wing, Westminster Bridge Road, London SE1 7EH, UK., Romero-Ortuno R; Global Brain Health Institute, Trinity College Dublin, Dublin 2, Ireland.; Discipline of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin 2, Ireland.
Jazyk:	angličtina
Zdroj:	Age and ageing [Age Ageing] 2024 Nov 01; Vol. 53 (11).
DOI:	10.1093/ageing/afae241
Abstrakt:	Hospital-associated deconditioning is a broad term, which refers non-specifically to declines in any function of the body secondary to hospitalisation. Older people, particularly those living with frailty, are known to be at greatest risk. It has historically been most commonly used as a term to describe declines in muscle mass and function (i.e. acute sarcopenia). However, declines in physical function do not occur in isolation, and it is recognised that cognitive deconditioning (defined by delayed mental processing as part of a spectrum with fulminant delirium at one end) is commonly encountered by patients in hospital. Whilst the term 'deconditioning' is descriptive, it perhaps leads to under-emphasis on the inherent organ dysfunction that is associated, and also implies some ease of reversibility. Whilst deconditioning may be reversible with early intervention strategies, the long-term effects can be devastating. In this article, we summarise the most recent research on this topic including new promising interventions and describe our recommendations for implementation of tools such as the Frailty Care Bundle. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society.)
Databáze:	MEDLINE
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