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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
De Gruyter Open
2018
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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. |
format | Online Article Text |
id | pubmed-5874513 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | De Gruyter Open |
record_format | MEDLINE/PubMed |
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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