Frailty in Hospitalized Older Adults in the Rural Setting and Impact of Mobility on Length of Stay and Discharge Disposition.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI:10.3928/00989134-20250401-01

Jessica B Buckner, Christine Sump

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引用次数: 0

Abstract

Purpose: To determine the prevalence of frailty among individuals aged ≥65 years with heart failure and/or chronic obstructive pulmonary disease, and if there was a difference in length of stay (LOS) and/or discharge disposition in individuals who mobilized daily versus those who did not.

Method: Thirty-five individuals were screened using the FRAIL Scale. A retrospective chart review was performed for participants with frailty, assessing residential location on admission and discharge, LOS, and daily mobilization during hospitalization.

Results: Participants were categorized as robust (n = 1, 2.9%), pre-frail (n = 15, 42.9%), and frail (n = 19, 54.3%). Mean LOS for those who mobilized daily (n = 12) was 2.33 and 4.71 for those who did not mobilize daily (p = 0.028). A lower percentage of participants who mobilized (16.7%) required higher levels of care at discharge versus those who did not mobilize (42.9%, p = 0.067).

Conclusion: Early recognition of frailty may provide opportunities to implement mobility programs to decrease LOS and ensure these individuals remain at functional baseline. [Journal of Gerontological Nursing, 51(6), 13-16.].

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农村老年人住院虚弱及活动能力对住院时间和出院处理的影响。

目的：确定年龄≥65岁心力衰竭和/或慢性阻塞性肺疾病患者的虚弱患病率，以及每天活动的个体与不活动的个体在住院时间（LOS）和/或出院处置方面是否存在差异。方法：采用体弱量表对35例个体进行筛选。对虚弱的参与者进行回顾性图表回顾，评估入院和出院时的居住地点、LOS和住院期间的日常活动情况。结果：参与者被分类为健壮（n = 1,2.9%）、体弱（n = 15,42.9%）和体弱（n = 19,54.3%）。每天动员的人（n = 12）的平均LOS为2.33，没有每天动员的人的平均LOS为4.71 （p = 0.028）。与未动员的参与者相比，动员的参与者在出院时需要更高水平护理的比例较低（16.7%）（42.9%,p = 0.067）。结论：对虚弱的早期识别可能为实施活动计划提供机会，以减少LOS并确保这些个体保持功能基线。老年护理杂志，xx(xx), xx-xx。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.