ArticlePloS one2013
Disability transitions after 30 months in three community-dwelling diagnostic groups in Spain.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Problem adaptation therapy for older adults with major depression and cognitive impairment: a randomized clinical trial.JAMA psychiatry · 2015Trial
- WHODAS 2.0 to Assess Disability in the Rehabilitation of Individuals With Chronic Respiratory Conditions: Responsiveness and Interpretability.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Observational
- Automatic patient functionality assessment from multimodal data using deep learning techniques - Development and feasibility evaluation.Internet interventions · 2023Article
- Physical activity, body functions and disability among middle-aged and older Spanish adults.BMC geriatrics · 2017Article
- Article
- Disability, support and long-term social care of an elderly Spanish population, 2008-2009: an epidemiologic analysis.International journal for equity in health · 2017Article
- Article
- New indices for home nursing care resource disparities in rural and urban areas, based on geocoding and geographic distance barriers: a cross-sectional study.International journal of health geographics · 2015Article
- Outcome prediction with Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity score system in elderly patients submitted to elective surgery.Saudi journal of anaesthesiaArticle
Corrections and comments
- Erratum issuedCarmona, Monserrat [corrected to Carmona, Montserrat]
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about changes in disability over time among community-dwelling patients. Accordingly, this study sought to assess medium-term disability transitions. PATIENTS AND
methods300 chronic obstructive pulmonary disease (COPD), chronic heart failure and stroke patients living at home in Madrid were selected from general practitioner lists. In 2009, disability was assessed after a mean of 30 months using the World Health Organisation (WHO) Disability Assessment Schedule 2.0 (WHODAS 2.0). Follow-up was completed using death registries. Losses to follow-up were due to: death, 56; institutionalisation, 9; non-location, 18; and non-participation, 17. Changes in WHODAS 2.0 scores and life status were described and analysed using Cox and multinomial regression. Disability at end of follow-up was imputed for 56 deceased and 44 surviving patients.
resultsMean disability scores for 200 surviving patients at end of follow-up were similar to baseline scores for the whole group, higher than their own baseline scores, and rose by 16.3% when imputed values were added. The strongest Cox predictors of death were: age over 84 years, adjusted hazard ratios with 95%CI 8.18 (3.06-21.85); severe/complete vs. no/mild disability, 5.18 (0.68-39.48); and stroke compared to COPD, 1.40 (0.67-2.91). Non-participants and institutionalised patients had higher proportions with severe/complete baseline disability. A one-point change in baseline WHODAS 2.0 score predicted independent increases in risk of 12% (8%-15%) for severe/complete disability or death.
conclusionsA considerably high proportion of community-dwelling patients diagnosed with COPD, CHF and stroke undergo medium-term changes in disability or vital status. The main features of the emerging pattern for this group appear to be as follows: approximately two-thirds of patients continue living at home with moderately reduced functional status; 1/3 die or worsen to severe/complete disability; and 1/10 improve. Baseline disability scores, age and diagnosis are associated with disability and death in the medium term.
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