geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

The impact of cognitive impairment on the rehabilitation process in geriatrics


, : The impact of cognitive impairment on the rehabilitation process in geriatrics. Archives of Gerontology and Geriatrics. Supplement: 85-92

A study has been carded out in our geriatric rehabilitation wards, to know better the role of cognitive dysfunction in treatment outcome and processing, mainly functional recovery and comorbidity. We analyzed 478 frail inpatients, 2/3 of them were females, aged 78.7 + 9.2 years, consecutively admitted to the unit. Assessment of cognitive function was performed by the mini mental state examination (MMSE), of functional status by Barthel index (BI), of co-morbidity by cumulative illness rating scale (CIRS) both at the admission and discharge for each patient, together with the usual clinical parameters and social outcome. More than one people in three lived alone and showed some communication problems; one in seven needed modifications in food preparation or nutritional system; more than one in five had pressure sore gtoreq 2 (EPUAP = European Pressure Ulcers Advisory Panel classification). The mean (+/- SD) levels of the admitted were: MMSE = 20 +/- 7.2; BI total score = 45.5 +/- 28.9; CIRS class = 4 +/- 2, CIRS severity score = 1.9 +/- 0.4. Of the patients, 74.5% were discharged to home. Mean functional gain was 20 points at BI: 65.6 +/- 30.7; MMSE improved to 21.6 +/- 7.1 (p = 0.00005 for both comparisons, by Wilcoxon test). MMSE was positively correlated to BI (r = 0.6, p = 0.0005) and negatively correlated (p = 0.0005) to CIRS comorbidity (r = -0.33) and severity (r = -0.26), and to age (r = -0.38, p = 0.0005) both at admission and at discharge. MMSE at admission was correlated neither to functional gain, nor to improvement of clinical indicators, nor to measures of functional and clinical efficiency. MMSE at discharge showed similar results. In a stepwise multiple correlation analysis, taking the gain in BI as the dependent variable, while BI, serum albumin level, MMSE, CIRS severity and comorbidity indexes at admission as independent variables, MMSE together with BI admission total score and CIRS severity index retained a strong association with functional gain, whilst admission serum albumin levels and CIRS index lost it. Consistently with some literary data, we showed the actual possibility of functional and clinical gains for people cared in a geriatric rehabilitation ward, all through a wide range of MMSE score, including subnormal scores. Poor cognitive status bears heavily on frailty, but does not hamper the outcomes of genuine rehabilitative efforts in geriatrics.

US$19.90

PMID: 15207401

DOI: 10.1016/j.archger.2004.04.014


Other references

Hanuka, A.; Schächter, L., 2017: Critical phenomenon in tapered dielectric structures. We demonstrate the existence of a critical behavior of a single electromagnetic mode propagating in a tapered dielectric structure. This behavior is described in terms of a critical phase velocity in the case of an adiabatic tapering. In the vicin...

Zeeshan, R.; Sultan, S.; Irfan, S.Muhammad.; Kakar, J.; Hameed, M.Asif., 2015: Clinico-hematological profile of patients with B-chronic lymphoid leukemia in Pakistan. Chronic lymphoid leukemia (CLL) is not an uncommon hematological malignancy which primarily affects elderly individuals. It is more common in developed world than in developing countries. The rational of this study was to determine the clinico-hem...

Laudon, H.; Kohler, S.; Bishop, K.H., 1999: Natural acidity or anthropogenic acidification in the spring flood of northern Sweden?. Episodic pH decline associated with spring flood runoff in a typical headwater stream in the boreal forest of northern Sweden is driven almost exclusively by natural processes. Despite a drastic decline in acid neutralisation capacity (ANC), a 75-...

Yadav, S.; Rawal, G., 2016: The novel concept of creating awareness about tuberculosis at the metro stations. NlmCategory="UNASSIGNED">Tuberculosis is an infectious disease and is a major health problem in developing countries like India. The disease is prevalent mainly in the underprivileged sections of the society. However, the same is not...

Sun, Y.; Ruan, J., 2010: Synchronization in coupled time-delayed systems with parameter mismatch and noise perturbation. In this paper, a design of coupling and effective sufficient condition for stable complete synchronization and antisynchronization of a class of coupled time-delayed systems with parameter mismatch and noise perturbation are established. Based on...

Drucker, J., 1996: Globalization of transmissible disease surveillance: a new approach to international cooperation. Medecine Tropicale 56(4): 345-346

Witzigmann, J.; Kab, E., 1937: On the aetiology of skin diseases in the dog. IV. Correlation of skin diseases with season and weather. IV. The majority of skin diseases have a seasonal cycle, with a peak in summer. The determining factor appears to be high t degrees , particularly in the incidence of eczema. No correlation could be found with other factors, e.g. sunlight or humid...

Han, S.; Yang, X.; Jiang, D.; Zhou, W.; Liu, T.; Yan, W.; Wang, T.; Cheng, L.; Xiao, J., 2016: Surgical Outcomes and Prognostic Factors in Patients With Diffuse Large B-cell Lymphoma-associated Metastatic Spinal Cord Compression. A retrospective study. The aim of this study was to discuss the factors that may affect surgical outcomes of patient with diffuse large B-cell lymphoma (DLBCL)-associated metastatic spinal cord compression (MSCC). DLBCL in the spine is rare and mi...

Shamov, V.Nikolaevich., 1952: Professor V.N. Shamov. Voprosy Neirokhirurgii 16(5): 9-13

Rose, M.F., 1949: Kadugli Station. In work on Egyptian cotton at Gezira, progeny rows, bulk progenies and "filters" or re-selections of the commercial and blackarm resistant Domains Sakel and X 1730A strains were studied and also leaf curl and jassid resistant selections...