ArticleBMC geriatrics2020
Predicting hospitalisation-associated functional decline in older patients admitted to a cardiac care unit with cardiovascular disease: a prospective cohort study.
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 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review.Journal of cachexia, sarcopenia and muscle · 2023Pooled it
- Experiences of frail Korean older adults and their families in a transitional care program: an exploratory qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Characteristics of Hospitalization-Associated Disability After Cardiac Surgery by Age Group.Circulation reports · 2026Article
- Article
- Development and validation of a nomogram for predicting hospitalization-associated disability in older patients with acute heart failure.Frontiers in cardiovascular medicine · 2026Article
- Relationship Between Cardiac Rehabilitation and Recovery From Decline in Activities of Daily Living in Patients Hospitalized With Cardiovascular Disease.Circulation reports · 2025Article
- Mobility matters: a protocol to improve mobility and reduce length of stay in hospitalised older adults.BMJ open quality · 2025Article
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- Risk prediction models for post-intensive care syndrome of ICU discharged patients: A systematic review.International journal of nursing sciences · 2025Review
- The association between blood biological age at rehabilitation admission and physical activity during rehabilitation in geriatric inpatients: RESORT.GeroScience · 2024Observational
- Implementation of a Frailty Care Bundle (FCB) Targeting Mobilisation, Nutrition and Cognitive Engagement to Reduce Hospital Associated Decline in Older Orthopaedic Trauma Patients: Pretest-Posttest Intervention Study.Journal of frailty, sarcopenia and falls · 2024Article
- The Role of Subjective Age in Predicting Post-Hospitalization Outcomes of Older Adults.Gerontology · 2024Article
- Automatic patient functionality assessment from multimodal data using deep learning techniques - Development and feasibility evaluation.Internet interventions · 2023Article
- High Prevalence of Geriatric Conditions Among Older Adults With Cardiovascular Disease.Journal of the American Heart Association · 2023Review
- How to implement geriatric co-management in your hospital? Insights from the G-COACH feasibility study.BMC geriatrics · 2022Article
- Predictors of Functional Improvement, Length of Stay, and Discharge Destination in the Context of an Assess and Restore Program in Hospitalized Older Adults.Geriatrics (Basel, Switzerland) · 2022Article
- Hospitalization is associated with handgrip strength decline in older adults: a longitudinal study.Aging clinical and experimental research · 2022Article
- Clinical Characteristics of Older Heart Failure Patients With Hospital-Acquired Disability: A Preliminary, Single-Center, Observational Study.Cardiology research · 2021Article
- Gait Speed and Instrumental Activities of Daily Living in Older Adults After Hospitalization: A Longitudinal Population-Based Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Article
- Prognostic impact of hospital-acquired disability in elderly patients with heart failure.ESC heart failure · 2021Article
Corrections and comments
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Authors and funding
15 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundUp to one in three of older patients who are hospitalised develop functional decline, which is associated with sustained disability, institutionalisation and death. This study developed and validated a clinical prediction model that identifies patients who are at risk for functional decline during hospitalisation. The predictive value of the model was compared against three models that were developed for patients admitted to a general medical ward.
methodsA prospective cohort study was performed on two cardiac care units between September 2016 and June 2017. Patients aged 75 years or older were recruited on admission if they were admitted for non-surgical treatment of an acute cardiovascular disease. Hospitalisation-associated functional decline was defined as any decrease on the Katz Index of Activities of Daily Living between hospital admission and discharge. Predictors were selected based on a review of the literature and a prediction score chart was developed based on a multivariate logistic regression model.
resultsA total of 189 patients were recruited and 33% developed functional decline during hospitalisation. A score chart was developed with five predictors that were measured on hospital admission: mobility impairment = 9 points, cognitive impairment = 7 points, loss of appetite = 6 points, depressive symptoms = 5 points, use of physical restraints or having an indwelling urinary catheter = 5 points. The score chart of the developed model demonstrated good calibration and discriminated adequately (C-index = 0.75, 95% CI (0.68-0.83) and better between patients with and without functional decline (chi
conclusionFunctional decline is a prevalent complication and can be adequately predicted on hospital admission. A score chart can be used in clinical practice to identify patients who could benefit from preventive interventions. Independent external validation is needed.
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