TY - JOUR
T1 - Sarcopenia, malnutrition and cognition affect physiotherapy frequency during geriatric rehabilitation
T2 - RESORT cohort
AU - Verstraeten, Laure M. G.
AU - Sacchi, Federica
AU - van Wijngaarden, Janneke P.
AU - Meskers, Carel G. M.
AU - Maier, Andrea B.
N1 - Funding Information: This work was supported by an unrestricted grant from the University of Melbourne received by ABM, and the Medical Research Future Fund (MRFF) provided by the Melbourne Academic Centre for Health (MACH). This work is also part of a collaboration project co-funded by the PPP Allowance made available by Health∼Holland (grant number TKI-LSHM19069-H049), Top Sector Life Sciences & Health, to stimulate public-private partnerships, and Top Sector Agri & Food (grant number LWV19287). The collaboration project also includes an in-cash and in-kind contribution from Danone Nutricia Research. Funding Information: The authors thank the multidisciplinary team members of the Royal Melbourne Hospital, Royal Park Campus, involved in the RESORT cohort for their clinical work and the @AgeMelbourne team for their role in the data collection and data curation, especially Dr. EM Reijnierse and J. Pacifico. Publisher Copyright: © 2023 The Authors
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Background: Physiotherapy (PT) is important to optimize functional recovery in geriatric rehabilitation. The dose of PT received by inpatients during geriatric rehabilitation and the determinants of dose are unknown. Objectives: Describe PT dose in terms of total number of sessions, frequency, duration and type of sessions, and inpatient characteristics determining the frequency of PT in geriatric rehabilitation. Methods: The observational, longitudinal REStORing health of acutely unwell adulTs (RESORT) cohort consists of geriatric inpatients undergoing rehabilitation including PT (Melbourne, Australia). Ordinal regression was used to assess the determinants of PT frequency (total number of sessions divided by length of stay in weeks). Malnutrition, frailty and sarcopenia were diagnosed according to the Global Leadership Initiative on Malnutrition criteria, Clinical Frailty Scale and revised definition of the European Working Group on Sarcopenia in Older People respectively. Results: Of the 1890 participants, 1799, median (quartile 1; quartile 3) age 83.4 (77.6; 88.4) years, 56% females received PT and were admitted for at least 5 days. Median total number of PT sessions was 15 (8; 24); median frequency was 5.2 sessions per week (3.0; 7.7); and duration was 27 (22; 34) minutes per session. Higher disease burden, cognitive impairment, delirium, higher anxiety and depression scores, malnutrition, frailty and sarcopenia were associated with a lower PT frequency. Older age, female sex, musculoskeletal reason for admission, greater independence in (instrumental) activities of daily living and handgrip strength were associated with a higher PT frequency. Conclusions: PT frequency varied widely with a median of 1 session per working day. PT frequency was lowest in participants with poorest health characteristics.
AB - Background: Physiotherapy (PT) is important to optimize functional recovery in geriatric rehabilitation. The dose of PT received by inpatients during geriatric rehabilitation and the determinants of dose are unknown. Objectives: Describe PT dose in terms of total number of sessions, frequency, duration and type of sessions, and inpatient characteristics determining the frequency of PT in geriatric rehabilitation. Methods: The observational, longitudinal REStORing health of acutely unwell adulTs (RESORT) cohort consists of geriatric inpatients undergoing rehabilitation including PT (Melbourne, Australia). Ordinal regression was used to assess the determinants of PT frequency (total number of sessions divided by length of stay in weeks). Malnutrition, frailty and sarcopenia were diagnosed according to the Global Leadership Initiative on Malnutrition criteria, Clinical Frailty Scale and revised definition of the European Working Group on Sarcopenia in Older People respectively. Results: Of the 1890 participants, 1799, median (quartile 1; quartile 3) age 83.4 (77.6; 88.4) years, 56% females received PT and were admitted for at least 5 days. Median total number of PT sessions was 15 (8; 24); median frequency was 5.2 sessions per week (3.0; 7.7); and duration was 27 (22; 34) minutes per session. Higher disease burden, cognitive impairment, delirium, higher anxiety and depression scores, malnutrition, frailty and sarcopenia were associated with a lower PT frequency. Older age, female sex, musculoskeletal reason for admission, greater independence in (instrumental) activities of daily living and handgrip strength were associated with a higher PT frequency. Conclusions: PT frequency varied widely with a median of 1 session per working day. PT frequency was lowest in participants with poorest health characteristics.
KW - Aged
KW - Care planning
KW - Physiotherapy
KW - Population characteristics
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85151654836&partnerID=8YFLogxK
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85151654836&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/37030245
U2 - https://doi.org/10.1016/j.rehab.2023.101735
DO - https://doi.org/10.1016/j.rehab.2023.101735
M3 - Article
C2 - 37030245
SN - 1877-0657
VL - 66
JO - Annals of Physical and Rehabilitation Medicine
JF - Annals of Physical and Rehabilitation Medicine
IS - 6
M1 - 101735
ER -