ArticleBMC geriatrics2020
Potential associated factors of functional disability in Chinese older inpatients: a multicenter cross-sectional 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 25 papers.
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Who cites it
25 citing papers in PubMed.
- Association between ambient temperature and all-cause hospitalization by functional status in Japan: A time-stratified case-crossover study.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Long-term trajectories of memory, depression, and mobility independence before death: a multi-cohort study.Translational psychiatry · 2026Article
- Efficacy and Safety of Mirogabalin as an Add-on to Nonsteroidal Anti-inflammatory Drugs for Neuropathic Pain Caused by Lumbar Disc Herniation: A Randomized Controlled Study (Miro-Hers).Pain and therapy · 2025Article
- Predictors of independence in older people: A longitudinal, population-based study using the CARE75 + cohort.BMC geriatrics · 2025Article
- Synergistic effects of cognitive frailty and comorbidities on disability: a community-based longitudinal study.BMC geriatrics · 2024Article
- Functional disability and its associated factors among community- dweller older adults living in Gondar Town, Ethiopia: a community-based cross-sectional study.BMC public health · 2024Article
- Factors impacting early mobilization according to the Enhanced Recovery After Surgery guideline following gastrointestinal surgery: A prospective study.Geriatrics & gerontology international · 2024Article
- Development and validation of prediction model for older adults with cognitive frailty.Aging clinical and experimental research · 2024Article
- Latent transition analysis of instrumental activities of daily living in Chinese elderly: based on the 2014-2018 wave of the Chinese Longitudinal Healthy Longevity Survey.BMC geriatrics · 2024Article
- Longitudinal trends and predictors of limitations in activities of daily living in community-dwelling older adults: evidence from the KLoSA study.Frontiers in public health · 2024Article
- Myokines and Biomarkers of Frailty in Older Inpatients with Undernutrition: A Prospective Study.The Journal of frailty & aging · 2024Article
- Development and Assessment of Assisted Diagnosis Models Using Machine Learning for Identifying Elderly Patients With Malnutrition: Cohort Study.Journal of medical Internet research · 2023Observational
- Physical activity and functional disability among older adults in Ghana: The moderating role of multi-morbidity.PLOS global public health · 2023Article
- The role of catastrophizing and basic psychological needs satisfaction on health-related quality of life and pain in patients with lumbar disc herniation.Frontiers in psychology · 2023Article
- Type 2 Diabetes Mellitus with Tight Glucose Control and Poor Pre-Injury Stair Climbing Capacity May Predict Postoperative Delirium: A Secondary Analysis.Brain sciences · 2022Article
- Prevalence and correlates of disability among urban-rural older adults in Southwest China: a large, population-based study.BMC geriatrics · 2022Article
- Using multiple imputation and intervention-based scenarios to project the mobility of older adults.BMC geriatrics · 2022Article
- Novel physical performance-based models for activities of daily living disability prediction among Chinese older community population: a nationally representative survey in China.BMC geriatrics · 2022Article
- The association between cognitive impairment and 30-day mortality among older Chinese inpatients.Frontiers in medicine · 2022Article
- Gender specific cut-off points of age for disability among rural elderly in Anhui Province, China.Frontiers in public health · 2022Article
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11 authors.
Funding
Abstract
backgroundThere is still controversy about the relationship between aging and changes in functional ability. This study aims to describe the level of basic activities of daily living (ADL) and higher-level instrumental activities of daily living (IADL) in different age groups and explore the factors associated with functional disability in Chinese older inpatients.
methodsThis cross-sectional study surveyed 9996 older inpatients aged 65 years and older from six tertiary hospitals in China from October 2018 to February 2019. The levels of ADL and IADL were measured by scores of the Barthel index and Instrumental Activities of Daily Living Scale. A mixed-effect generalized linear model was used to examine the association between functional disability and covariates.
resultsThe average ADL score was 89.51 ± 19.29 and the mean IADL score 6.76 ± 2.01 for all participants. There was a trend of decreasing scores along with aging, and significant differences between age groups were also observed (P < 0.001). The most affected ADL and IADL was stair climbing and shopping, respectively. Sociodemographic characteristics (such as age), physical health variables (frailty, emaciation, hearing dysfunction, urinary dysfunction, defecation dysfunction, falling accidents in the past 12 months), and mental health variables (cognitive dysfunction, depression) were associated with functional disability. Patients from the emergency department or transferred from other hospitals and former alcohol drinkers are at risk of ADL disability. Former smoking is a risk factor for IADL disability, whereas current drinking, higher-level education, and residing in a building without elevators were likely to maintain a better IADL performance.
conclusionsFunctional ability declines with aging, older inpatients are low dependency upon ADL and IADL. There are several associated factors among the participants derived from this investigation of a large-scale, multicenter, nationally representative Chinese older inpatient population. These findings potentially have major importance for the planning of hospital services, discharge planning, and post-discharge care.
trial registrationChinese Clinical Trial Registry, ChiCTR1800017682 , registered August 9, 2018.
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