Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia
The aim of this study was to identify in-hospital fall risk factors specific for multimorbid hospitalized geriatric patients with dementia (PwD) during hospitalization. Geriatric inpatients during ward-based rehabilitation (n = 102; 79.4% females; 82.82 (6.19) years of age; 20.26 (5.53) days of stay...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
20 September 2020
|
| In: |
Sensors
Year: 2020, Volume: 20, Issue: 18 |
| ISSN: | 1424-8220 |
| DOI: | 10.3390/s20185385 |
| Online Access: | Verlag, Volltext: https://doi.org/10.3390/s20185385 Verlag: https://www.mdpi.com/1424-8220/20/18/5385 
|
| Author Notes: | Klaus Hauer, Ilona Dutzi, Katharina Gordt and Michael Schwenk |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1734510552 | ||
| 003 | DE-627 | ||
| 005 | 20220818214724.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 201002s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3390/s20185385 |2 doi | |
| 035 | |a (DE-627)1734510552 | ||
| 035 | |a (DE-599)KXP1734510552 | ||
| 035 | |a (OCoLC)1341368353 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 100 | 1 | |a Hauer, Klaus |d 1956- |e VerfasserIn |0 (DE-588)172602270 |0 (DE-627)697537048 |0 (DE-576)13346167X |4 aut | |
| 245 | 1 | 0 | |a Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia |c Klaus Hauer, Ilona Dutzi, Katharina Gordt and Michael Schwenk |
| 264 | 1 | |c 20 September 2020 | |
| 300 | |a 17 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a The aim of this study was to identify in-hospital fall risk factors specific for multimorbid hospitalized geriatric patients with dementia (PwD) during hospitalization. Geriatric inpatients during ward-based rehabilitation (n = 102; 79.4% females; 82.82 (6.19) years of age; 20.26 (5.53) days of stay) were included in a comprehensive fall risk assessment combining established clinical measures, comprehensive cognitive testing including detailed cognitive sub-performances, and various instrumented motor capacity measures as well as prospective fall registration. A combination of unpaired t-tests, Mann–Whitney-U tests, and Chi-square tests between patients with (“in-hospital fallers”) and without an in-hospital fall (“in-hospital non-fallers”), univariate and multivariate regression analysis were used to explore the best set of independent correlates and to evaluate their predictive power. In-hospital fallers (n = 19; 18.63%) showed significantly lower verbal fluency and higher postural sway (p < 0.01 to 0.05). While established clinical measures failed in discriminative as well as predictive validity, specific cognitive sub-performances (verbal fluency, constructional praxis, p = 0.01 to 0.05) as well as specific instrumented balance parameters (sway area, sway path, and medio-lateral displacement, p < 0.01 to 0.03) significantly discriminated between fallers and non-fallers. Medio-lateral displacement and visuospatial ability were identified in multivariate regression as predictors of in-hospital falls and an index combining both variables yielded an accuracy of 85.1% for fall prediction. Results suggest that specific cognitive sub-performances and instrumented balance parameters show good discriminative validity and were specifically sensitive to predict falls during hospitalization in a multimorbid patient group with dementia and an overall high risk of falling. A sensitive clinical fall risk assessment strategy developed for this specific target group should include an index of selected balance parameters and specific variables of cognitive sub-performances. | ||
| 650 | 4 | |a dementia | |
| 650 | 4 | |a discriminative validity | |
| 650 | 4 | |a fall prediction | |
| 650 | 4 | |a hospitalization | |
| 650 | 4 | |a instrumented motor assessment | |
| 650 | 4 | |a neuro-psychological assessment | |
| 650 | 4 | |a predictive validity | |
| 700 | 1 | |a Dutzi, Ilona |d 1968- |e VerfasserIn |0 (DE-588)109635151X |0 (DE-627)856719277 |0 (DE-576)467994935 |4 aut | |
| 700 | 1 | |a Gordt-Oesterwind, Katharina |d 1988- |e VerfasserIn |0 (DE-588)1162739266 |0 (DE-627)1026902444 |0 (DE-576)507603672 |4 aut | |
| 700 | 1 | |a Schwenk, Michael |d 1979- |e VerfasserIn |0 (DE-588)101234472X |0 (DE-627)704855224 |0 (DE-576)344891291 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Sensors |d Basel : MDPI, 2001 |g 20(2020,18) Artikel-Nummer 5385, 17 Seiten |h Online-Ressource |w (DE-627)331640910 |w (DE-600)2052857-7 |w (DE-576)281205191 |x 1424-8220 |7 nnas |a Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia |
| 773 | 1 | 8 | |g volume:20 |g year:2020 |g number:18 |g extent:17 |a Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia |
| 856 | 4 | 0 | |u https://doi.org/10.3390/s20185385 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u https://www.mdpi.com/1424-8220/20/18/5385 |x Verlag |
| 951 | |a AR | ||
| 992 | |a 20201002 | ||
| 993 | |a Article | ||
| 994 | |a 2020 | ||
| 998 | |g 101234472X |a Schwenk, Michael |m 101234472X:Schwenk, Michael |d 850000 |d 851600 |e 850000PS101234472X |e 851600PS101234472X |k 0/850000/ |k 1/850000/851600/ |p 4 | ||
| 998 | |g 1162739266 |a Gordt-Oesterwind, Katharina |m 1162739266:Gordt-Oesterwind, Katharina |d 100000 |d 100500 |e 100000PG1162739266 |e 100500PG1162739266 |k 0/100000/ |k 1/100000/100500/ |p 3 | ||
| 998 | |g 109635151X |a Dutzi, Ilona |m 109635151X:Dutzi, Ilona |p 2 | ||
| 998 | |g 172602270 |a Hauer, Klaus |m 172602270:Hauer, Klaus |d 50000 |e 50000PH172602270 |k 0/50000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1734510552 |e 3765077895 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"id":{"doi":["10.3390/s20185385"],"eki":["1734510552"]},"physDesc":[{"extent":"17 S."}],"name":{"displayForm":["Klaus Hauer, Ilona Dutzi, Katharina Gordt and Michael Schwenk"]},"person":[{"role":"aut","roleDisplay":"VerfasserIn","display":"Hauer, Klaus","family":"Hauer","given":"Klaus"},{"family":"Dutzi","given":"Ilona","display":"Dutzi, Ilona","roleDisplay":"VerfasserIn","role":"aut"},{"display":"Gordt-Oesterwind, Katharina","family":"Gordt-Oesterwind","given":"Katharina","role":"aut","roleDisplay":"VerfasserIn"},{"display":"Schwenk, Michael","family":"Schwenk","given":"Michael","role":"aut","roleDisplay":"VerfasserIn"}],"origin":[{"dateIssuedDisp":"20 September 2020","dateIssuedKey":"2020"}],"relHost":[{"title":[{"title":"Sensors","title_sort":"Sensors"}],"language":["eng"],"part":{"year":"2020","volume":"20","extent":"17","text":"20(2020,18) Artikel-Nummer 5385, 17 Seiten","issue":"18"},"pubHistory":["1.2001 -"],"note":["Gesehen am 12.12.19"],"recId":"331640910","disp":"Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementiaSensors","type":{"bibl":"periodical","media":"Online-Ressource"},"origin":[{"publisher":"MDPI","dateIssuedKey":"2001","publisherPlace":"Basel","dateIssuedDisp":"2001-"}],"id":{"zdb":["2052857-7"],"eki":["331640910"],"issn":["1424-8220"]},"physDesc":[{"extent":"Online-Ressource"}]}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"recId":"1734510552","language":["eng"],"title":[{"title_sort":"Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia","title":"Specific motor and cognitive performances predict falls during ward-based geriatric rehabilitation in patients with dementia"}]} | ||
| SRT | |a HAUERKLAUSSPECIFICMO2020 | ||