Título

Handgrip strength predicts functional decline at discharge in hospitalized male elderly: a hospital cohort study

Autor

María del Carmen García Peña

Luis Cuitlahuac García-Fabela

LUIS MIGUEL FRANCISCO GUTIERREZ ROBLEDO

JOSE JUAN GARCIA GONZALEZ

VICTORIA EUGENIA ARANGO LOPERA

MARIO ULISES PEREZ ZEPEDA

Nivel de Acceso

Acceso Abierto

Resumen o descripción

Abstract: Functional decline after hospitalization is a common adverse outcome in elderly. An easy to use, reproducible and accurate tool to identify those at risk would aid focusing interventions in those at higher risk. Handgrip strength has been shown to predict adverse outcomes in other settings. The aim of this study was to determine if handgrip strength measured upon admission to an acute care facility would predict functional decline (either incident or worsening of preexisting) at discharge among older Mexican, stratified by gender. In addition, cutoff points as a function of specificity would be determined. A cohort study was conducted in two hospitals in Mexico City. The primary endpoint was functional decline on discharge, defined as a 30-point reduction in the Barthel Index score from that of the baseline score. Handgrip strength along with other variables was measured at initial assessment, including: instrumental activities of daily living, cognition, depressive symptoms, delirium, hospitalization length and quality of life. All analyses were stratified by gender. Logistic regression to test independent association between handgrip strength and functional decline was performed, along with estimation of handgrip strength test values (specificity, sensitivity, area under the curve, etc.). A total of 223 patients admitted to an acute care facility between 2007 and 2009 were recruited. A total of 55 patients (24.7%) had functional decline, 23.46% in male and 25.6% in women. Multivariate analysis showed that only males with low handgrip strength had an increased risk of functional decline at discharge (OR 0.88, 95% CI 0.79–0.98, p = 0.01), with a specificity of 91.3% and a cutoff point of 20.65 kg for handgrip strength. Females had not a significant association between handgrip strength and functional decline. Measurement of handgrip strength on admission to acute care facilities may identify male elderly patients at risk of having functional decline, and intervene consequently.

Editor

Public Library of Science

Fecha de publicación

2013

Tipo de publicación

Artículo

Formato

Adobe PDF

application/pdf

Fuente

Plos One (1932-6203) vol. 8 (2013)

Idioma

Inglés

Relación

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0069849

Repositorio Orígen

INSTITUTO NACIONAL DE GERIATRIA

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