Falls efficacy predicts functional status on month after discharge in elderly patients undergoing post-accute rehabilitation
Détails
ID Serval
serval:BIB_EB858A0D6B02
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Institution
Titre
Falls efficacy predicts functional status on month after discharge in elderly patients undergoing post-accute rehabilitation
Titre de la conférence
AGS 2008, Annual Meeting of the American Geriatrics Society
Adresse
Washington, United-States, April 30-May, 2008
ISBN
0002-8614
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
56
Série
Journal of the American Geriatrics Society
Pages
S111
Langue
anglais
Résumé
Objective: To investigate the relationship between falls efficacy
at admission and functional status reported one month after discharge
from post-acute rehabilitation in a cohort of elderly patients.
Methods: Participants were elderly patients admitted to postacute
rehabilitation in an academic geriatric facility. Data on demographics
and affective status were collected upon admission; functional
status and gait speed were measured at admission and at
discharge; self-reported functional status and history of falls since
discharge were collected one month after discharge (follow-up).
Falls efficacy was measured using the Fall Efficacy Scale, that assesses
confidence in performing 12 activities of daily living without
falling (range 0 to 100, higher score indicating higher confidence).
Patients were classified using the median FES score at baseline (95)
as cut-off to divide the population into "confident" and "fearful"
groups.
Results: Participants' (N=180, mean age 81.3±7.1 years, 75.6%
women) mean FES score was 92.3±8.7 at baseline (range 60-100).
Basic ADL score averaged 3.5±1.6 at baseline, 4.7±1.3 at discharge,
and 5.5±0.7 at follow-up (self-reported). Baseline FES score was
positively correlated with basic ADL at follow-up (rho=0.35,
p<.001). At follow-up, 58.7% of the patients were fully independent
in basic ADL, this proportion being significantly higher in confident
than fearful patients (70.7% vs 42.4%, p<.001). Compared to confident
patients, those fearful had significantly lower odds (OR 0.3,
95%CI 0.2-0.6, p<.001) to report full independence at follow-up.
This relationship remained (adjOR = 0.4, 95%CI 0.2-0.8, p=.01)
after controlling for demographics, baseline gait speed, depressive
symptoms, functional status at discharge, and history of falls since
discharge.
Conclusion: In this cohort of older rehab patients, poor falls efficacy
at admission was associated with lower function reported one
month after discharge even after controlling for initial mobility performance
and functional status at discharge. Further studies should
determine whether interventions aiming at falls efficacy improvement
will also result in improved function in fearful subjects undergoing
rehabilitation.
at admission and functional status reported one month after discharge
from post-acute rehabilitation in a cohort of elderly patients.
Methods: Participants were elderly patients admitted to postacute
rehabilitation in an academic geriatric facility. Data on demographics
and affective status were collected upon admission; functional
status and gait speed were measured at admission and at
discharge; self-reported functional status and history of falls since
discharge were collected one month after discharge (follow-up).
Falls efficacy was measured using the Fall Efficacy Scale, that assesses
confidence in performing 12 activities of daily living without
falling (range 0 to 100, higher score indicating higher confidence).
Patients were classified using the median FES score at baseline (95)
as cut-off to divide the population into "confident" and "fearful"
groups.
Results: Participants' (N=180, mean age 81.3±7.1 years, 75.6%
women) mean FES score was 92.3±8.7 at baseline (range 60-100).
Basic ADL score averaged 3.5±1.6 at baseline, 4.7±1.3 at discharge,
and 5.5±0.7 at follow-up (self-reported). Baseline FES score was
positively correlated with basic ADL at follow-up (rho=0.35,
p<.001). At follow-up, 58.7% of the patients were fully independent
in basic ADL, this proportion being significantly higher in confident
than fearful patients (70.7% vs 42.4%, p<.001). Compared to confident
patients, those fearful had significantly lower odds (OR 0.3,
95%CI 0.2-0.6, p<.001) to report full independence at follow-up.
This relationship remained (adjOR = 0.4, 95%CI 0.2-0.8, p=.01)
after controlling for demographics, baseline gait speed, depressive
symptoms, functional status at discharge, and history of falls since
discharge.
Conclusion: In this cohort of older rehab patients, poor falls efficacy
at admission was associated with lower function reported one
month after discharge even after controlling for initial mobility performance
and functional status at discharge. Further studies should
determine whether interventions aiming at falls efficacy improvement
will also result in improved function in fearful subjects undergoing
rehabilitation.
Mots-clé
falls efficacy, elderly patients, rehabilitation
Web of science
Création de la notice
21/10/2009 13:17
Dernière modification de la notice
20/08/2019 17:13
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