Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100)
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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.
Originalsprog | Engelsk |
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Artikelnummer | 68 |
Tidsskrift | BMC Geriatrics |
Vol/bind | 23 |
ISSN | 1471-2318 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
This study was supported by the Israeli Science Foundation grant (N0 1216/17); the Danish Ministry of Health (grant number 9170); Danish Regions/The Danish Health Confederation (OK11); the Lundbeck Foundation (UCSF) (grant numbers FP 07/2012, FP 48/2012 and FP 61/2013); the Research Foundation of Hvidovre Hospital (06/2012); the Capital Region of Copenhagen (04/2013); and the Danish Foundation for Research in Physiotherapy (grant numbers 11/2012, 09/2013, 01/2013, 07/2013 and 12/2013). The funding bodies have had no authority over study design, collection and interpretation of data, or preparing the manuscript.
Publisher Copyright:
© 2023, The Author(s).
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