Factors Associated with Development of New Joint Contractures in Long-Term Care Residents
| Autor: | Iris Chi, Joseph Kwan, Kuen Lam, CW Kwan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Longitudinal study Contracture 03 medical and health sciences 0302 clinical medicine Quality of life Medicine Humans 030212 general & internal medicine Joint Contracture Longitudinal Studies Risk factor Range of Motion Articular General Nursing Muscle contracture Aged Aged 80 and over Minimum Data Set business.industry Health Policy General Medicine Long-Term Care medicine.anatomical_structure Physical therapy Quality of Life Upper limb Geriatrics and Gerontology business Range of motion 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Medical Directors Association. 23(1) |
| ISSN: | 1538-9375 |
| Popis: | Objective Limb contractures are associated with poor outcomes and quality of life in long-term care (LTC) residents. This study examined the rate of developing new joint contracture in the LTC residents and associated risk factors to formulate effective interventions in this critical but understudied area. Design This is an observational study with data obtained from the Hong Kong Longitudinal Study on LTC Residents between 2005 and 2016. Setting and Participants Trained assessors (nurses, social workers, and therapists) used the Minimum Data Set Resident Assessment Instrument (MDS-RAI 2.0) to collect the data of the residents from 9 residential LTC facilities. Measures Limb contractures were defined as a functional limitation in the range of motion involving the upper or lower limbs. Primary outcomes included annual prevalence of joint contractures and factors that were associated with the development of new joint contractures. Results We analyzed the data for 1914 older residents (674 males, mean age 83.4 years). During the first 5 years since admission, the annual prevalence of upper limb contractures increased from 29.8% to 36.5%, and lower limb contractures increased from 41.5% to 57.4%. Overall, the increment of the prevalence rate of joint contractures per year ranged from 0.7% to 3.2% for the upper limbs and 0.3% to 6.0% per year for the lower limbs. Impaired mobility, presence of neurologic diseases, and older age were the leading independent risk factors for the development of new joint contractures. Conclusions and Implications Joint contractures are highly prevalent among residents admitted to the LTC facilities, and many residents develop new contractures during the first 5 years of their admission. Immobility appears to be the main modifiable risk factor. Further studies are needed to identify potential strategies to prevent new contractures in this vulnerable group. |
| Databáze: | OpenAIRE |
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