Prospective value of self-report and performance-based tests of functional status for 18-month outcomes in elderly patients

被引:48
作者
Nikolaus, T
Bach, M
Oster, P
Schlierf, G
机构
关键词
aged; functional status; geriatric assessment; performance tests; prospective value;
D O I
10.1007/BF03339578
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
To determine predictors of death, nursing home placement and hospital admission, a prospective study was carried out in a university-affiliated geriatric hospital and a general practice. One hundred and thirty-five patients consecutively admitted from home to the geriatric hospital and discharged home again (site 1), and 144 patients, aged 70 years and over, of a general practice (site 2) were recruited for a comprehensive geriatric assessment program. At baseline, none was completely dependent on others, or severely demented. At follow-up after 18 months, 46 subjects (17%) had died, 20 subjects (7%) had been institutionalized, and 79 had been admitted to hospital (28%) in the interim. Univariate analysis demonstrated a significant association between Barthel Activities of Daily Living (ADL), Lawton-Brody Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), Balance and Gait Evaluation, Timed ''Up and Go'', Timed Test of Money Counting, Grip-Strength and Williams Board Test, and death as well as nursing home placement. Barthel-ADL were significantly correlated with hospital admission. In a logistic regression analysis, Barthel-ADL were independent predictors for death; Barthei-ADL, Timed ''Up and Go'', Timed Test of Money Counting, and Williams Board Test were independent predictors for nursing home placement. No independent predictor was found for hospital admission. It is concluded that self-report and performance-based measures of functional capabilities are useful instruments to identify patients at risk for nursing home placement and death. Factors contributing to hospital admissions are other than those measured by the applied tests. (C)1996, Editrice Kurtis
引用
收藏
页码:271 / 276
页数:6
相关论文
共 35 条
[1]  
APPLEGATE WB, 1990, NEW ENGL J MED, V322, P1207
[2]   PREDICTORS OF 2-YEAR POST-HOSPITALIZATION MORTALITY AMONG ELDERLY VETERANS IN A STUDY EVALUATING A GERIATRIC CONSULTATION TEAM [J].
COHEN, HJ ;
SALTZ, CC ;
SAMSA, G ;
MCVEY, L ;
DAVIS, D ;
FEUSSNER, JR .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (12) :1231-1235
[3]   SELF REPORT AND PERFORMANCE-BASED HAND FUNCTION-TESTS AS CORRELATES OF DEPENDENCY IN THE ELDERLY [J].
FALCONER, J ;
HUGHES, SL ;
NAUGHTON, BJ ;
SINGER, R ;
CHANG, RW ;
SINACORE, JM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (07) :695-699
[5]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[6]   LOWER-EXTREMITY FUNCTION IN PERSONS OVER THE AGE OF 70 YEARS AS A PREDICTOR OF SUBSEQUENT DISABILITY [J].
GURALNIK, JM ;
FERRUCCI, L ;
SIMONSICK, EM ;
SALIVE, ME ;
WALLACE, RB .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 332 (09) :556-561
[7]   A SHORT PHYSICAL PERFORMANCE BATTERY ASSESSING LOWER-EXTREMITY FUNCTION - ASSOCIATION WITH SELF-REPORTED DISABILITY AND PREDICTION OF MORTALITY AND NURSING-HOME ADMISSION [J].
GURALNIK, JM ;
SIMONSICK, EM ;
FERRUCCI, L ;
GLYNN, RJ ;
BERKMAN, LF ;
BLAZER, DG ;
SCHERR, PA ;
WALLACE, RB .
JOURNALS OF GERONTOLOGY, 1994, 49 (02) :M85-M94
[8]  
HEDRICK S C, 1991, Journal of the American Geriatrics Society, V39, p48S
[9]   DEATH AND DISCHARGE FROM A GERIATRIC DEPARTMENT [J].
HODKINSON, HM ;
HODKINSON, I .
AGE AND AGEING, 1980, 9 (04) :220-228
[10]  
HOFMANN W, 1995, Z GERONTOL GERIATR, V28, P29