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Morten Tange Kristensen1,2, Christian Have Dall1,2,3, Mette Aadahl1,2,4,5
1Fysio- og Ergoterapiafdelingen, Københavns Universitetshospital - Bispebjerg og Frederiksberg Hospital.
Ugeskrift for Laeger
|November 4, 2022
Summary
Systematic physical function (PF) assessment using the Cumulated Ambulation Score, Handgrip strength, and 30s Chair Stand Test can identify reduced mobility in hospitalized adults, enabling early intervention.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Clinical Assessment
Context:
- Physical function (PF) is a critical predictor of hospital outcomes, including length of stay, complications, readmission, and mortality.
- Systematic PF assessment is currently underutilized in hospitalized patients, often limited to the oldest populations.
- There is a need for accessible and validated tools to evaluate PF across diverse patient groups.
Purpose:
- To advocate for the implementation of a standardized, easily applicable test battery for assessing physical function in hospitalized adult patients.
- To identify patients with reduced physical function early for timely intervention and improved outcomes.
Summary:
- This review proposes a validated test battery comprising the Cumulated Ambulation Score (CAS) for mobility, Handgrip strength for muscle strength, and the 30s Chair Stand Test for combined function.
- This multi-component assessment aims to provide a comprehensive evaluation of physical function in adult inpatients.
- The suggested battery is designed for early identification and management of diminished physical function.
Impact:
- Early identification and treatment of reduced physical function can potentially decrease length of stay and readmission rates.
- Implementing this assessment battery could lead to improved patient recovery and reduced healthcare costs.
- Standardizing PF assessment across diagnoses can enhance clinical decision-making and patient care pathways.