| Title |
The association between patient participation and functional gain following inpatient rehabilitation
|
|---|---|
| Published in |
Aging Clinical and Experimental Research, September 2016
|
| DOI | 10.1007/s40520-016-0625-3 |
| Pubmed ID | |
| Authors |
Sara Morghen, Alessandro Morandi, Andrew A. Guccione, Michela Bozzini, Fabio Guerini, Roberto Gatti, Francesco Del Santo, Simona Gentile, Marco Trabucchi, Giuseppe Bellelli |
| Abstract |
To evaluate patients' participation during physical therapy sessions as assessed with the Pittsburgh rehabilitation participation scale (PRPS) as a possible predictor of functional gain after rehabilitation training. All patients aged 65 years or older consecutively admitted to a Department of Rehabilitation and Aged Care (DRAC) were evaluated on admission regarding their health, nutritional, functional and cognitive status. Functional status was assessed with the functional independence measure (FIM) on admission and at discharge. Participation during rehabilitation sessions was measured with the PRPS. Functional gain was evaluated using the Montebello rehabilitation factor score (MRFS efficacy), and patients stratified in two groups according to their level of functional gain and their sociodemographic, clinical and functional characteristics were compared. Predictors of poor functional gain were evaluated using a multivariable logistic regression model adjusted for confounding factors. A total of 556 subjects were included in this study. Patients with poor functional gain at discharge demonstrated lower participation during physical therapy sessions were significantly older, more cognitively and functionally impaired on admission, more depressed, more comorbid, and more frequently admitted for cardiac disease or immobility syndrome than their counterparts. There was a significant linear association between PRPS scores and MRFS efficacy. In a multivariable logistic regression model, participation was independently associated with functional gain at discharge (odds ratio 1.51, 95 % confidence interval 1.19-1.91). This study showed that participation during physical therapy affects the extent of functional gain at discharge in a large population of older patients with multiple diseases receiving in-hospital rehabilitation. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 104 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 22 | 21% |
| Student > Ph. D. Student | 17 | 16% |
| Student > Bachelor | 9 | 9% |
| Researcher | 7 | 7% |
| Other | 5 | 5% |
| Other | 11 | 11% |
| Unknown | 33 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 29 | 28% |
| Medicine and Dentistry | 19 | 18% |
| Psychology | 7 | 7% |
| Neuroscience | 4 | 4% |
| Biochemistry, Genetics and Molecular Biology | 2 | 2% |
| Other | 8 | 8% |
| Unknown | 35 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 September 2016.
All research outputs
#20,653,708
of 25,371,288 outputs
Outputs from Aging Clinical and Experimental Research
#1,513
of 1,867 outputs
Outputs of similar age
#271,459
of 347,911 outputs
Outputs of similar age from Aging Clinical and Experimental Research
#12
of 14 outputs
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