Improving older trauma patients' outcomes through targeted occupational therapy and functional conditioning / Lisa O’BRIEN in American Journal of Occupational Therapy, Vol. 66/4 (juillet-aout 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/4 (juillet-aout 2012) . - p. 431-437 Titre : Improving older trauma patients' outcomes through targeted occupational therapy and functional conditioning Type de document : texte imprimé Auteurs : Lisa O’BRIEN ; Shai BYNON ; Scott PRESNELL ; Jacqui MORARTY Année de publication : 2012 Article en page(s) : p. 431-437 Langues : Anglais (eng) Mots-clés : Hospitalisation  Long séjour  Facteur risque  Personne âgée Résumé : OBJECTIVE. Hospitalized older people are at risk of functional decline, and risk increases with length of stay (LOS). We measured the impact on LOS and discharge destination of targeted occupational therapy and a functional conditioning program (FCP) for older adults admitted to a metropolitan trauma unit. METHOD. The intervention group consisted of 50 participants >65 yr old living independently in the community before admission. Outcomes were compared with historical control group data (N = 105). RESULTS. The intervention group’s mean LOS was 2 days less than that of the control group (p = .04). A higher proportion in the intervention group was also discharged to home, but the difference was not statistically significant. Referrals to occupational therapy increased significantly (p = .05), and participants were seen 1.5 days sooner (p = .003) than the control group. Referral to FCP was 7 times higher in the intervention group (p = .001). CONCLUSION. Targeted occupational therapy and FCP can improve LOS in older trauma patients. Permalink : ./index.php?lvl=notice_display&id=14126 [article] Improving older trauma patients' outcomes through targeted occupational therapy and functional conditioning [texte imprimé] / Lisa O’BRIEN ; Shai BYNON ; Scott PRESNELL ; Jacqui MORARTY . - 2012 . - p. 431-437. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/4 (juillet-aout 2012) . - p. 431-437 Mots-clés : Hospitalisation  Long séjour  Facteur risque  Personne âgée Résumé : OBJECTIVE. Hospitalized older people are at risk of functional decline, and risk increases with length of stay (LOS). We measured the impact on LOS and discharge destination of targeted occupational therapy and a functional conditioning program (FCP) for older adults admitted to a metropolitan trauma unit. METHOD. The intervention group consisted of 50 participants >65 yr old living independently in the community before admission. Outcomes were compared with historical control group data (N = 105). RESULTS. The intervention group’s mean LOS was 2 days less than that of the control group (p = .04). A higher proportion in the intervention group was also discharged to home, but the difference was not statistically significant. Referrals to occupational therapy increased significantly (p = .05), and participants were seen 1.5 days sooner (p = .003) than the control group. Referral to FCP was 7 times higher in the intervention group (p = .001). CONCLUSION. Targeted occupational therapy and FCP can improve LOS in older trauma patients. Permalink : ./index.php?lvl=notice_display&id=14126

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