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Implementing Occupational Therapy into an Acute Geriatric Ward: Effects on Patients' Functional Status at Discharge.

C Sidoli1, C Okoye, A Staglianò

  • 1Assistant Professor Chukwuma Okoye, MD, PhD, School of Medicine and Surgery, University of Milano-Bicocca, Milan, Fondazione IRCCS San Gerardo dei Tintori, Acute Geriatric Unit, via Pergolesi, 33 - 20900 Monza (MB), Italy, Tel: +39 0392333970, E-mail: chukwuma.okoye@unimib.it, ORCID: 0000-0003-2969-7393.

The Journal of Frailty & Aging
|July 31, 2024
PubMed
Summary

Occupational Therapy (OT) improved mobility in older hospitalized patients. This intervention was linked to better mobility outcomes at discharge for frail elderly individuals in acute geriatric settings.

Keywords:
Hospital acquired disabilityfrailtyoccupational therapyolder adults

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Geriatric Medicine

Background:

  • Hospitalization poses significant mobility challenges for older adults.
  • Maintaining mobility is crucial for functional independence and quality of life in the elderly.
  • Acute Geriatric Units (AGUs) manage complex health needs of older patients.

Purpose of the Study:

  • To investigate the impact of an Occupational Therapy (OT) program on discharge mobility.
  • To assess the effectiveness of OT in older patients admitted to an Acute Geriatric Unit (AGU).

Main Methods:

  • Retrospective cohort study design.
  • Inclusion criteria: patients aged ≥65 years admitted to AGU with specific Clinical Frailty Scale scores.
  • Comparison between patients receiving OT (n=665) and a control group not receiving OT (n=142).
  • Mobility assessed at discharge using the Cumulated Ambulation Scale (CAS).

Main Results:

  • Occupational Therapy (OT) was associated with higher odds of achieving better mobility at discharge.
  • Multivariable logistic regression confirmed OT's independent association with improved CAS scores.
  • The study included 807 patients (median age 85 years, 50.2% female).

Conclusions:

  • Occupational Therapy (OT) demonstrates significant benefits for preserving mobility in frail older adults during hospitalization.
  • Implementing OT programs in acute geriatric settings is valuable for enhancing patient outcomes.
  • Findings support the integration of OT to improve functional recovery in elderly patients.