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10.1186/s12877-025-06252-6

http://scihub22266oqcxt.onion/10.1186/s12877-025-06252-6
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suck abstract from ncbi


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pmid41131454
      BMC+Geriatr 2025 ; 25 (1 ): 798
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  • The feasibility of a set of physical resilience measurements in older patients admitted to the acute medical unit #MMPMID41131454
  • Bos KDJ ; Claassen JAHR ; Bosch FH ; Doggen CJM ; Bredie SJH ; Melis RJF
  • BMC Geriatr 2025[Oct]; 25 (1 ): 798 PMID41131454 show ga
  • BACKGROUND: Most patients admitted to the Acute Medical Unit (AMU) are 60 years and older, have several multimorbidities, and are frail. During the short AMU stay, it can be challenging to determine whether these patients can recover safely at home or require an extended hospital stay. Determining physical resilience could support clinicians in deciding between discharge or prolonged hospitalization, because recovery from an acute condition is strongly related to a person's resilience against deterioration. This research aims to evaluate the feasibility of two potential resilience measurements, sit-to-stand challenge (SSC) and grip work assessment (GWA), in acutely ill patients 60 years and older admitted to the AMU. METHODS: A two-centre feasibility pilot study including 50 patients 60 years and older admitted to the AMU, the Netherlands, was conducted. Participants completed 'The Older Persons and Informal Caregivers Survey Short Form' about their health-related quality of life and performed the SSC and GWA in the first 48 h of admission. Patient experience with these methods was evaluated. RESULTS: Of the participants, 46% could complete the SSC in 12 (median;q1-q3?=?10-13) minutes and 74% could complete the GWA in 5 (median;q1-q3?=?4-5) minutes. The majority of participants experienced the resilience measurements as doable and not burdensome. Significant barriers to perform measurements were a deteriorated patient condition and patients in isolation who could not be measured. CONCLUSION: Utilizing the GWA appeared feasible for older patients admitted to the AMU, whereas the SSC frequently presented difficulties due to clinical conditions and technical challenges.
  • |*Geriatric Assessment/methods [MESH]
  • |*Hand Strength/physiology [MESH]
  • |*Hospitalization/trends [MESH]
  • |*Quality of Life/psychology [MESH]
  • |*Resilience, Psychological [MESH]
  • |Acute Disease/psychology [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Feasibility Studies [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Netherlands/epidemiology [MESH]


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