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Background Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients. Methods A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. Results Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07–1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69–0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08–0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. Conclusions This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12619000093189, (date: January 22, 2019, retrospectively registered).
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; María Amasene; Idoia Labayen; Ana Rodriguez-Larrad; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. BMC Geriatrics 2020, 20, 1 -9.
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, María Amasene, Idoia Labayen, Ana Rodriguez-Larrad, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. BMC Geriatrics. 2020; 20 (1):1-9.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; María Amasene; Idoia Labayen; Ana Rodriguez-Larrad; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of participation in a post-hospitalization physical exercise program for older adults." BMC Geriatrics 20, no. 1: 1-9.
BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. 2020, 1 .
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, Maria Amasene, Idoia Labayen, Ana Rodriguez, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. . 2020; ():1.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of participation in a post-hospitalization physical exercise program for older adults." , no. : 1.
Background People with frailty and/or sarcopenia have an increased risk of negative health outcomes. However, their diagnosis is often difficult. Considering the potential value of myostatin and follistatin as biomarkers of these conditions, we aimed to compare the association between both myokines and frailty and/or sarcopenia in post‐hospitalised older people. In addition, the capability of myostatin and follistatin for identifying frailty and sarcopenia was compared with physical tests. Materials And Methods Participants in this cross‐sectional study consisted of 84 post‐hospitalised patients immediately after discharge. Participants met the following inclusion criteria: aged ≥70 years, score of ≥20 on the Mini‐Mental State Examination, and able to stand up and walk independently for at least 4 metres. Serum myostatin and follistatin concentrations were measured by enzyme‐linked immunosorbent assay. Body measures and results from 4 physical tests (hand grip, chair stand, 8‐foot timed Up‐and‐Go (8TUG) and gait speed (GS)) were also recorded. Frailty was evaluated by the Fried index, and sarcopenia by the criteria of the European Working Group on Sarcopenia in Older People. Results Myostatin concentration was lower and follistatin concentration higher in people with frailty or sarcopenia. Receiver operating characteristic curves indicated that GS and 8TUG tests had the greatest capability for identifying frailty. Myostatin was the only variable capable of identifying sarcopenia. Conclusion Myostatin may be a useful biomarker for sarcopenia in post‐hospitalised older adults. However, it has a lower capability for identifying frailty than physical tests. Further studies using larger samples and these myokines together with other biomarkers are warranted.
Iñaki Echeverria; Ariadna Besga; Begoña Sanz; María Amasene; Gotzone Hervás; Julia Barroso; Ana Rodriguez‐Larrad; Jon Irazusta. Identification of frailty and sarcopenia in hospitalised older people. European Journal of Clinical Investigation 2020, 51, e13420 .
AMA StyleIñaki Echeverria, Ariadna Besga, Begoña Sanz, María Amasene, Gotzone Hervás, Julia Barroso, Ana Rodriguez‐Larrad, Jon Irazusta. Identification of frailty and sarcopenia in hospitalised older people. European Journal of Clinical Investigation. 2020; 51 (4):e13420.
Chicago/Turabian StyleIñaki Echeverria; Ariadna Besga; Begoña Sanz; María Amasene; Gotzone Hervás; Julia Barroso; Ana Rodriguez‐Larrad; Jon Irazusta. 2020. "Identification of frailty and sarcopenia in hospitalised older people." European Journal of Clinical Investigation 51, no. 4: e13420.
BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. 2020, 1 .
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, Maria Amasene, Idoia Labayen, Ana Rodriguez, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. . 2020; ():1.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of participation in a post-hospitalization physical exercise program for older adults." , no. : 1.
BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. 2020, 1 .
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, Maria Amasene, Idoia Labayen, Ana Rodriguez, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. . 2020; ():1.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of participation in a post-hospitalization physical exercise program for older adults." , no. : 1.
BACKGROUND: Older patients often experience a decline in functional and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify the factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. 2020, 1 .
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, Maria Amasene, Idoia Labayen, Ana Rodriguez, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of participation in a post-hospitalization physical exercise program for older adults. . 2020; ():1.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of participation in a post-hospitalization physical exercise program for older adults." , no. : 1.
BACKGROUND: In older patients, functional and cognitive status often decline after hospitalization. Although interventions based on physical exercise can revert these effects, participation in physical exercise interventions is low. This study aimed to identify determinants of refusal to participate in a physical exercise program in post-hospitalized older patients. METHODS: Cross-sectional study of recruitment data from a randomized controlled trial. A total of 509 hospitalized people ≥70 years old participated in this study. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We measured physical function with the Short Physical Performance Battery (SPPB), nutritional status by the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function by the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model. RESULTS: Of evaluated patients, 10.8% declined physical exercise program participation. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.06 - 1.18), poor nutritional status (OR: 0.82; 95% CI: 0.69 - 0.96), and worse home accessibility (OR: 0.26; 95% CI: 0.07 - 0.9) were predictors of lower participation. Moreover, patients who declined participation had worse performance in SPPB ( p < 0.05) and its three tests: balance, leg strength and walking speed ( p < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with higher age, poorer nutritional status, and reduced home accessibility. Our findings support the need to design interventions accounting for these determinants to increase older patient participation. TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019. KEY WORDS Physical exercise, older people, participation, post-hospitalization
Miriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. Determinants of Participation in A Post-Hospitalization Physical Exercise Program for Older Adults. 2020, 1 .
AMA StyleMiriam Urquiza, Iñaki Echeverria, Ariadna Besga, Maria Amasene, Idoia Labayen, Ana Rodriguez, Julia Barroso, Mikel Aldamiz, Jon Irazusta. Determinants of Participation in A Post-Hospitalization Physical Exercise Program for Older Adults. . 2020; ():1.
Chicago/Turabian StyleMiriam Urquiza; Iñaki Echeverria; Ariadna Besga; Maria Amasene; Idoia Labayen; Ana Rodriguez; Julia Barroso; Mikel Aldamiz; Jon Irazusta. 2020. "Determinants of Participation in A Post-Hospitalization Physical Exercise Program for Older Adults." , no. : 1.
Multicomponent physical exercise is effective in curbing the effect of hospitalization in older adults. However, it is not well established which characteristics of the exercise interventions would optimize intervention sustainability and efficacy. This study compared the effects of two group-based multicomponent exercise interventions of different lengths in older adults after hospitalization. Fifty-five participants were randomly assigned to a short-term group-based branch (SGB, n = 27) or to a long-term group-based branch (LGB, n = 28). The SGB participated in a six-week multicomponent group-based exercise-training program followed by 18 weeks of home-based exercise. The LGB completed 12 weeks of each phase. Physical function, physical activity, quality of life, anthropometrics, and nutritional status were assessed at baseline, after 12 weeks, and after 24 weeks of intervention. Both groups improved physical function and nutritional status and increased physical activity after 12 weeks of intervention (paired student’s t-test, p < 0.01), and maintained the positive effects during the following 12 weeks. No group-by-time interaction was observed in any of the studied variables using mixed-model ANOVA. Based on these findings, we determined that 6 weeks of a group-based exercise intervention caused similar functional and nutritional benefits to a longer group-based intervention of 12 weeks when both are continued at home until 24 weeks.
Iñaki Echeverria; Maria Amasene; Miriam Urquiza; Idoia Labayen; Pilar Anaut; Ana Rodriguez-Larrad; Jon Irazusta; Ariadna Besga. Multicomponent Physical Exercise in Older Adults after Hospitalization: A Randomized Controlled Trial Comparing Short- vs. Long-Term Group-Based Interventions. International Journal of Environmental Research and Public Health 2020, 17, 666 .
AMA StyleIñaki Echeverria, Maria Amasene, Miriam Urquiza, Idoia Labayen, Pilar Anaut, Ana Rodriguez-Larrad, Jon Irazusta, Ariadna Besga. Multicomponent Physical Exercise in Older Adults after Hospitalization: A Randomized Controlled Trial Comparing Short- vs. Long-Term Group-Based Interventions. International Journal of Environmental Research and Public Health. 2020; 17 (2):666.
Chicago/Turabian StyleIñaki Echeverria; Maria Amasene; Miriam Urquiza; Idoia Labayen; Pilar Anaut; Ana Rodriguez-Larrad; Jon Irazusta; Ariadna Besga. 2020. "Multicomponent Physical Exercise in Older Adults after Hospitalization: A Randomized Controlled Trial Comparing Short- vs. Long-Term Group-Based Interventions." International Journal of Environmental Research and Public Health 17, no. 2: 666.
Age-related strength and muscle mass loss is further increased after acute periods of inactivity. To avoid this, resistance training has been proposed as an effective countermeasure, but the additional effect of a protein supplement is not so clear. The aim of this study was to examine the effect of a whey protein supplement enriched with leucine after resistance training on muscle mass and strength gains in a post-hospitalized elderly population. A total of 28 participants were included and allocated to either protein supplementation or placebo supplementation following resistance training for 12 weeks (2 days/week). Physical function (lower and upper body strength, aerobic capacity and the Short Physical Performance Battery (SPPB) test), mini nutritional assessment (MNA) and body composition (Dual X-ray Absorptiometry) were assessed at baseline and after 12 weeks of resistance training. Both groups showed improvements in physical function after the intervention (p < 0.01), but there were no further effects for the protein group (p > 0.05). Muscle mass did not improve after resistance training in either group (p > 0.05). In conclusion, 12 weeks of resistance training are enough to improve physical function in a post-hospitalized elderly population with no further benefits for the protein-supplemented group.
Maria Amasene; Ariadna Besga; Iñaki Echeverria; Miriam Urquiza; Jonatan R. Ruiz; Ana Rodriguez-Larrad; Mikel Aldamiz; Pilar Anaut; Jon Irazusta; Idoia Labayen. Effects of Leucine-Enriched Whey Protein Supplementation on Physical Function in Post-Hospitalized Older Adults Participating in 12-Weeks of Resistance Training Program: A Randomized Controlled Trial. Nutrients 2019, 11, 2337 .
AMA StyleMaria Amasene, Ariadna Besga, Iñaki Echeverria, Miriam Urquiza, Jonatan R. Ruiz, Ana Rodriguez-Larrad, Mikel Aldamiz, Pilar Anaut, Jon Irazusta, Idoia Labayen. Effects of Leucine-Enriched Whey Protein Supplementation on Physical Function in Post-Hospitalized Older Adults Participating in 12-Weeks of Resistance Training Program: A Randomized Controlled Trial. Nutrients. 2019; 11 (10):2337.
Chicago/Turabian StyleMaria Amasene; Ariadna Besga; Iñaki Echeverria; Miriam Urquiza; Jonatan R. Ruiz; Ana Rodriguez-Larrad; Mikel Aldamiz; Pilar Anaut; Jon Irazusta; Idoia Labayen. 2019. "Effects of Leucine-Enriched Whey Protein Supplementation on Physical Function in Post-Hospitalized Older Adults Participating in 12-Weeks of Resistance Training Program: A Randomized Controlled Trial." Nutrients 11, no. 10: 2337.
Falls in the elderly represent a major health problem. The etiology of falls is usually multifactorial. Special attention should be paid on benzodiazepines (BZDs) since they are widely used by older adults. A literature search of the PUBMED and EMBASE databases from January 2007 to February 2017 was conducted using the MeSH terms "benzodiazepines", "elderly" and "falls" or "accidental falls". The systematic review was performed according to PRISMA criteria. Of the 27 references selected for full reading from 235 found, 15 were eliminated and 12 papers were selected for systematic review. Exposure to BZDs was associated with a higher risk of falls in older adults, which is consistent with the results reported in the literature and previous reviews and meta-analyses. BZDs increase the risk of falling when used either as monotherapy or in combined therapies. It is preferable to use short-acting BZDs, to avoid cumulative effects over time predisposing to falls. A high proportion of falls in older adults are related to the use of BZDs. They should be prescribed to older patients in accordance with current clinical guidelines and reviewed over time. BZDs should be prescribed as a short-term therapy and progressively withdrawn. Short-acting BZDs should be the treatment of choice.
Mª José Díaz-Gutiérrez; Mónica Martínez-Cengotitabengoa; Estíbaliz Sáez de Adana; Ana Isabel Cano; Maria Teresa Martínez-Cengotitabengoa; Ariadna Besga; Rafael Segarra; Ana González-Pinto. Relationship between the use of benzodiazepines and falls in older adults: A systematic review. Maturitas 2017, 101, 17 -22.
AMA StyleMª José Díaz-Gutiérrez, Mónica Martínez-Cengotitabengoa, Estíbaliz Sáez de Adana, Ana Isabel Cano, Maria Teresa Martínez-Cengotitabengoa, Ariadna Besga, Rafael Segarra, Ana González-Pinto. Relationship between the use of benzodiazepines and falls in older adults: A systematic review. Maturitas. 2017; 101 ():17-22.
Chicago/Turabian StyleMª José Díaz-Gutiérrez; Mónica Martínez-Cengotitabengoa; Estíbaliz Sáez de Adana; Ana Isabel Cano; Maria Teresa Martínez-Cengotitabengoa; Ariadna Besga; Rafael Segarra; Ana González-Pinto. 2017. "Relationship between the use of benzodiazepines and falls in older adults: A systematic review." Maturitas 101, no. : 17-22.
Background.Emergency department (ED) readmissions are considered an indicator of healthcare quality that is particularly relevant in older adults. The primary objective of this study was to identify key factors for predicting patients returning to the ED within 30 days of being discharged.Methods.We analysed patients who attended our ED in June 2014, stratified into four groups based on the Kaiser pyramid. We collected data on more than 100 variables per case including demographic and clinical characteristics and drug treatments. We identified the variables with the highest discriminating power to predict ED readmission and constructed classifiers using machine learning methods to provide predictions.Results.Classifier performance distinguishing between patients who were and were not readmitted (within 30 days), in terms of average accuracy (AC). The variables with the greatest discriminating power were age, comorbidity, reasons for consultation, social factors, and drug treatments.Conclusions.It is possible to predict readmissions in stratified groups with high accuracy and to identify the most important factors influencing the event. Therefore, it will be possible to develop interventions to improve the quality of care provided to ED patients.
Ariadna Besga; Borja Ayerdi; Guillermo Alcalde; Alberto Manzano; Pedro Lopetegui; Manuel Graña; Ana González-Pinto. Risk Factors for Emergency Department Short Time Readmission in Stratified Population. BioMed Research International 2015, 2015, 1 -7.
AMA StyleAriadna Besga, Borja Ayerdi, Guillermo Alcalde, Alberto Manzano, Pedro Lopetegui, Manuel Graña, Ana González-Pinto. Risk Factors for Emergency Department Short Time Readmission in Stratified Population. BioMed Research International. 2015; 2015 ():1-7.
Chicago/Turabian StyleAriadna Besga; Borja Ayerdi; Guillermo Alcalde; Alberto Manzano; Pedro Lopetegui; Manuel Graña; Ana González-Pinto. 2015. "Risk Factors for Emergency Department Short Time Readmission in Stratified Population." BioMed Research International 2015, no. : 1-7.