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  • Villani, Emanuele Rocco (author)

Physical performance measures and hospital outcomes among Italian older adults : results from the CRIME project

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2020-09-14
  • Springer Science and Business Media LLC,2021
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:su-186390
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-186390URI
  • https://doi.org/10.1007/s40520-020-01691-0DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144654072URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background Older adults are a complex population, at risk of adverse events during and after hospital stay.Aim To investigate the association of walking speed (WS) and grip strength (GS) with adverse outcomes, during and after hospitalization, among older individuals admitted to acute care wards.Methods Multicentre observational study including 1123 adults aged >= 65 years admitted to acute wards in Italy. WS and GS were measured at admission and discharge. Outcomes were length-of-stay, in-hospital mortality, 1-year mortality and rehospitalisation. Length-of-stay was defined as a number of days from admission to discharge/death.Results Mean age was 81 +/- 7 years, 56% were women. Compared to patients with WS >= 0.8 m/sec, those unable to perform or with WS < 0.8 m/sec had a higher likelihood of longer length-of-stay (OR 2.57; 95% CI 1.63-4.03 and 2.42; 95% CI 1.55-3.79) and 1-year mortality and rehospitalization (OR 1.47, 95% CI 1.07-2.01; OR 1.57, 95% CI 1.04-2.37); those unable to perform WS had a higher likelihood of in-hospital mortality (OR 9.59; 95% CI 1.23-14.57) and 1-year mortality (OR 2.60; 95% CI 1.37-4.93). Compared to good GS performers, those unable to perform had a higher likelihood of in-hospital mortality (OR 17.43; 95% CI 3.87-28.46), 1-year mortality ( OR 3.14; 95% CI 1.37-4.93) and combination of 1-year mortality and rehospitalisation (OR 1.46; 95% CI 1.01-2.12); poor GS performers had a higher likelihood of 1-year mortality (OR 1.39; 95% CI 1.03-2.35); participants unable to perform GS had a lower likelihood of rehospitalisation (OR 0.59; 95% CI 0.39-0.89).Conclusion Walking speed (WS) and grip strength (GS) are easy-to-assess predictors of length-of-stay, in-hospital and post-discharge death and should be incorporated in the standard assessment of hospitalized patients.

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  • Vetrano, Davide LiborioKarolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Fondazione Policlinico Universitario A. Gemelli IRCCS, Italy (author)
  • Franza, Laura (author)
  • Carfi, Angelo (author)
  • Brandi, Vincenzo (author)
  • Volpato, Stefano (author)
  • Corsonello, Andrea (author)
  • Lattanzio, Fabrizia (author)
  • Ruggiero, Carmelinda (author)
  • Onder, Graziano (author)
  • Palmer, Katie (author)
  • Stockholms universitetCentrum för forskning om äldre och åldrande (ARC), (tills m KI) (creator_code:org_t)

Related titles

  • In:Aging Clinical and Experimental Research: Springer Science and Business Media LLC33, s. 319-3271594-06671720-8319

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