Naslov
Acute Short-Term Hospital Physical Rehabilitation Of Bedridden Geriatric Patients After Serious Illness Increases Barthel Scale Score At Discharge

Autori
Aljinović, Jure ; Marinović, Ivanka ; Dujmović, Dora ; Matijaca, Marija ; Barun, Blaž ; Poljičanin Ana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts of the 18th Congress of the European Geriatric Medicine Society / - : Springer Science+Business Media, 2022, 302-302

Skup
18th Congress of the European Geriatric Medicine Society

Mjesto i datum
London, Ujedinjeno Kraljevstvo, 28.09.2022. - 30.09.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Geriatric, disability, fracture, barthel score,

Sažetak
Introduction: Treatment of geriatric patients with severe or total dependency should be comprehensive and include physical therapy to reduce dependency at discharge. Our aim was to see if the ten-day inpatient physical therapy program provided by a multidisciplinary team (physiatrist, physiotherapist, nurse, nutritionist) influences Barthel scale score (BS) at discharge. Methods: Geriatric patients with BS<60 were prospectively included in the study. The reason for hospitalization, complications during the stay, sarcopenia assessment (SARC-F and grip strength evaluation using hand-held dynamometer), and BS at discharge were noted. Results: From July 2021 to April 2022, 77 patients were included (26 M, 51 F), median age of 78 (72-83.5 IQR). Hip fracture, cerebral stroke and vertebral fracture were the main reasons for hospitalization (45%, 17% and 10% respectively). After a ten-day physical therapy programme significant increase of Barthel Score from 32.9±15.8 (mean±SD), to 52.8±24 was detected (t-test, p<0.001, n=40). Altogether 45% of patients changed from severe to moderate dependency (BS>60). SARC-F>4 was reported in 83% of patients. Low grip strength was detected in 42% of patients (57% M, 33% F). We did not observe significant difference in grip strength between hands (p=0.3 M ; p=0.27 F). Complications caused by immobilization after serious illness occurred in 68% of patients (urinary infection 34%, cardiovascular complications 10%, psychoorganic syndrome 8% and other diagnoses). Conclusion: Increase of Barthel scale score is seen in bedridden geriatric patients after a short-term hospital rehabilitation and in 45% of patients it changed from severe to moderate dependency.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA