Identifying elderly patients at risk of readmission after discharge from a shortstay unit in the emergency department using performance-based tests of daily activities

Louise Møldrup Nielsen, Thomas Maribo, Hans Kirkegaard, Lisa Gregersen Østergaard

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background
Readmission is a serious and adverse event for elderly patients. Despite efforts, predicting the risk of readmission remains imprecise. The objective of this study is to examine if performance-based tests of daily activities can identify elderly patients at risk of readmission within 26 weeks after discharge from a short-stay unit in the emergency department.
Methods
The current study is an observational study based on data from 144 elderly patients included in a previous non-randomised controlled trial. Before discharge, patients were assessed for limitations in performing daily activities using three performance-based tests with predetermined cut-off values: the Assessment of Motor and Process Skills, Timed Up and Go and the 30s-Chair Stand Test. Outcome was risk of readmission within 26 weeks after discharge.
Results
Limitations in performing daily activities were associated with risk of readmission as measured by the Assessment of Motor and Process Skills motor scale (Crude OR = 4.38 [1.36; 14.12]), (Adjusted OR = 4.17 [1.18; 14.75]) and the 30s-Chair Stand Test (Adjusted OR = 3.36 [1.42; 7.93]). No significant associations were found in regards to other measures.
Conclusion
The Assessment of Motor and Process Skills motor scale and the age, gender and comorbidity adjusted 30s-Chair Stand Test can identify elderly patients at increased risk of readmission after discharge from the emergency department. The results were limited by one-third of the patients did not perform the Assessment of Motor and Process Skills and the association between 30s-Chair Stand Test and risk of readmission were only positive when adjusted for age, gender and comorbidity.
Original languageEnglish
Article number217
JournalBMC Geriatrics
Volume20
Issue number1
Pages (from-to)1-8
Number of pages8
ISSN1471-2318
Publication statusPublished - 2020

Keywords

  • occupational therapy
  • elderly patient

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