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A prospective observational study of outcomes from rehabilitation of elderly patients with moderate to severe cognitive impairment
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A prospective observational study of outcomes from rehabilitation of elderly patients with moderate to severe cognitive impa.pdf | Published version | 480.48 kB | Adobe PDF | View/Open |
Title: | A prospective observational study of outcomes from rehabilitation of elderly patients with moderate to severe cognitive impairment |
Authors: | Vassallo, M Poynter, L Kwan, J Sharma, JC Allen, SC |
Item Type: | Journal Article |
Abstract: | Objectives: To evaluate rehabilitation outcomes in patients with moderate to severe cognitive impairment. Design: Prospective observational cohort study. Setting: Rehabilitation unit for older people. Subjects: A total of 116 patients (70F) mean age (SD) 86.3 (6.4). Group 1: 89 patients with moderate cognitive impairment (Mini-Mental State Examination 11–20); and Group 2: 27 patients with severe cognitive impairment (Mini-Mental State Examination 0–10). Intervention: A personalised rehabilitation plan. Main measures: Barthel Activity of Daily Living score on admission and discharge, length of stay and discharge destination. Results: Of 116 patients, 64 (55.2%) showed an improvement in Barthel score. Mini-Mental State Examination was significantly higher in those who improved, 15.4 (SD 3.7) vs.13.2 (SD 5.1): p = 0.01. The mean Barthel score improved in both groups; Group 1 – 14.7 (SD 19.1) vs. Group 2 – 9.3 (SD 16.3): p = 0.17. Of 84 home admissions in Group 1, more patients returning home showed improvements of at least 5 points in the Barthel score compared with nursing/residential home discharges (32/37 – 86.5% vs. 10/28 – 35.7%: p = 0.0001). In Group 2 of 17 home admissions, 6/6 (100%) home discharges showed improvement compared with 3/7 (42.8%) discharges to nursing/residential home (p = 0.07). In Group 1, a discharge home was associated with significantly greater improvement in number of Barthel items than a nursing/residential home discharge (3.27 (SD 2.07) vs. 1.86 (SD 2.32): p = 0.007). A similar non-significant pattern was noted for severe cognitive impairment patients (3.5 (3.06) vs. 1.14 (1.06); p = 0.1). Conclusion: Patients with moderate to severe cognitive impairment demonstrated significant improvements in Barthel score and Barthel items showing that such patients can and do improve with rehabilitation. |
Issue Date: | 1-Sep-2016 |
Date of Acceptance: | 19-Sep-2015 |
URI: | http://hdl.handle.net/10044/1/85258 |
DOI: | 10.1177/0269215515611466 |
ISSN: | 0269-2155 |
Publisher: | SAGE Publications |
Start Page: | 901 |
End Page: | 908 |
Journal / Book Title: | Clinical Rehabilitation |
Volume: | 30 |
Issue: | 9 |
Copyright Statement: | © The Author(s) 2015. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | Science & Technology Life Sciences & Biomedicine Rehabilitation Activities of daily living Barthel cognitive impairment elderly barriers to rehabilitation HIP FRACTURE DEMENTIA CARE HOME Activities of daily living Barthel barriers to rehabilitation cognitive impairment elderly Activities of Daily Living Age Factors Aged Aged, 80 and over Cognitive Dysfunction Female Hospitalization Humans Male Neuropsychological Tests Prospective Studies Treatment Outcome Humans Treatment Outcome Hospitalization Activities of Daily Living Prospective Studies Neuropsychological Tests Age Factors Aged Aged, 80 and over Female Male Cognitive Dysfunction Science & Technology Life Sciences & Biomedicine Rehabilitation Activities of daily living Barthel cognitive impairment elderly barriers to rehabilitation HIP FRACTURE DEMENTIA CARE HOME Rehabilitation 11 Medical and Health Sciences |
Publication Status: | Published |
Online Publication Date: | 2016-08-04 |
Appears in Collections: | Department of Brain Sciences |
This item is licensed under a Creative Commons License