Murdaca Giuseppe, Banchero Sara, Casciaro Marco, Paladin Francesca, Tafuro Michele, Monacelli Fiammetta, Nencioni Alessio, Bruschetta Roberta, Pioggia Giovanni, Tartarisco Gennaro, Gangemi Sebastiano
Department of Internal Medicine, University of Genoa, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Diagnostics (Basel). 2023 Sep 11;13(18):2906. doi: 10.3390/diagnostics13182906.
Optimizing the functional status of patients of any age is a major global public health goal. Rehabilitation is a process in which a person with disabilities is accompanied to achieve the best possible physical, functional, social, intellectual, and relational outcomes. The Intermediate Care Unit within the O.U. of Geriatrics and Gerontology of the San Martino Hospital in Genoa is focused on the treatment and motor reactivation of patients with geriatric pathologies. The objective of this study was to identify which factor, among the characteristics related to the patient and those identified by the geriatric evaluation, had the greatest impact on rehabilitation outcomes. Our findings revealed significant correlations between the Barthel Index delta, the 4AT Screening Test, and the number of drugs taken. This association highlights the potential benefits of medication management in enhancing the overall well-being and functional abilities of frail older adults, despite the literature suggesting that polypharmacotherapy is associated with a reduction in functional status and an increase in mortality. These findings underscore the significance of a multidimensional geriatric assessment. Refining and optimising these multidisciplinary approaches is the objective of a more effective geriatric rehabilitation strategy.
优化任何年龄段患者的功能状态是一项重大的全球公共卫生目标。康复是一个陪伴残疾人士实现尽可能最佳的身体、功能、社会、智力和人际关系成果的过程。热那亚圣马蒂诺医院老年病学与老年医学系的中级护理单元专注于老年病患者的治疗和运动恢复。本研究的目的是确定在与患者相关的特征以及老年评估所确定的特征中，哪些因素对康复结果影响最大。我们的研究结果揭示了巴氏指数变化、4AT筛查测试和所服用药物数量之间存在显著相关性。这种关联凸显了药物管理在增强体弱老年人的整体幸福感和功能能力方面的潜在益处，尽管文献表明多药治疗与功能状态下降和死亡率增加有关。这些发现强调了多维老年评估的重要性。完善和优化这些多学科方法是更有效的老年康复策略的目标。
