Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100)
Abstract 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,...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03636-w |
| _version_ | 1811171580895559680 |
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| author | Anna Zisberg Efrat Shadmi Ove Andersen Ksenya Shulyaev Janne Petersen Maayan Agmon Efrat Gil Nurit Gur-Yaish Mette Merete Pedersen |
| author_facet | Anna Zisberg Efrat Shadmi Ove Andersen Ksenya Shulyaev Janne Petersen Maayan Agmon Efrat Gil Nurit Gur-Yaish Mette Merete Pedersen |
| author_sort | Anna Zisberg |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-10T17:16:25Z |
| format | Article |
| id | doaj.art-a2707dd121e24d89a92af41b5493293d |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-10T17:16:25Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-a2707dd121e24d89a92af41b5493293d2023-02-05T12:23:09ZengBMCBMC Geriatrics1471-23182023-02-012311810.1186/s12877-022-03636-wShared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100)Anna Zisberg0Efrat Shadmi1Ove Andersen2Ksenya Shulyaev3Janne Petersen4Maayan Agmon5Efrat Gil6Nurit Gur-Yaish7Mette Merete Pedersen8The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of HaifaThe Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of HaifaThe Emergency Department, Copenhagen University Hospital Amager and HvidovreCenter of Research & Study of Aging, University of HaifaCenter for Clinical Research and Prevention, Copenhagen University Hospital Bispebjerg and FrederiksbergThe Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of HaifaGeriatric Unit, Clalit Health Services, Haifa and West Galilee, Faculty of MedicineCenter of Research & Study of Aging, University of HaifaDepartment of Clinical Research, Copenhagen University Hospital Amager and HvidovreAbstract 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.https://doi.org/10.1186/s12877-022-03636-wAccelerometryRisk factorsFunction |
| spellingShingle | Anna Zisberg Efrat Shadmi Ove Andersen Ksenya Shulyaev Janne Petersen Maayan Agmon Efrat Gil Nurit Gur-Yaish Mette Merete Pedersen Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) BMC Geriatrics Accelerometry Risk factors Function |
| title | Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) |
| title_full | Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) |
| title_fullStr | Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) |
| title_full_unstemmed | Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) |
| title_short | Shared and distinct factors underlying in-hospital mobility of older adults in Israel and Denmark (97/100) |
| title_sort | shared and distinct factors underlying in hospital mobility of older adults in israel and denmark 97 100 |
| topic | Accelerometry Risk factors Function |
| url | https://doi.org/10.1186/s12877-022-03636-w |
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