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  1. Measuring frailty in the hospitalized elderly : Concept of Functional homeostasis.

    Article - En anglais

    Functional homeostasis is the ability of an individual to withstand illness without loss of function.

    We investigate whether the level of functional homeostasis predicts adverse outcomes in the 6 months posthospital discharge in older men and women.

    A prospective cohort study was conducted in an acute care geriatric inpatient unit of a university hospital.

    Subjects included a consecutive series of patients admitted to the unit.

    The Functional Independence Measure (FIMTM) instrument was used to assess patients at four time points : preillness, hospital admission, hospital discharge, and 6 months postdischarge.

    Of the 122 subjects available for analysis, 64 (52%) experienced a decline in functional level from preillness to hospital discharge and were defined as having poor functional homeostasis, whereas 58 (48%) experienced no change or an increase in functional status and were defined as having good functional homeostasis.

    Those with poor functional homeostasis had a higher 6-month readmission rate to the hospital (59.4 v 39.7% ; P=0.03) and a higher rate of any adverse outcome (78.1 v 50% ; P=0.001) than those with good functional homeostasis.

    In logistic regressive analyses, functional homeostasis remained a significant and powerful predictor of adverse outcomes independent of actual level of function at discharge, age, gender, living status, and other factors that might influence outcomes. (...)

    Mots-clés Pascal : Handicap physique, Vieillard, Homme, Echelle évaluation, Facteur prédictif, Evolution, Homéostasie, Autonomie, Etude statistique, Gérontologie

    Mots-clés Pascal anglais : Physical handicap, Elderly, Human, Evaluation scale, Predictive factor, Evolution, Homeostasis, Autonomy, Statistical study, Gerontology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0311735

    Code Inist : 002B24O08. Création : 27/11/1998.