The Factors Affecting Decline in ADL Level in Elderly Patients with Acute Pneumonia

DOI IR IR (HANDLE) 17 References
  • MAEMOTO Hideki
    Department of Rehabilitation, Kumamoto Chuo Hospital Division of Pulmonary Diseases, Kumamoto Chuo Hospital
  • UEMURA Yasuo
    Department of Rehabilitation, Kumamoto Chuo Hospital
  • KIGUTI Kazuaki
    Department of Rehabilitation, Kumamoto Chuo Hospital
  • HIRATA Naomi
    Division of Pulmonary Diseases, Kumamoto Chuo Hospital
  • USIJIMA Sunao
    Division of Pulmonary Diseases, Kumamoto Chuo Hospital
  • YOSINAGA Takesi
    Division of Pulmonary Diseases, Kumamoto Chuo Hospital
  • SENJYU Hideaki
    Graduate School of Biomedical Sciences, Nagasaki University Course of Health Sciences, Physical and Occupational Therapy, Division of Physical Therapy

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Other Title
  • 高齢肺炎患者のADL低下に影響を与える要因の検討

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Description

The purpose of this study was to clarify the changes in ADL level from hospital admission to discharge, and to investigate the factors that deteriorated ADL at discharge in elderly patients with acute pneumonia. Fifty-three elderly patients (34 males) aged over 75 years (mean 81.0±5.8 years) were assigned to four groups based on ADL at discharge; Group 1, bedridden, Group 2, assisted self-care with help required while walking, Group 3, independent self-care with help required while walking, and Group 4, independent self-care with walking capability. At discharge, there were 8 (15%), 11 (21%), 9 (32%) and 25 (47%) patients in Group 1, 2, 3, and 4, respectively. Twenty-nine patients (55%) were discharged to their homes, 17 patients (32%) were transferred to rehabilitation facilities, and 7 patients (13%) were sent to a facility for long-term care. Ninety percent of patients who could discharge to their homes were included in Group 3 or 4. To return home from hospital, self-care needs to be established. The APACHE Ⅱ score, period of bed rest, psychotic symptoms, difficulty of swallowing were found to have significant effects on ADL decline. It is necessary to establish both early mobilization and improvement in the physical activities as part of the treatment of pneumonia so as not to decline ADL.

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 34 (1), 16-20, 2007-02-20

    Japanese Society of Physical Therapy

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