Homelessness and rates of physical dysfunctions characteristic of premature geriatric syndromes: systematic review and meta-analysis
| Autor: | Diane D. Allen, Wendy B. Katzman, Jordan Beck, Kevin Suh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Gerontology 030506 rehabilitation Activities of daily living Injury control Poison control Physical Therapy Sports Therapy and Rehabilitation Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Activities of Daily Living mental disorders Injury prevention Humans Medicine Geriatric Assessment Aged Frailty business.industry Human factors and ergonomics Syndrome Middle Aged United States Meta-analysis Ill-Housed Persons Independent Living 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Physiotherapy Theory and Practice. 38:858-867 |
| ISSN: | 1532-5040 0959-3985 |
| DOI: | 10.1080/09593985.2020.1809045 |
| Popis: | Homeless adults may experience accelerated aging, presenting earlier with geriatric syndromes such as falls and functional limitations. Though homelessness is surging in United States, data are scarce regarding rates of physical dysfunctions characteristic of geriatric syndromes experienced in this underserved population.Examine associations between homelessness, premature geriatric syndromes, and functional limitations.Two reviewers independently searched PubMed, CINAHL, and PEDro databases for prognostic studies reporting rates of geriatric syndromes in homeless adults aged 40 years and older. Two reviewers independently performed study selection. Data were extracted for homeless adults and community-dwelling controls regarding age, demographic information, limitations of activities of daily living (ADL) and instrumental ADL (IADL), frailty, and falls the past year. Risk ratio (RR) and 95% confidence interval (CI) were calculated across studies to compare groups.Five studies met predetermined criteria. Meta-analysis revealed greater rates in homeless adults (average age 56) compared to housed adults (average age 78) for ADL limitation (RR = 1.50, 95% CI = 1.37-1.64) and IADL limitation (RR = 1.36, 95% CI = 1.28-1.45). Falls were three times more prevalent in homeless individuals (RR = 3.42, 95% CI = 3.16-3.70). Heterogeneous frailty data did not reach significance (RR = 2.59, 95% CI = 0.90-7.46).Homeless adults have increased risk of premature geriatric syndromes. Limitations in ADL and IADL rates were 30-50% higher than adults with stable housing averaging 20 years older, and fall rates were three times higher than controls averaging 4.5 years older. These results underscore the need for healthcare providers such as physical therapists to address physical dysfunction in homeless adults. |
| Databáze: | OpenAIRE |
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