Original Research Articles

Early Identification of Risk Factors for Mobility Decline Among Hospitalized Older Patients

Lee, Yejin MS, OT; Lee, Hyun-Haeng MD, MS; Uhm, Kyeong Eun MD; Jung, Ho Joong MD; Kim, Yoon-Sook RN, PhD; Shin, Jinyoung MD, PhD; Choi, Jaekyung MD, PhD; Han, Seol-Heui MD, PhD; Lee, Jongmin MD, PhD

Author Information
American Journal of Physical Medicine & Rehabilitation 98(8):p 699-705, August 2019. | DOI: 10.1097/PHM.0000000000001180

Abstract

Objective 

The aim of the study was to identify the risk factors for mobility decline among hospitalized older patients early.

Design 

This is a prospective cohort study. A total of 875 older patients were divided into two groups: older patients with and without mobility decline. The mobility level was measured using the item of functional mobility in the Geriatric Screening for Care 10. The change in mobility between admission and discharge was determined as the dependent variable. There were a total of 18 independent variables, which consisted of three demographic variables, 10 most problematic domains of geriatric care, and five other health-related variables. A multivariable logistic regression analysis was conducted to identify the risk factors for mobility decline during hospitalization.

Results 

Of the 875 older patients, 135 (15.4%) experienced mobility decline during hospitalization. The multivariable logistic regression analysis revealed female sex, cognitive impairment, and underweight as the risk factors for mobility decline during hospitalization.

Conclusions 

The identified risk factors should be considered to identify patients at a risk of mobility decline early and to provide _targeted interventions, which can prevent mobility decline.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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