The Role of Rehabilitation on the Evolution of Disability and Self-Sufficiency in a Population of Hospitalized Older Adults

Author:

Giovannini Silvia12ORCID,Iacovelli Chiara3ORCID,Loreti Claudia3ORCID,Fusco Augusto4ORCID,Amoruso Vincenza4ORCID,Cuccagna Cristina4ORCID,Biscotti Lorenzo5,Padua Luca14ORCID,Castelli Letizia4ORCID

Affiliation:

1. Department of Geriatrics and Orthopaedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy

2. UOS Riabilitazione Post-Acuzie, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy

3. Department of Emergency, Anaesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy

4. UOC Neuroriabilitazione ad Alta Intensità, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy

5. Supporto Amministrativo Dipartimenti Universitari, Università Cattolica del Sacro Cuore, 00168 Rome, Italy

Abstract

Frailty is characterized by increased vulnerability, which impairs the ability to cope with stressors and represents a risk factor for the development of disability. Moreover, the population of older adults is continuously increasing. For this reason, frailty and aging represent very important social and health topics. The management of elderly patients, especially when they are hospitalized, is complex and requires the collaboration of multiple professionals and different approaches to intervene in the multi-morbidity that characterizes this population. A significant percentage of hospitalized older patients present several comorbidities that cause prolonged hospital stays. This condition could lead to clinical complications, increased costs of care, and a higher likelihood of in-hospital death. Aging is a concept that encompasses several symptoms and requires a multidisciplinary and specific approach, especially during hospitalization and in acute care settings. The present study aims to evaluate how intensive rehabilitation treatment is accompanied by improvement in some hematological and clinical parameters and could contribute to an evolution in disability among elderly patients. The results of the present research show the crucial role of rehabilitation treatment in the development of disability, independence, and self-sufficiency in a population of older inpatients in a post-acute care setting. Further research should be conducted to identify other biomarkers useful in the management of frail patients.

Publisher

MDPI AG

Subject

Fluid Flow and Transfer Processes,Computer Science Applications,Process Chemistry and Technology,General Engineering,Instrumentation,General Materials Science

Reference67 articles.

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5. Myeloperoxidase Levels and Mortality in Frail Community-Living Elderly Individuals;Giovannini;J. Gerontol. A Biol. Sci. Med. Sci.,2010

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