Comprehensive Geriatric Care in Older Adults: Walking Ability after an Acute Fracture.


Journal

Medical sciences (Basel, Switzerland)
ISSN: 2076-3271
Titre abrégé: Med Sci (Basel)
Pays: Switzerland
ID NLM: 101629322

Informations de publication

Date de publication:
29 05 2023
Historique:
received: 31 03 2023
revised: 09 05 2023
accepted: 24 05 2023
medline: 29 6 2023
pubmed: 27 6 2023
entrez: 27 6 2023
Statut: epublish

Résumé

Comprehensive Geriatric Care (CGC) is a specific multimodal treatment for older patients. In the current study, we aimed to investigate walking performance after CGC in medically ill patients versus those with fractures. The timed up and go test (TuG), a 5-grade scale assessment (1 = no walking impairment to 5 = no walking ability at all) for evaluating individual walking ability was performed in all patients who underwent CGC prior to and after treatment. Factors associated with improvement in walking ability were analyzed in the subgroup of patients with fractures. Out of 1263 hospitalized patients, 1099 underwent CGC (median age: 83.1 years (IQR 79.0-87.8 years); 64.1% were female). Patients with fractures ( CGC improved walking ability in more than half of all patients examined. Older patients in particular might benefit from undergoing the procedure after an acute fracture. A better initial functional status favors a positive result following the treatment.

Sections du résumé

BACKGROUND/OBJECTIVES
Comprehensive Geriatric Care (CGC) is a specific multimodal treatment for older patients. In the current study, we aimed to investigate walking performance after CGC in medically ill patients versus those with fractures.
METHODS
The timed up and go test (TuG), a 5-grade scale assessment (1 = no walking impairment to 5 = no walking ability at all) for evaluating individual walking ability was performed in all patients who underwent CGC prior to and after treatment. Factors associated with improvement in walking ability were analyzed in the subgroup of patients with fractures.
RESULTS
Out of 1263 hospitalized patients, 1099 underwent CGC (median age: 83.1 years (IQR 79.0-87.8 years); 64.1% were female). Patients with fractures (
CONCLUSION
CGC improved walking ability in more than half of all patients examined. Older patients in particular might benefit from undergoing the procedure after an acute fracture. A better initial functional status favors a positive result following the treatment.

Identifiants

pubmed: 37367739
pii: medsci11020040
doi: 10.3390/medsci11020040
pmc: PMC10301278
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Déclaration de conflit d'intérêts

All authors declare they have no competing interests related to the present manuscript.

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Auteurs

Ulrich Niemöller (U)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Andreas Arnold (A)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Thomas Stein (T)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Martin Juenemann (M)

Department of Neurology, Justus Liebig University, 35392 Giessen, Germany.

Damir Erkapic (D)

Department of Cardiology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Josef Rosenbauer (J)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Karel Kostev (K)

Department of Epidemiology, Philipps University Marburg, 35043 Marburg, Germany.

Marco Meyer (M)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

Christian Tanislav (C)

Department of Geriatrics and Neurology, Diakonie Hospital Jung Stilling Siegen, 57074 Siegen, Germany.

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