Falls efficacy predicts functional status on month after discharge in elderly patients undergoing post-accute rehabilitation
Details
Serval ID
serval:BIB_EB858A0D6B02
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Falls efficacy predicts functional status on month after discharge in elderly patients undergoing post-accute rehabilitation
Title of the conference
AGS 2008, Annual Meeting of the American Geriatrics Society
Address
Washington, United-States, April 30-May, 2008
ISBN
0002-8614
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
56
Series
Journal of the American Geriatrics Society
Pages
S111
Language
english
Abstract
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.
Keywords
falls efficacy, elderly patients, rehabilitation
Web of science
Create date
21/10/2009 13:17
Last modification date
20/08/2019 17:13
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