SynthesisThe journal of nutrition, health & aging2010
Predicting functional adverse outcomes in hospitalized older patients: a systematic review of screening tools.
Synthesis in The journal of nutrition, health & aging, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Effects of the frailty phenotype on post-operative complications in older surgical patients: a systematic review and meta-analysis.BMC geriatrics · 2019Pooled it
- Validity, Reliability and Feasibility of Tools to Identify Frail Older Patients in Inpatient Hospital Care: A Systematic Review.The journal of nutrition, health & aging · 2016Pooled it
- A simple admission-based risk score for hospital-associated disability in older adults.European geriatric medicine · 2026Article
- Associations between body composition phenotypes and physical function in community-dwelling older adults: an exploratory analysis of limb muscle mass asymmetry.Frontiers in medicine · 2026Article
- Pushing the boundaries - perioperative risk assessment and short-term surgical outcomes in octogenarian patients with head and neck cancer: comparison with non-oncological elderlies.Frontiers in oncology · 2026Article
- Trajectories of functional decline and predictors in long-term care settings: a retrospective cohort analysis of Canadian nursing home residents.Age and ageing · 2024Article
- Using Existing Clinical Data to Measure Older Adult Inpatients' Frailty at Admission and Discharge: Hospital Patient Register Study.JMIR aging · 2024Article
- Investigating the relationship between specific executive functions and functional decline among community-dwelling older adults: results from a prospective pilot study.BMC geriatrics · 2022Article
- Validation of Screening Tools for Predicting the Risk of Functional Decline in Hospitalized Elderly Patients.International journal of environmental research and public health · 2022Article
- The Association between Malnutrition and Physical Performance in Older Adults: A Systematic Review and Meta-Analysis of Observational Studies.Current developments in nutrition · 2022Review
- Health professionals' experience of nursing home residents' consumption of alcohol and use of psychotropic drugs.Nordisk alkohol- & narkotikatidskrift : NAT · 2021Article
- Article
- Hypoalbuminemia on Admission as an Independent Risk Factor for Acute Functional Decline after Infection.Nutrients · 2020Article
- Predicting Length of Stay and Discharge Destination for Surgical Patients: A Cohort Study.International journal of environmental research and public health · 2020Article
- Functional decline in geriatric rehabilitation ward; is it ascribable to hospital acquired infection? A prospective cohort study.BMC geriatrics · 2020Article
- Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Predicting hospitalisation-associated functional decline in older patients admitted to a cardiac care unit with cardiovascular disease: a prospective cohort study.BMC geriatrics · 2020Article
- ADL recovery trajectory after discharge and its predictors among baseline-independent older inpatients.BMC geriatrics · 2020Article
- Prevalence of frailty in a tertiary hospital: A point prevalence observational study.PloS one · 2019Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional decline frequently occurs following hospitalisation in older people and may be prevented or minimized by specific management. Such care processes needs appropriate early screening of older hospitalized patients.
objectiveTo identify instruments able to detect on admission older hospitalized patients at risk of functional decline at and after discharge.
methodsFunctional decline is defined as loss of independence in activities of daily living (functional decline) or admission in nursing home. The systematic search used Medline 1970-2007, Web of Science 1981-2007 and references list of relevant papers. An independent epidemiologist assessed methodological quality of the retained articles.
resultsWe found 12 studies developing predictive tools, including 7145 patients. Functional outcomes were assessed at or after discharge. Preadmission functional status, cognition, and social support were major components for prediction of functional evolution. Few instruments are fully validated and data concerning reliability are often lacking. Operational characteristics are moderate (sensitivity 29-87%, negative likelihood ratio 0.2-0.8).
conclusionsInstruments predicting functional adverse outcomes are difficult to compare due to heterogeneity of functional outcomes and hospital settings. The reason why so many tools have been developed is probably because none gives full satisfaction: their general predictive validity and performances are insufficient. Further research is needed to improve the screening of frail older patients admitted to hospital with standardized and validated tools.
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