Siqueira Ana Barros, Cordeiro Renata Cereda, Perracini Monica Rodrigues, Ramos Luiz Roberto
Escola Paulista de Medicina, Universidade Federal de São Paulo [corrected] (Unifesp-EPM), São Paulo, SP, Brazil.
Rev Saude Publica. 2004 Oct;38(5):687-94. doi: 10.1590/s0034-89102004000500011. Epub 2004 Oct 18.
To describe functional capacity changes of elderly during hospitalization and to assess the correlation of these changes at the time of hospital discharge and sociodemographics and clinical variables.
There were studied 94 patients aged 65 to 94 years admitted to a geriatric-gerontological hospital unit of a school hospital. The first functional capacity evaluation (number of daily living activities impaired) of the elderly patients was carried out up to 24 hours after admission and the last one immediately after discharge. Routine therapeutic interventions were performed by an interdisciplinary health care team in the study period. Data was analyzed using Chi-square test (alpha< or = 0.05).
Of all patient studied, 25.6% improved their functional capacity, 34.0% had not had functional changes, 19.1% had worsened functionally, and 21.3% died during the study period. A significant correlation was seen between functional deterioration and cognitive deficits, delirium, and low functional capacity at admission.
Functional capacity is an important marker of health in hospitalized elderly. Functional improvement during hospitalization is associated to lesser impairment in daily activities at the time of admission and better clinical conditions.
描述老年人住院期间的功能能力变化，并评估出院时这些变化与社会人口统计学和临床变量之间的相关性。
对一所教学医院老年病科收治的94例65至94岁患者进行研究。老年患者的首次功能能力评估（日常生活活动受损数量）在入院后24小时内进行，最后一次评估在出院后立即进行。在研究期间，由跨学科医疗团队进行常规治疗干预。使用卡方检验（α≤0.05）分析数据。
在所有研究患者中，25.6%的患者功能能力有所改善，34.0%的患者功能无变化，19.1%的患者功能恶化，21.3%的患者在研究期间死亡。功能恶化与认知缺陷、谵妄和入院时功能能力低下之间存在显著相关性。
功能能力是住院老年人健康的重要指标。住院期间功能的改善与入院时日常活动受损程度较轻和临床状况较好有关。
