Factors related to Changes of Ambulatory Status in Elderly Nursing Home Residents
Journal of the Korean Geriatrics Society
;
: 87-94, 1997.
Article
in Korean
| WPRIM
| ID: wpr-119370
ABSTRACT
PURPOSE:
To define the events surrounding mobility change in frail ambulatory elderly.METHODS:
We retrospectively studied a cohort of 87 ambulatory residents of a chronic care hospital. Demographic data, medication, chronic condition, the Charlson Comorbidity Index(CCI), and ADLs were recorded. Mobility change was measured by the Timed Up & Go Test(TUGT) at baseline in July 1993 and follow-up in July 1996. This study determined the outcome status(dead, mon-ambulatory, ambulatory) and determined the reasons for ambulatory decline in individual subjects.RESULTS:
During this period 31(36%) expired; 16(18%) became nonambulatory(wheel-chair dependent or bed-ridden) and 40(46%) remained ambulatory. Of those remaining ambulatory, TUGT performance was maintained in 26(30%), declined by 2X in 10(11%) and 4(5%) could not follow the test due to mental or behavioral problems. In the 16 nobambulatory subjects, 5(31%) lost mobility after an acute event, 11(69%) lost their mobility by slow decline. Factors associated with becoming nonambulatory include baseline CCI(p=0.01), frequency of medication change(p=0.009) and falls(p=0.004).CONCLUSION:
CCI, medication change and falls were found to be associated with loss in mobility. The identification of risk factors for mobility change may be useful to target preventive measure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Activities of Daily Living
/
Comorbidity
/
Retrospective Studies
/
Risk Factors
/
Cohort Studies
/
Follow-Up Studies
/
Frail Elderly
/
Nursing
/
Nursing Homes
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of the Korean Geriatrics Society
Year:
1997
Type:
Article
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