ArticleJournal of the American Geriatrics Society2020
Disability and Recovery After Hospitalization for Medical Illness Among Community-Living Older Persons: A Prospective Cohort Study.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessment tools and incidence of hospital-associated disability in older adults: a rapid systematic review.PeerJ · 2023Pooled it
- Hospital-induced immobility - a backstage story of lack of chairs, time, and assistance.BMC geriatrics · 2024Trial
- The Effectiveness of Frailty Intervention for Older Patients with Frailty during Hospitalization.The journal of nutrition, health & aging · 2023Trial
- Organizational barriers and enablers of adult mobility in general acute hospital units: a scoping review.Physical therapy · 2026Article
- Hospitalized Older Patients' Readiness to Use mHealth Mobility Apps.Aging medicine (Milton (N.S.W)) · 2025Article
- Day and night nurse staffing levels and hospital-associated disability in older adults in Japan: a retrospective cohort study.Age and ageing · 2025Article
- Estimating the effects of temperature on mortality and hospitalisations under RCP2.6 and RCP8.5 scenarios in the short- and long-term by region in Chile: a population-based, modelling study.Lancet regional health. Americas · 2025Article
- Article
- Blood pressure variability associated with falls in nursing home residents.Geriatrics & gerontology international · 2024Article
- New horizons in hospital-associated deconditioning: a global condition of body and mind.Age and ageing · 2024Review
- Associations of Social Support With Physical and Mental Health Symptom Burden After COVID-19 Hospitalization Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- The Role of Subjective Age in Predicting Post-Hospitalization Outcomes of Older Adults.Gerontology · 2024Article
- Self-efficacy, resilience and healthy ageing among older people who have an acute hospital admission: A cross-sectional study.Nursing open · 2023Article
- Development and applicability of a risk assessment tool for hospital-acquired mobility impairment in ambulatory older adults.Journal of the American Geriatrics Society · 2023Article
- Care challenges of home health patients living with dementia: a pathway forward with palliative care.BMC palliative care · 2023Article
- Distressing symptoms after major surgery among community-living older persons.Journal of the American Geriatrics Society · 2023Article
- Delirium Mediates Incidence of Hospital-Associated Disability Among Older Adults.Journal of the American Medical Directors Association · 2023Article
- Post-acute care for frail older people decreases 90-day emergency room visits, readmissions and mortality: An interventional study.PloS one · 2023Article
- Medium and long-term prognosis in hospitalised older adults with multimorbidity. A prospective cohort study.PloS one · 2023Article
- The Implementation of a Geriatrics Co-Management Model of Care Reduces Hospital Length of Stay.Healthcare (Basel, Switzerland) · 2022Article
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5 authors.
Funding
Abstract
objectivesTo determine for each basic, instrumental, and mobility activity after hospitalization for acute medical illness: (1) disability prevalence immediately before and monthly for 6 months after hospitalization; (2) disability incidence 1 month after hospitalization; and (3) recovery time from incident disability during months 2 to 6 after hospitalization.
designProspective cohort study.
settingNew Haven, Connecticut.
participantsA total of 515 community-living persons, mean age 82.7 years, hospitalized for acute noncritical medical illness and alive within 1 month of hospital discharge. MEASUREMENTS: Disability was defined monthly for each basic (bathing, dressing, walking, transferring), instrumental (shopping, housework, meal preparation, taking medications, managing finances), and mobility activity (walking a quarter mile, climbing flight of stairs, lifting/carrying 10 pounds, driving) if help was needed to perform the activity or if a car was not driven in the prior month.
resultsDisability was common 1 and 6 months after hospitalization for activities frequently involved in leaving the home to access care including walking a quarter mile (prevalence 65% and 53%, respectively) and driving (65% and 61%). Disability was also common for activities involved in self-managing chronic health conditions including meal preparation (53% and 41%) and taking medications (41% and 31%). New disability was common and often prolonged. For example, 43% had new disability walking a quarter mile, and 30% had new disability taking medications, with mean recovery time of 1.9 months and 1.7 months, respectively. Findings were similar for the subgroup of persons residing at home (ie, not in a nursing home) at the first monthly follow-up interview after hospitalization.
conclusionDisability in specific functional activities important to leaving home to access care and self-managing health conditions is common, often new, and present for prolonged time periods after hospitalization for acute medical illness. Post-discharge care should support patients through extended periods of vulnerability beyond the immediate transitional period. J Am Geriatr Soc 68:486-495, 2020.
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