File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Conference Paper: Should patients with severe cognitive impairment be offered rehabilitation after acute illness?

TitleShould patients with severe cognitive impairment be offered rehabilitation after acute illness?
Authors
KeywordsGerontology and geriatrics
Issue Date2015
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/eurger/
Citation
The 11th Congress of the European Geriatric Medicine (EUGMS 2015), Oslo, Norway, 16-18 September 2015. In European Geriatric Medicine, 2015, v. 6 suppl. 1, p. S105, abstract P-274 How to Cite?
AbstractOBJECTIVES: To evaluate the outcomes of rehabilitation in patients with moderate to severe cognitive impairment and clarify whether such patients benefit from rehabilitation. METHODS: We performed a prospective cohort study of 116 patients (70F), mean age 86.3 (SD 6.4) in a rehabilitation unit for older people in the UK. Group 1: 89 patients with moderate cognitive impairment (MMSE 11–20) and Group 2: 27 patients with severe cognitive impairment (MMSE 0–10). Each patient had a personalised rehabilitation plan dependent on the patients’ abilities with formal input from physiotherapists, physiotherapy assistants and occupational therapists and informal therapy from nursing staff. Barthel activity of daily living score (BS) was recorded on admission and discharge as well as length of stay and discharge destination. RESULTS: Of the home discharges in Group 1, 32/37 (86.5%) patients improved their BS compared to 10/28 (35.7%) of placement discharges (p = 0.0001). In Group 2, 6/6 (100%) home discharges showed an improvement compared to 3/7 (42.8%) patients discharged to placement (p = 0.07). In both groups a discharge home required an improvement in at least three Barthel domains (BD). In Group 1 a discharge home was associated with significant different improvement in BDs than a placement discharge (3.27 v 1.86: p = 0.007). A similar pattern was noted for severe dementia patients (3.5 v 1.14; p = 0.1). Improvement in BDs can happen regardless of the level of impairment on admission. CONCLUSION: Patients with moderate /severe dementia demonstrated significant improvements in BS and BDs which translated into home discharges.
DescriptionThis journal suppl. entitled: Abstracts of the 11th International Congress of the European Union Geriatric Medicine Society - Geriatric medicine for future Europeans - Successful aging creates new challenges
Persistent Identifierhttp://hdl.handle.net/10722/220330
ISSN

 

DC FieldValueLanguage
dc.contributor.authorCardoso, I-
dc.contributor.authorPoynter, L-
dc.contributor.authorKwan, J-
dc.contributor.authorSharma, J-
dc.contributor.authorAllen, S-
dc.contributor.authorVassallo, M-
dc.date.accessioned2015-10-16T06:38:23Z-
dc.date.available2015-10-16T06:38:23Z-
dc.date.issued2015-
dc.identifier.citationThe 11th Congress of the European Geriatric Medicine (EUGMS 2015), Oslo, Norway, 16-18 September 2015. In European Geriatric Medicine, 2015, v. 6 suppl. 1, p. S105, abstract P-274-
dc.identifier.issn1878-7657-
dc.identifier.urihttp://hdl.handle.net/10722/220330-
dc.descriptionThis journal suppl. entitled: Abstracts of the 11th International Congress of the European Union Geriatric Medicine Society - Geriatric medicine for future Europeans - Successful aging creates new challenges-
dc.description.abstractOBJECTIVES: To evaluate the outcomes of rehabilitation in patients with moderate to severe cognitive impairment and clarify whether such patients benefit from rehabilitation. METHODS: We performed a prospective cohort study of 116 patients (70F), mean age 86.3 (SD 6.4) in a rehabilitation unit for older people in the UK. Group 1: 89 patients with moderate cognitive impairment (MMSE 11–20) and Group 2: 27 patients with severe cognitive impairment (MMSE 0–10). Each patient had a personalised rehabilitation plan dependent on the patients’ abilities with formal input from physiotherapists, physiotherapy assistants and occupational therapists and informal therapy from nursing staff. Barthel activity of daily living score (BS) was recorded on admission and discharge as well as length of stay and discharge destination. RESULTS: Of the home discharges in Group 1, 32/37 (86.5%) patients improved their BS compared to 10/28 (35.7%) of placement discharges (p = 0.0001). In Group 2, 6/6 (100%) home discharges showed an improvement compared to 3/7 (42.8%) patients discharged to placement (p = 0.07). In both groups a discharge home required an improvement in at least three Barthel domains (BD). In Group 1 a discharge home was associated with significant different improvement in BDs than a placement discharge (3.27 v 1.86: p = 0.007). A similar pattern was noted for severe dementia patients (3.5 v 1.14; p = 0.1). Improvement in BDs can happen regardless of the level of impairment on admission. CONCLUSION: Patients with moderate /severe dementia demonstrated significant improvements in BS and BDs which translated into home discharges.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/eurger/-
dc.relation.ispartofEuropean Geriatric Medicine-
dc.subjectGerontology and geriatrics-
dc.titleShould patients with severe cognitive impairment be offered rehabilitation after acute illness?-
dc.typeConference_Paper-
dc.identifier.emailKwan, J: jskkwan@hku.hk-
dc.identifier.authorityKwan, J=rp01868-
dc.identifier.doi10.1016/S1878-7649(15)30372-7-
dc.identifier.hkuros255809-
dc.identifier.volume6-
dc.identifier.issuesuppl. 1-
dc.identifier.spageS105, abstract P-274-
dc.identifier.epageS105, abstract P-274-
dc.publisher.placeUnited Kingdom-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats