Mostrar el registro sencillo del ítem

Effect of a Simple Exercise Program on Hospitalization-Associated Disability in Older Patients: A Randomized Controlled Trial

dc.contributor.authorOrtiz-Alonso J.
dc.contributor.authorBustamante-Ara N.
dc.contributor.authorValenzuela P.L.
dc.contributor.authorVidán-Astiz M.
dc.contributor.authorRodríguez-Romo G.
dc.contributor.authorMayordomo-Cava J.
dc.contributor.authorJavier-González M.
dc.contributor.authorHidalgo-Gamarra M.
dc.contributor.authorLopéz-Tatis M.
dc.contributor.authorValades-Malagón M.I.
dc.contributor.authorSantos-Lozano A.
dc.contributor.authorLucia A.
dc.contributor.authorSerra-Rexach J.A.
dc.date.accessioned2020-09-02T22:25:23Z
dc.date.available2020-09-02T22:25:23Z
dc.date.issued2020
dc.identifier10.1016/j.jamda.2019.11.027
dc.identifier.citation21, 4, 531-537.e1
dc.identifier.issn15258610
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5759
dc.descriptionObjective: Hospitalization-associated disability [HAD, ie, the loss of ability to perform ≥1 basic activities of daily living (ADLs) independently at discharge] is a frequent condition among older patients. The present study assessed whether a simple inpatient exercise program decreases HAD incidence in acutely hospitalized very old patients. Design: In this randomized controlled trial (Activity in Geriatric Acute Care) participants were assigned to a control or intervention group and were assessed at baseline, admission, discharge, and 3 months thereafter. Setting and Participants: In total, 268 patients (mean age 88 years, range 75–102) admitted to an acute care for older patients unit of a public hospital were randomized to a control (n = 125) or intervention (exercise) group (n = 143). Methods: Both groups received usual care, and patients in the intervention group also performed simple supervised exercises (walking and rising from a chair, for a total duration of ∼20 minutes/day). We measured ADL function (Katz index) and incident HAD at discharge and after 3 months (primary outcome) and Short Physical Performance Battery, ambulatory capacity, number of falls, rehospitalization, and death during a 3-month follow-up (secondary outcomes). Results: Median duration of hospitalization was 7 days (interquartile range 4 days). The intervention group had a lower risk of HAD with reference to both baseline [odds ratio (OR) 0.36; 95% confidence interval (CI) 0.17–0.76, P = .007] and admission (OR 0.29; 95% CI 0.10–0.89, P = .030). A trend toward an improved ADL function at discharge vs admission was found in the intervention group compared with controls (OR 0.32; 95% CI ‒0.04 to 0.68; P = .083). No between-group differences were noted for the other endpoints (all P > .05). Conclusion and Implications: A simple inpatient exercise program decreases risk of HAD in acutely hospitalized, very old patients. © 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine
dc.language.isoen
dc.publisherElsevier Inc.
dc.subjectActivities of daily living
dc.subjectfunctional decline
dc.subjectgeriatric assessment
dc.subjecthospitalization
dc.subjectintervention
dc.subjectphysical activity
dc.subjectacutely ill patient
dc.subjectaged
dc.subjectaged hospital patient
dc.subjectArticle
dc.subjectbehavior assessment
dc.subjectcomparative study
dc.subjectcontrolled study
dc.subjectdaily life activity
dc.subjectdisability
dc.subjectemergency care
dc.subjectexercise
dc.subjectfalling
dc.subjectfemale
dc.subjectfollow up
dc.subjectfunctional disease
dc.subjectfunctional status
dc.subjectgeriatric care
dc.subjectgeriatric patient
dc.subjecthospital admission
dc.subjecthospital discharge
dc.subjecthospital mortality
dc.subjecthospital patient
dc.subjecthospital readmission
dc.subjecthospitalization associated disability
dc.subjecthuman
dc.subjectincidence
dc.subjectintervention study
dc.subjectKatz index
dc.subjectlength of stay
dc.subjectlow risk patient
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmobilization
dc.subjectoutcome assessment
dc.subjectprogram effectiveness
dc.subjectpublic hospital
dc.subjectrandomized controlled trial
dc.subjectrisk reduction
dc.subjectShort Physical Performance Battery
dc.subjectsitting
dc.subjectstanding
dc.subjecttreatment duration
dc.subjecttrend study
dc.subjectvery elderly
dc.subjectwalking
dc.subjectwalking difficulty
dc.titleEffect of a Simple Exercise Program on Hospitalization-Associated Disability in Older Patients: A Randomized Controlled Trial
dc.typeArticle


Ficheros en el ítem

Thumbnail
Nombre:
item_2-s2.0-85078019737.pdf
Tamaño:
4.414Kb
Formato:
PDF
Ver/

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem