Article

OBJECTIVE: To evaluate patient characteristics predicting living at home after
geriatric rehabilitation.
DESIGN: Prospective cohort study. PATIENTS: A total of
210 patients aged 65 years or older receiving inpatient rehabilitation. METHODS:
Candidate predictors evaluated during rehabilitation were: age, vulnerability
(Vulnerable Elders Survey), multimorbidity (Cumulative Illness Rating Scale),
cognition (Mini-Mental State Examination), depression (Hospital Anxiety and
Depression Scale), living alone, previous independence in activities of daily
living, fall risk, and mobility at discharge (Timed Up and Go test). Multiple
imputation data-sets, bivariate and multiple regression were used to build a
predictive model for living at home, which was evaluated at 3-month follow-up.
RESULTS: A total of 210 patients (mean age 76.0 years, 46.2% women) were included
in the study. Of these, 87.6% had been admitted to geriatric rehabilitation
directly from acute hospital care. Follow-up was complete in 75.2% of patients.
The strongest predictor for living at home was better mobility at discharge
(Timed Up and Go test < 20 s), followed by lower multimorbidity, better
cognition, and not living alone. In bivariate regression, living at home was also
associated with age, fall risk, vulnerability, depression, and previous
independence in activities of daily living. CONCLUSION: Mobility is the most
important predictive factor for living at home after geriatric rehabilitation.
Assessment and training of mobility are therefore key aspects in geriatric rehabilitation.

Langue : ANGLAIS