ArticlePM & R : the journal of injury, function, and rehabilitation2017
Activity Limitation Stages Are Associated With Risk of Hospitalization Among Medicare Beneficiaries.
Article in PM & R : the journal of injury, function, and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cross-sectional and prospective association between personality traits and IADL/ADL limitations.Psychology and aging · 2021Pooled it
- Social Robots and Sensors for Enhanced Aging at Home: Mixed Methods Study With a Focus on Mobility and Socioeconomic Factors.JMIR aging · 2024Article
- The Influence of Race and Gender on Receiving Assistance With Daily Activities Among Older Americans.Innovation in aging · 2022Article
- Psychological and behavioral responses during the COVID-19 pandemic among individuals with mobility and/or self-care disabilities.Disability and health journal · 2022Article
- Patterns of Functional Impairment over Time Amongst Older Men-the Manitoba Follow-up Study.Canadian geriatrics journal : CGJ · 2021Article
- Functional Impairments Associated With Patient Activation Among Community-Dwelling Older Adults.American journal of physical medicine & rehabilitation · 2018Article
- A Risk Scoring System for the Prediction of Functional Deterioration, Institutionalization, and Mortality Among Medicare Beneficiaries.American journal of physical medicine & rehabilitation · 2018Article
- Premorbid Activity Limitation Stages Are Associated With Posthospitalization Discharge Disposition.American journal of physical medicine & rehabilitation · 2018Article
- Functional status and annual hospitalization in multimorbid and non-multimorbid older adults: a cross-sectional study in Southern China.Health and quality of life outcomes · 2018Article
- A Longitudinal Study Examining the Change in Functional Independence Over Time in Elderly Individuals With a Functioning Kidney Transplant.Canadian journal of kidney health and disease · 2018Article
- Predictive Indices for Functional Improvement and Deterioration, Institutionalization, and Death Among Elderly Medicare Beneficiaries.PM & R : the journal of injury, function, and rehabilitation · 2017Article
- Self-Care Capacity and Its Relationship to Age, Disability, and Perceived Well-Being in Medicare Beneficiaries.Nursing researchArticle
- Psychosocial Well-Being Associated With Activity of Daily Living Stages Among Community-Dwelling Older Adults.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundActivity limitation stages based on activities of daily living (ADLs) and instrumental activities of daily living (IADLs) are associated with 3-year mortality in elderly Medicare beneficiaries, yet their associations with hospitalization risk in this population have not been studied.
objectiveTo examine the independent association of activity limitation stages with risk of hospitalization within a year among Medicare beneficiaries aged 65 years and older.
designCohort study.
settingCommunity.
participantsA total of 9447 community-dwelling elderly Medicare beneficiaries from the Medicare Current Beneficiary Survey for years 2005-2009.
methodsStages were derived for ADLs and IADLs separately. Associations of stages with time to first hospitalization and time to recurrent hospitalizations within a year were assessed with Cox proportional hazards models, with which we accounted for baseline sociodemographics, smoking status, comorbidities, and the year of survey entry. MAIN OUTCOMES: Time to first hospitalization and time to recurrent hospitalizations within 1 year. PRINCIPLE
findingsThe adjusted risk of first hospitalization increased with greater activity limitation stages (except stage III). The hazard ratios (95% confidence intervals) for ADL stages I-IV compared with stage 0 (no limitations) were 1.49 (1.36-1.63), 1.61 (1.44-1.80), 1.54 (1.35-1.76), and 2.06 (1.61-2.63), respectively. The pattern for IADL stages was similar. For recurrent hospitalizations, activity limitation stages were associated with the risk of the first hospitalization but not with subsequent hospitalizations.
conclusionActivity limitation stages are associated with the risk of first hospitalization in the subsequent year among elderly Medicare beneficiaries. Stages capture clinically interpretable profiles of ADL and IADL functionality and describe preserved functions and activity limitation in an aggregated measure. Stage can inform interventions to ameliorate disability and thus reduce the risk of a subsequent hospitalization in this population. LEVEL OF EVIDENCE: IV.
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