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Handgrip strength predicts functional decline at discharge in hospitalized male elderly: a hospital cohort study

dc.rights.licensehttp://creativecommons.org/licenses/by/4.0es_MX
dc.creatorMaría del Carmen García Peñaes_MX
dc.creatorLuis Cuitlahuac García-Fabelaes_MX
dc.creatorLUIS MIGUEL FRANCISCO GUTIERREZ ROBLEDOes_MX
dc.creatorJOSE JUAN GARCIA GONZALEZes_MX
dc.creatorVICTORIA EUGENIA ARANGO LOPERAes_MX
dc.creatorMARIO ULISES PEREZ ZEPEDAes_MX
dc.date2013
dc.date.accessioned2019-01-14T17:25:19Z
dc.date.available2019-01-14T17:25:19Z
dc.identifier.urihttp://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17153
dc.descriptionAbstract: Functional decline after hospitalization is a common adverse outcome in elderly. An easy to use, reproducible and accurate tool to identify those at risk would aid focusing interventions in those at higher risk. Handgrip strength has been shown to predict adverse outcomes in other settings. The aim of this study was to determine if handgrip strength measured upon admission to an acute care facility would predict functional decline (either incident or worsening of preexisting) at discharge among older Mexican, stratified by gender. In addition, cutoff points as a function of specificity would be determined. A cohort study was conducted in two hospitals in Mexico City. The primary endpoint was functional decline on discharge, defined as a 30-point reduction in the Barthel Index score from that of the baseline score. Handgrip strength along with other variables was measured at initial assessment, including: instrumental activities of daily living, cognition, depressive symptoms, delirium, hospitalization length and quality of life. All analyses were stratified by gender. Logistic regression to test independent association between handgrip strength and functional decline was performed, along with estimation of handgrip strength test values (specificity, sensitivity, area under the curve, etc.). A total of 223 patients admitted to an acute care facility between 2007 and 2009 were recruited. A total of 55 patients (24.7%) had functional decline, 23.46% in male and 25.6% in women. Multivariate analysis showed that only males with low handgrip strength had an increased risk of functional decline at discharge (OR 0.88, 95% CI 0.79–0.98, p = 0.01), with a specificity of 91.3% and a cutoff point of 20.65 kg for handgrip strength. Females had not a significant association between handgrip strength and functional decline. Measurement of handgrip strength on admission to acute care facilities may identify male elderly patients at risk of having functional decline, and intervene consequently.es_MX
dc.formatAdobe PDFes_MX
dc.languageenges_MX
dc.publisherPublic Library of Sciencees_MX
dc.relationhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0069849es_MX
dc.relation.requiresSies_MX
dc.rightsAcceso Abiertoes_MX
dc.sourcePlos One (1932-6203) vol. 8 (2013)es_MX
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_MX
dc.subjectCiencias médicases_MX
dc.subjectCiencias clínicases_MX
dc.subjectGeriatríaes_MX
dc.subjectMétodos de evaluación geriátricaes_MX
dc.subjectFisiología de la fuerza de la manoes_MX
dc.subjectPersonas mayoreses_MX
dc.subjectAdultoses_MX
dc.subjectMéxicoes_MX
dc.subjectGeriatricses_MX
dc.subjectGeriatric assessment metodses_MX
dc.subjectHand strenght physiologyes_MX
dc.subjectElderlyes_MX
dc.subjectAgedes_MX
dc.titleHandgrip strength predicts functional decline at discharge in hospitalized male elderly: a hospital cohort studyes_MX
dc.typeArtículoes_MX
dc.audienceResearcherses_MX
dc.creator.idGAPC560716MDFRXR00es_MX
dc.creator.id0000-0003-3883-5508es_MX
dc.creator.idGURL571005HDFTBS14es_MX
dc.creator.idGAGJ730123HMCRNN03es_MX
dc.creator.idAALV680413MNERPC04es_MX
dc.creator.idPEZM760111HDFRPR07es_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifierorcides_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX


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