PMID- 17364783
OWN - NLM
STAT- MEDLINE
DCOM- 20070412
LR  - 20191210
IS  - 0963-8288 (Print)
IS  - 0963-8288 (Linking)
VI  - 29
IP  - 4
DP  - 2007 Feb 28
TI  - The association between patients' cognitive status and rehabilitation outcome in 
      a geriatric day hospital.
PG  - 333-7
AB  - PURPOSE: To assess whether and to what extent cognitive status affects functional 
      gain in mobility and extended activities of daily living (ADL) in patients 
      admitted to a geriatric day hospital. METHODS: During 2003, 135 older patients 
      admitted to a rehabilitation day hospital were evaluated by the Mini Mental State 
      Examination (MMSE) and the Cognitive Functional Independence Measure (FIM). On 
      admission and at discharge, they were assessed by the Nottingham Extended ADL 
      Index (NEAI) and the Timed Get Up and Go test (TUG). RESULTS: Orthopedic and 
      stroke patients achieved significant functional gain in mobility regardless of 
      their cognitive status. Nevertheless, cognitively intact stroke patients achieved 
      higher admission and discharge NEAI scores, manifesting greater absolute 
      functional gain than cognitively impaired patients. The patients' ability to 
      extract their rehabilitation potential was significantly better. CONCLUSIONS: 
      Cognitively impaired patients can improve in mobility and performance of extended 
      ADL during day hospital rehabilitation. Evaluation of the patients' cognitive 
      status may enable the multidisciplinary team to develop suitable individual 
      programs and better allocate resources. Cognitively intact stroke patients may 
      benefit from extended rehabilitation treatment compared to impaired stroke 
      patients as they are more capable of utilizing their potential to achieve 
      independence in daily tasks.
FAU - Hershkovitz, Avital
AU  - Hershkovitz A
AD  - 'Beit Rivka' Geriatric Rehabilitation Center, Petach Tikva, and Sackler School of 
      Medicine, Tel Aviv University, Israel. avitalhe@clalit.org.il
FAU - Brill, Shai
AU  - Brill S
LA  - eng
PT  - Journal Article
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Aged
MH  - Cognition/*physiology
MH  - Day Care, Medical
MH  - Disability Evaluation
MH  - Female
MH  - Health Services for the Aged
MH  - Humans
MH  - Israel
MH  - Male
MH  - Musculoskeletal Diseases/physiopathology/*rehabilitation
MH  - Neuropsychological Tests
MH  - *Outcome Assessment, Health Care
MH  - Stroke/physiopathology
MH  - *Stroke Rehabilitation
EDAT- 2007/03/17 09:00
MHDA- 2007/04/14 09:00
CRDT- 2007/03/17 09:00
PHST- 2007/03/17 09:00 [pubmed]
PHST- 2007/04/14 09:00 [medline]
PHST- 2007/03/17 09:00 [entrez]
AID - 770516697 [pii]
AID - 10.1080/09638280600787096 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2007 Feb 28;29(4):333-7. doi: 10.1080/09638280600787096.