ArticleBMC geriatrics2020
ADL recovery trajectory after discharge and its predictors among baseline-independent older inpatients.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The Trajectory of Activities of Daily Living and Its Influencing Factors in Older Adults: A Longitudinal Study.Nursing open · 2026Article
- Sedentary behaviour and activity patterns of older adults in an acute hospital setting: An exploratory study.The British journal of occupational therapy · 2026Article
- A clustering-based trajectory analytics of functional loss and recovery among older adults.PloS one · 2026Article
- Improvement in Activities of Daily Living Among Older Adults With Physician-Led Home Visits: A Multicenter Retrospective Cohort Study in Japan.Journal of general and family medicine · 2026Article
- Value shift in response to aging: a longitudinal study based on healthy aging.BMC geriatrics · 2025Article
- Article
- Nursing Program Promoting the Activity of Daily Living Among Older Adults Admitted to Semimedical Intensive Care Units: A Quasi-Experimental Study.Nursing research and practice · 2025Article
- Association between multisite musculoskeletal pain and disability trajectories among community-dwelling older adults.Aging clinical and experimental research · 2024Article
- Exploring trajectories of functional decline and recovery among older adults: a data-driven approach.Scientific reports · 2024Article
- Article
- Decreased Left Ventricular Mass is Associated with Sarcopenia and its Severity in Elderly Inpatients.Global heart · 2024Article
- The impact of falls on activities of daily living in older adults: A retrospective cohort analysis.PloS one · 2024Article
- The contribution of functional cognition screening during acute illness hospitalization of older adults in predicting participation in daily life after discharge.BMC geriatrics · 2022Article
- Using comprehensive geriatric assessment for older adults undertaking a facility-based transition care program to evaluate functional outcomes: a feasibility study.BMC geriatrics · 2022Article
- Frailty Index was Associated With Adverse Outcomes in Admitted Elderly Patients With Type 2 Diabetes Mellitus.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
7 authors.
Funding
Abstract
backgroundAmong the previous studies about the ADL recovery and its predictors, the researches and resources used to study and protect the baseline-independent older patients from being permanently ADL-dependent was few. We aimed to describe the level of activities of daily living (ADL) at discharge and ADL change within 6 months after discharge in older patients who were ADL-independent before admission but became dependent because of acute illness, and to identify the predictors of early rehabilitation,so as to provide the basis to early intervention.
methodsStratified cluster sampling was used to recruit 520 hospitalised older patients who were ADL-independent from departments of internal medicine at two tertiary hospitals from August 2017 to May 2018. Demographics, clinical data, and ADL status at 1, 3, and 6 months after discharge were collected. Data were analysed using descriptive statistics, Student's t-test, Pearson's chi-square test,Spearman's correlation analysis, binary logistic regression analysis, and receiver operating characteristic (ROC) curve analysis.
resultsThere were 403 out of 520 patients completing the 6-month follow-up, and 229 (56.8%) regained independence at 6 months after discharge. There was an overall increasing trend in ADL with time. The recovery rate was the highest within the first month after discharge, gradually declined after 1 month, and changed less obviously from 3 to 6 months after discharge (p < 0.001). ADL score at discharge (OR = 1.034, p < 0.001), age (OR = 0.269, p = 0.001), post-discharge residence (OR = 0.390, p < 0.05), and cognition status at discharge (OR = 1.685, p < 0.05) were predictors of ADL recovery. The area under the curve of the four predictors combined was 0.763 (p < 0.001).
conclusionStudying ADL recovery rate and its predicting indicators of the baseline independent inpatients at different time points provide a theoretical reference for the formulation of nursing plans and allocation of care resources.
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