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Prognosis of Treatment Outcomes by Cognitive and Physical Scales

The aim of this study was to assess the possibility of using scales for measuring cognitive and physical functions for a prognosis of care outcomes in elderly patients. Methodology. The survey was carried out in one of the Vilnius City Hospitals for Nursing and Support Treatment. A total number of 1...

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Autores principales: Jakavonytė-Akstinienė, Agnė, Dikčius, Vytautas, Macijauskienė, Jūratė
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter Open 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874513/
https://www.ncbi.nlm.nih.gov/pubmed/29607417
http://dx.doi.org/10.1515/med-2018-0011
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author Jakavonytė-Akstinienė, Agnė
Dikčius, Vytautas
Macijauskienė, Jūratė
author_facet Jakavonytė-Akstinienė, Agnė
Dikčius, Vytautas
Macijauskienė, Jūratė
author_sort Jakavonytė-Akstinienė, Agnė
collection PubMed
description The aim of this study was to assess the possibility of using scales for measuring cognitive and physical functions for a prognosis of care outcomes in elderly patients. Methodology. The survey was carried out in one of the Vilnius City Hospitals for Nursing and Support Treatment. A total number of 177 respondents were involved in the study. The Mini–Mental State Examination (MMSE), The Barthel Index (BI) and The Morse Fall Scale were used. Results. A statistically significant correlation was revealed between the scores of MMSE and BI (Pearson R = 0.41, p < 0.01); those with severe cognitive impairment were more dependent. A statistically significant correlation (Pearson R = −0.181, p < 0.01) was reported between the scores of MMSE and the Morse Fall Scale – the risk of falling was higher in patients with severe cognitive impairment. Conclusions. The Morse Fall Scale was not suitable for the prognosis of outcomes. The MMSE was suitable for the prognosis of a patient’s discharge. The Barthel Index should be considered as the most suitable tool for the prognosis of care outcomes: the sum-score of the Barthel Index above 25 may suggest that the patient would be discharged home; the sum-score below this level was associated with a higher likelihood of patient death.
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spelling pubmed-58745132018-03-30 Prognosis of Treatment Outcomes by Cognitive and Physical Scales Jakavonytė-Akstinienė, Agnė Dikčius, Vytautas Macijauskienė, Jūratė Open Med (Wars) Regular Articles The aim of this study was to assess the possibility of using scales for measuring cognitive and physical functions for a prognosis of care outcomes in elderly patients. Methodology. The survey was carried out in one of the Vilnius City Hospitals for Nursing and Support Treatment. A total number of 177 respondents were involved in the study. The Mini–Mental State Examination (MMSE), The Barthel Index (BI) and The Morse Fall Scale were used. Results. A statistically significant correlation was revealed between the scores of MMSE and BI (Pearson R = 0.41, p < 0.01); those with severe cognitive impairment were more dependent. A statistically significant correlation (Pearson R = −0.181, p < 0.01) was reported between the scores of MMSE and the Morse Fall Scale – the risk of falling was higher in patients with severe cognitive impairment. Conclusions. The Morse Fall Scale was not suitable for the prognosis of outcomes. The MMSE was suitable for the prognosis of a patient’s discharge. The Barthel Index should be considered as the most suitable tool for the prognosis of care outcomes: the sum-score of the Barthel Index above 25 may suggest that the patient would be discharged home; the sum-score below this level was associated with a higher likelihood of patient death. De Gruyter Open 2018-03-21 /pmc/articles/PMC5874513/ /pubmed/29607417 http://dx.doi.org/10.1515/med-2018-0011 Text en © 2018 Agnė Jakavonytė-Akstinienė et al. http://creativecommons.org/licenses/by-nc-nd/4.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
spellingShingle Regular Articles
Jakavonytė-Akstinienė, Agnė
Dikčius, Vytautas
Macijauskienė, Jūratė
Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title_full Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title_fullStr Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title_full_unstemmed Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title_short Prognosis of Treatment Outcomes by Cognitive and Physical Scales
title_sort prognosis of treatment outcomes by cognitive and physical scales
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874513/
https://www.ncbi.nlm.nih.gov/pubmed/29607417
http://dx.doi.org/10.1515/med-2018-0011
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