Cognitive skills for daily decision making on admission is the most important factor associated with return to home or retirement home in a general-population low intensity rehab programme.
Background As a person ages and accumulates medical morbidities, their ability to participate in traditional high-intensity rehabilitation programmes following an acute medical event may be not be feasible. Low-intensity rehabilitation (LIR) is an emerging approach to restoring function in older per...
| Publicado en: | Age & Ageing Vol. 55; no. 7; pp. 1 - 9 |
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| Autores principales: | , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195867367&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195867367 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2026 vid: 55 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195867367 10.1093/ageing/afag212 ppf: 1 ppct: 8 formats: tig: atl: Cognitive skills for daily decision making on admission is the most important factor associated with return to home or retirement home in a general-population low intensity rehab programme. aug: au: Campbell, T Mark Dunlop, Nicole affil: Department of Physical Medicine and Rehabilitation, Elisabeth Bruyere Hospital, 43 Bruyère Street, Ottawa, Ontario K1N 5C8, Canada Department of Complex Continuing Care, Bruyère Health, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada su: Patients Hospital admission & discharge Decision making Home environment Retrospective studies Senior housing Congregate housing Cognition Activities of daily living Data analysis Research funding Long-term health care Multiple regression analysis Questionnaires Discharge planning Descriptive statistics Chi-squared test Rehabilitation centers Longitudinal method Medical records Acquisition of data Statistics Length of stay in hospitals Data analysis software Barthel Index Range of motion of joints sug: subj: Patients Hospital admission & discharge Decision making Home environment Retrospective studies Senior housing Congregate housing Cognition Activities of daily living Community care facilities for the elderly Continuing Care Retirement Communities Assisted Living Facilities for the Elderly Other Individual and Family Services Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Data analysis Research funding Long-term health care Multiple regression analysis Questionnaires Discharge planning Descriptive statistics Chi-squared test Rehabilitation centers Longitudinal method Medical records Acquisition of data Statistics Length of stay in hospitals Data analysis software Barthel Index Range of motion of joints keyword: activities of daily living aged bathing cognition cohort study copyrightHolder:British Geriatrics Society copyrightYear:2026 datasets decision making detoxification therapy https://dx.doi.org/10.1093/ageing/afag212 inLanguage:en inpatients length of stay long-term care minimum data set mobility morbidity older people predictive factors predictor variable publisher:Oxford University Press rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/42497093/ toileting activities of daily living aged bathing cognition cohort study copyrightHolder:British Geriatrics Society copyrightYear:2026 datasets decision making detoxification therapy https://dx.doi.org/10.1093/ageing/afag212 inLanguage:en inpatients length of stay long-term care minimum data set mobility morbidity older people predictive factors predictor variable publisher:Oxford University Press rehabilitation sameAs:https://pubmed.ncbi.nlm.nih.gov/42497093/ toileting ab: Background As a person ages and accumulates medical morbidities, their ability to participate in traditional high-intensity rehabilitation programmes following an acute medical event may be not be feasible. Low-intensity rehabilitation (LIR) is an emerging approach to restoring function in older persons; however few predictors for which individuals will benefit from LIR are available. Methods Retrospective cohort study evaluating predictors for discharge from an inpatient LIR programme to home or retirement home (home/RH) and length of stay (LoS) using the Minimum Data Set (MDS) on admission. Results 1662 admissions were included, of which 910 (54.8%) were discharged to home/RH, whilst 752 (45.2%) followed a long-term care (LTC) trajectory. Factors associated with discharge to home/RH included age (β = 0.033, P < .001), weight (β = −0.013, P < .001), rehabilitation intensity (β = <0.001, P < .001), LoS (β = −0.011, P < .001), cognition (β = 0.546, P < .001) and activities of daily living (P < .01). Factors associated with LoS included weight (Spearman coefficient 0.124, P < .001), rehabilitation intensity (0.895, P < .001), and ADLs (except bathing and toileting; P ≤ .001). After correcting for these factors, cognition had the largest adjusted odds ratio for home/RH discharge (1.455, 95% confidence interval 1.209, 1.751), with 68.3% of LIR participants with the highest cognitive score returning to home/RH, versus 12.5% with the lowest. Conclusions Using the commonly available MDS dataset, this study identified cognition as the most important predictive factor for discharge to home/RH. Age, mobility and continence on admission were also predictive. As the population ages and the applicability of LIR increases, these factors may be helpful in determining which individuals benefit most from LIR. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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