Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100)
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Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100). / Zisberg, Anna; Shadmi, Efrat; Andersen, Ove; Shulyaev, Ksenya; Petersen, Janne; Agmon, Maayan; Gil, Efrat; Gur-Yaish, Nurit; Pedersen, Mette Merete.
I: BMC Geriatrics, Bind 23, 68, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100)
AU - Zisberg, Anna
AU - Shadmi, Efrat
AU - Andersen, Ove
AU - Shulyaev, Ksenya
AU - Petersen, Janne
AU - Agmon, Maayan
AU - Gil, Efrat
AU - Gur-Yaish, Nurit
AU - Pedersen, Mette Merete
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - Background: Low in-hospital mobility is widely acknowledged as a major risk factor in acquiring hospital-associated disabilities. Various predictors of in-hospital low mobility have been suggested, among them older age, disabling admission diagnosis, poor cognitive and physical functioning, and pre-hospitalization mobility. However, the universalism of the phenomena is not well studied, as similar risk factors to low in-hospital mobility have not been tested. Methods: The study was a secondary analysis of data on in-hospital mobility that investigated the relationship between in-hospital mobility and a set of similar risk factors in independently mobile prior to hospitalization older adults, hospitalized in acute care settings in Israel (N = 206) and Denmark (N = 113). In Israel, mobility was measured via ActiGraph GT9X and in Denmark by ActivPal3 for up to seven hospital days. Results: Parallel multivariate analyses revealed that a higher level of community mobility prior to hospitalization and higher mobility ability status on admission were common predictors of a higher number of in-hospital steps, whereas the longer length of hospital stay was significantly correlated with a lower number of steps in both samples. The risk of malnutrition on admission was associated with a lower number of steps, but only in the Israeli sample. Conclusions: Despite different assessment methods, older adults’ low in-hospital mobility has similar risk factors in Israel and Denmark. Pre-hospitalization and admission mobility ability are robust and constant risk factors across the two studies. This information can encourage the development of both international standard risk evaluations and tailored country-based approaches.
AB - Background: Low in-hospital mobility is widely acknowledged as a major risk factor in acquiring hospital-associated disabilities. Various predictors of in-hospital low mobility have been suggested, among them older age, disabling admission diagnosis, poor cognitive and physical functioning, and pre-hospitalization mobility. However, the universalism of the phenomena is not well studied, as similar risk factors to low in-hospital mobility have not been tested. Methods: The study was a secondary analysis of data on in-hospital mobility that investigated the relationship between in-hospital mobility and a set of similar risk factors in independently mobile prior to hospitalization older adults, hospitalized in acute care settings in Israel (N = 206) and Denmark (N = 113). In Israel, mobility was measured via ActiGraph GT9X and in Denmark by ActivPal3 for up to seven hospital days. Results: Parallel multivariate analyses revealed that a higher level of community mobility prior to hospitalization and higher mobility ability status on admission were common predictors of a higher number of in-hospital steps, whereas the longer length of hospital stay was significantly correlated with a lower number of steps in both samples. The risk of malnutrition on admission was associated with a lower number of steps, but only in the Israeli sample. Conclusions: Despite different assessment methods, older adults’ low in-hospital mobility has similar risk factors in Israel and Denmark. Pre-hospitalization and admission mobility ability are robust and constant risk factors across the two studies. This information can encourage the development of both international standard risk evaluations and tailored country-based approaches.
KW - Accelerometry
KW - Function
KW - Risk factors
U2 - 10.1186/s12877-022-03636-w
DO - 10.1186/s12877-022-03636-w
M3 - Journal article
C2 - 36737687
AN - SCOPUS:85147456523
VL - 23
JO - B M C Geriatrics
JF - B M C Geriatrics
SN - 1471-2318
M1 - 68
ER -
ID: 336132496