Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study
| Autor: | Lara Guedes de Pinho, Ana Ramos, Henrique Oliveira, César Fonseca, Maria Adriana Henriques, Manuel Lopes |
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| Přispěvatelé: | Repositório da Universidade de Lisboa |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Personalized Medicine; Volume 11; Issue 12; Pages: 1350 Journal of Personalized Medicine, Vol 11, Iss 1350, p 1350 (2021) Journal of Personalized Medicine |
| ISSN: | 2075-4426 |
| DOI: | 10.3390/jpm11121350 |
| Popis: | © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Aim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age and sex. Methods: longitudinal, retrospective study with a sample of 59,013 older adults admitted to convalescence units of the National Network of Integrated Continuous Care of Portugal. Results: In the first 75 days of hospitalization, activities of daily living, mobility and cognitive state improved, but there was a decline after 75 days of hospitalization. The ability to perform instrumental activities of daily living improved in the first 15 days of hospitalization, stabilized until 45 days and then began to worsen. Women had a higher probability of having a severe/complete dependence three years earlier than men (88 years to 91 years). A higher education level and stable emotional state were protective factors against functional decline. Conclusions: The functional profile of older adults improved during the length of stay recommended for hospitalization in convalescence units (30 days). It is critical for health systems to adopt strategies to prevent declines in the emotional state of frail individuals. This research was funded by FEDER. Programa Interreg VA España-Portugal (POCTEP), grant number 0499_4IE_PLUS_4_E. This research received an external funding for the PhD scholarship from the Foundation for Science and Technology, grant number SFRH/BD/140865/2018, Portugal (of the one of the authors Ana Ramos). |
| Databáze: | OpenAIRE |
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