Predictive variables of functional gain in patients with deconditioning syndrome associated with hospitalization
Keywords:
desacondicionamiento, deterioro funcional adquirido en el hospital, síndrome post-hospitalizaciónAbstract
Introduction: Acute and prolonged inactivity due to hospitalization affects people's functional capacity.
Objective: To identify the predictive variables of functional gain and efficiency in patients with deconditioning syndrome associated with hospitalization.
Methods: Prospective, single-cohort observational study in patients admitted for deconditioning syndrome associated with hospitalization in the Functional Recovery Unit of the Guadarrama Hospital, from January 2021 to January 2022. The sample consisted of 94 patients selected through simple random sampling. The variables evaluated were age, gender, cognitive impairment, social situation, comorbidities, functional status, walking ability, complications, functional gain, length of stay and efficiency. The level of significance was established in p<0.05.
Results: The average age was 67.78 years, with a higher percentage of men. A functional gain of 37.50 points and an efficiency of 1.25 were obtained. 92.55% of the patients returned home. The predictive variables of functional gain were the Barthel index at admission (p=0.00) and the Charlson index (p=0.002); for efficiency none of the variables studied showed correlation.
Conclusions: Functional and clinical factors influenced the functional recovery of patients with deconditioning syndrome associated with hospitalization. The predictive variables of functional gain were functional status at admission and comorbidities.
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