Previous in-home physiotherapy prevents institutionalization after short-term hospitalization in community-dwelling older dependent people

Autor: Sylvie Bonin-Guillaume, C Franqui, M Campana, A Sebban, M Grino, E Lesclide
Přispěvatelé: Assistance Publique - Hôpitaux de Marseille (APHM), Service de Pneumologie, Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research (C2VN), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre Hospitalier Régional Universitaire de Tours (CHRU TOURS)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Aging
medicine.medical_specialty
Institutionalisation
Geriatric acute care unit
Lower risk
03 medical and health sciences
0302 clinical medicine
Acute care
medicine
Hospital discharge
Humans
Dementia
Cognitive Dysfunction
030212 general & internal medicine
Cognitive impairment
Physiotherapy
Physical Therapy Modalities
Aged
Retrospective Studies
Community-dwelling older dependent people
Aged
80 and over
business.industry
[SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology
Institutionalization
Retrospective cohort study
Caregiver burden
medicine.disease
Home Care Services
Long-Term Care
Long-term care home
3. Good health
Hospitalization
Caregivers
Physical therapy
Female
Independent Living
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
Zdroj: Aging Clinical and Experimental Research
Aging Clinical and Experimental Research, Springer Verlag, 2020, 32 (7), pp.1271-1277. ⟨10.1007/s40520-019-01310-7⟩
Aging Clinical and Experimental Research, 2020, 32 (7), pp.1271-1277. ⟨10.1007/s40520-019-01310-7⟩
ISSN: 1594-0667
1720-8319
DOI: 10.1007/s40520-019-01310-7⟩
Popis: International audience; Aims Short-term hospitalization of community-dwelling older dependent people in a geriatric acute care unit is sometimes needed to treat an acute health problem. Serious loss of independence can lead to difficulties in maintaining home care and is followed, at hospital discharge, to institutionalization in a long-term care home. We investigated the variables, particularly those related to the paramedical staff at home, predicting a return home or an institutionalization at hospital discharge.Methods Retrospective observational study of 398 sixty and more year-old patients, living at home, having a natural caregiver, and hospitalized in an acute care unit of the State Geriatric Center.Results 289 (72.6%) patients returned home, 101 (25.3%) were admitted in a long-term care home, and 8 (2%) died. Independent predictors of institutionalization were length of stay in the acute care unit [adjusted OR (AOR)=1.102, P
Databáze: OpenAIRE
Externí odkaz: