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

Lee, Yejin, MS, OT1,5; Lee, Hyun-Haeng, MD, MS1; Uhm, Kyeong Eun, MD1; Jung, Ho Joong, MD1; Kim, Yoon-Sook, RN, PhD2; Shin, Jinyoung, MD, PhD3; Choi, Jaekyung, MD, PhD3; Han, Seol-Heui, MD, PhD4; Lee, Jongmin, MD, PhD1,6

American Journal of Physical Medicine & Rehabilitation: March 13, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001180
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Objective To identify the risk factors for mobility decline among hospitalized older patients early.

Design 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 patients (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.

Conclusion 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.

1Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea

2Department of Quality Improvement, Konkuk University Medical Center, Seoul, Korea

3Department of Family Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea

4Department of Neurology, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, Korea

5Program in Occupational Therapy; Washington University School of Medicine, St. Louis, MO, USA

6Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea

Correspondence: Jongmin Lee, MD, PhD, Department of Rehabilitation Medicine, Konkuk University Medical Center, 120-1, Neungdong-ro, Hwayang-dong, Gwangjin-gu, Seoul, 05030, South Korea. Tel: +82-2-2030-5345, Fax:+82-2-2030-5379, e-mail: leej@kuh.ac.kr

Author Disclosure

Funding: Not applicable.

Conflict of Interest: All authors declare that there are no conflicts of interest.

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