Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study
Aim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/11/12/1350 |
| _version_ | 1797503088479698944 |
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| author | Ana Ramos César Fonseca Lara Pinho Manuel Lopes Henrique Oliveira Adriana Henriques |
| author_facet | Ana Ramos César Fonseca Lara Pinho Manuel Lopes Henrique Oliveira Adriana Henriques |
| author_sort | Ana Ramos |
| collection | DOAJ |
| description | Aim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age and sex. Methods: longitudinal, retrospective study with a sample of 59,013 older adults admitted to convalescence units of the National Network of Integrated Continuous Care of Portugal. Results: In the first 75 days of hospitalization, activities of daily living, mobility and cognitive state improved, but there was a decline after 75 days of hospitalization. The ability to perform instrumental activities of daily living improved in the first 15 days of hospitalization, stabilized until 45 days and then began to worsen. Women had a higher probability of having a severe/complete dependence three years earlier than men (88 years to 91 years). A higher education level and stable emotional state were protective factors against functional decline. Conclusions: The functional profile of older adults improved during the length of stay recommended for hospitalization in convalescence units (30 days). It is critical for health systems to adopt strategies to prevent declines in the emotional state of frail individuals. |
| first_indexed | 2024-03-10T03:45:31Z |
| format | Article |
| id | doaj.art-06b0cf6986944b75966a16bb9b96b8a8 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T03:45:31Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-06b0cf6986944b75966a16bb9b96b8a82023-11-23T09:08:20ZengMDPI AGJournal of Personalized Medicine2075-44262021-12-011112135010.3390/jpm11121350Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal StudyAna Ramos0César Fonseca1Lara Pinho2Manuel Lopes3Henrique Oliveira4Adriana Henriques5Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096 Lisbon, PortugalEscola Superior de Enfermagem de São João de Deus, Universidade de Évora, 7000-801 Evora, PortugalEscola Superior de Enfermagem de São João de Deus, Universidade de Évora, 7000-801 Evora, PortugalEscola Superior de Enfermagem de São João de Deus, Universidade de Évora, 7000-801 Evora, PortugalInstituto de Telecomunicações, 1049-001 Lisbon, PortugalNursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096 Lisbon, PortugalAim: To evaluate the evolution of the functional profile of older adults admitted to a health unit in Portugal; to relate the functional profile of these individuals with age, sex, education level and emotional state; and to evaluate the probability of the degree of dependence as a function of age and sex. Methods: longitudinal, retrospective study with a sample of 59,013 older adults admitted to convalescence units of the National Network of Integrated Continuous Care of Portugal. Results: In the first 75 days of hospitalization, activities of daily living, mobility and cognitive state improved, but there was a decline after 75 days of hospitalization. The ability to perform instrumental activities of daily living improved in the first 15 days of hospitalization, stabilized until 45 days and then began to worsen. Women had a higher probability of having a severe/complete dependence three years earlier than men (88 years to 91 years). A higher education level and stable emotional state were protective factors against functional decline. Conclusions: The functional profile of older adults improved during the length of stay recommended for hospitalization in convalescence units (30 days). It is critical for health systems to adopt strategies to prevent declines in the emotional state of frail individuals.https://www.mdpi.com/2075-4426/11/12/1350older adultsfunctional statushealth carehospitalizationactivities of daily living |
| spellingShingle | Ana Ramos César Fonseca Lara Pinho Manuel Lopes Henrique Oliveira Adriana Henriques Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study Journal of Personalized Medicine older adults functional status health care hospitalization activities of daily living |
| title | Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study |
| title_full | Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study |
| title_fullStr | Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study |
| title_full_unstemmed | Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study |
| title_short | Functional Profile of Older Adults Hospitalized in Convalescence Units of the National Network of Integrated Continuous Care of Portugal: A Longitudinal Study |
| title_sort | functional profile of older adults hospitalized in convalescence units of the national network of integrated continuous care of portugal a longitudinal study |
| topic | older adults functional status health care hospitalization activities of daily living |
| url | https://www.mdpi.com/2075-4426/11/12/1350 |
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