None listed
Conditions
Brief summary
There is a high prevalence of malnutrition, sarcopenia (loss of muscle), and frailty (weakness) in older adults, including in rehabilitation. This study aims to assess how these syndromes overlap and how well each diagnostic tool can predict patient outcomes. This information will help to determine which syndromes should be assessed for on admission to rehabilitation so that intervention is directed appropriately, patients are not subjected to unnecessary tests, and the risk of poor outcomes for patients can be reduced. It is hypothesised that all three diagnoses will identify the same patients and that we will be able to find the condition that is the best predictor of poor outcomes.
Interventions
Geriatric patients undergoing inpatient rehabilitation will be assessed for malnutrition, sarcopenia, frailty, functional independence, and quality of life at admission to the rehabilitation ward. Patients will be required to consent to access medical records, complete a questionnaire, physical examinations, and interviews. The questionnaire, physical examinations, and interviews will take approximately 1 hour. These measures will be assessed again at discharge, and data on other patient-centred outcomes (rehabilitation length of stay, pressure ulcers, falls, infections, and mortality) will also be obtained from medical records. At 1-month post-discharge, data on quality of life, readmissions, pressure ulcers, falls, infections, and mortality will be collected.
Sponsors
Eligibility
Inclusion criteria
Adults 65 years or older, admitted to Robina Rehabilitation between 1 September 2019 and 31 January 2020 for <72 hours.
Exclusion criteria
Cognitive impairment or unable to provide consent (as assessed by the Senior Geriatrician Consultant or medical doctor). Assessment is contraindicated (too unwell etc.) as assessed by health care professional or the researcher. Patient is non-English speaking and a translator is unavailable.