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Get up and go--home.

Avital Hershkovitz1, Shai Brill

  • 1Beit Rivka Geriatric Rehabilitation Center Day Hospital, 4 Hachamisha Street, Petach Tikva 49245, Israel. avitalhe@clalit.org.il

Aging Clinical and Experimental Research
|October 26, 2006
PubMed
Summary

The Timed Get Up and Go (TUG) test effectively measures mobility improvements in day hospital patients. This simple test aids clinicians in determining patient readiness for discharge.

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Area of Science:

  • Rehabilitation Medicine
  • Geriatric Care
  • Clinical Assessment Tools

Background:

  • Improving patient mobility is a key goal in rehabilitation.
  • Objective mobility measures are crucial for evaluating rehabilitation effectiveness.
  • The Timed Get Up and Go (TUG) test is a potential tool for assessing mobility in day hospital settings.

Purpose of the Study:

  • To evaluate the utility of the TUG test for measuring mobility changes in day hospital patients.
  • To determine if the TUG test can assist multidisciplinary teams in clinical decision-making regarding discharge.
  • To assess the TUG test's sensitivity to mobility changes and its correlation with other functional measures.

Main Methods:

  • Two hundred thirty elderly patients in a day hospital were assessed using the TUG test and Functional Independence Measure (FIM) at admission and discharge.
  • Patients were categorized into four TUG performance groups based on time.
  • The study analyzed the TUG test's sensitivity to mobility changes and its relationship with FIM scores.

Main Results:

  • Mean TUG scores improved significantly from admission (32.6s) to discharge (21.8s).
  • Statistically significant differences in TUG score changes were observed among orthopedic, chronic disease, and stroke patient groups (p=0.013).
  • The proportion of patients scoring <20 seconds on the TUG test increased from 35.7% to 60.9% from admission to discharge, showing a negative correlation with FIM scores.

Conclusions:

  • The TUG test is a sensitive and practical tool for quantifying mobility changes in day hospital patients.
  • The TUG test provides valuable data to support clinical decisions regarding patient discharge readiness.
  • The findings support the integration of the TUG test into routine day hospital assessments.

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