Resilience, frailty and outcomes in geriatric rehabilitation.
frailty
geriatric
psychological
rehabilitation
resilience
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
17
04
2019
revised:
14
10
2019
accepted:
22
10
2019
pubmed:
30
11
2019
medline:
22
6
2021
entrez:
30
11
2019
Statut:
ppublish
Résumé
To assess relationships between resilience, frailty and outcomes in geriatric rehabilitation inpatients. Eighty-nine inpatients had Brief Resilience Scale (BRS) and frailty index (FI-CGA) completed. Pearson's or Spearman's correlation was used to determine correlation between BRS, FI-CGA and covariates. Multivariate logistic regression was used to determine associations between resilience, frailty and covariates with functional independence measure gain, length of stay (LOS) > 21 days, mortality and discharge care requirements. There was a negative correlation between BRS and premorbid FI-CGA (r = -0.31, P = 0.03) and admission FI-CGA (r = -0.26, P = 0.01) and between BRS and Mini-Mental State Examination score (rho = -0.26, P = 0.02). BRS was not associated with observed outcomes. Premorbid FI-CGA was associated with inpatient mortality, and greater increase in FI-CGA during acute stay was associated with greater LOS. All patients who died were frail (FI-CGA > 0.25). Resilience and frailty were inversely related. Frailty was an independent predictor of rehabilitation LOS and mortality.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e205-e209Informations de copyright
© 2019 AJA Inc.
Références
Rockwood K, Mitinski A. Frailty defined by deficit accumulation and geriatric medicine defined by frailty. Clin Geriatr Med. 2011;27(1):17-26.
Clegg A, Young J, Iliffe S, Rikkert M, Rockwood K. Frailty in elderly people. Lancet. 2013;381(9868):752-762.
Ong A, Bergeman C, Bisconti T, Wallace K. Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol. 2006;91(4):730-749.
Resnick B. Successful aging. Rooted in resilience. Adv NPs Pas. 2010;1(1):31-32, 34-35, 47.
Tabibnia G, Radecki D. Resilience training that can change the brain. Consult Psychol J. 2018;70(1):59-88.
Kohler S, Loh S. Patient resilience in the fracture orthopaedic rehabilitation geriatric environment. Australas J Ageing. 2016;36(1):65-68.
Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200.
Rebagliati GA, Sciumè L, Iannello P, et al. Frailty and resilience in an older population. The role of resilience during rehabilitation after orthopedic surgery in geriatric patients with multiple comorbidities. Funct Neurol. 2016;31(3):171-177.
Tombaugh T, McIntyre N. The mini-mental state examination: a comprehensive review. J Am Geriatr Soc. 1992;40(9):922-935.
Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011;9:8.
Jones D, Song X, Rockwood K. Operationalizing a frailty index from a standardized comprehensive geriatric assessment. J Am Geriatr Soc. 2004;52(11):1929-1933.
Evans S, Sayers M, Mitnitski A, Rockwood K. The risk of adverse outcomes in hospitalized older patients in relation to a frailty index based on a comprehensive geriatric assessment. Age Ageing. 2014;43(1):127-132.
Searle SD, Mitnitski A, Gahbauer EA, Gill TM, Rockwood K. A standard procedure for creating a frailty index. BMC Geriatr. 2008;8(1):24.
Song X, Mitnski A, Rockwood K. Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J Am Geriatr Soc. 2010;58(4):681-687.
Mackintosh S. Functional independence measure. Aust J Physiother. 2009;55(1):65.
Keith RA, Granger CV, Hamilton BB, Sherwin FS. The functional independence measure: a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6-18.
Yi JP, Vitaliano PP, Smith RE, Yi JC, Weinger K. The role of resilience on psychological adjustment and physical health in patients with diabetes. Br J Health Psychol. 2008;13(2):311-325.
MacLeod S, Musich S, Hawkins K, Alsgaard K, Wicker E. The impact of resilience among older adults. Am J Geriatr Psychiatry. 2016;24(3):S157.
Australian Institute of Health and Welfare. Cultural and linguistic diversity measures in aged care: working paper. Canberra, ACT: Cat. No. AGE 74: 7; 2014.