PMID- 38491314
OWN - NLM
STAT- Publisher
LR  - 20240430
IS  - 1878-7649 (Print)
IS  - 1878-7649 (Linking)
DP  - 2024 Mar 15
TI  - Intrinsic capacity and hospitalization among older adults: a nationally 
      representative cross-sectional study.
LID - 10.1007/s41999-024-00933-y [doi]
AB  - PURPOSE: Monitoring intrinsic capacity (IC) in community-dwelling older people 
      can be potentially used to alert for adverse health outcomes. However, whether 
      there is an association between IC and hospitalization has yet to be fully 
      explored. This study aimed to investigate the association of the IC composite 
      measure and its 5 domains with hospitalization in the previous year and length of 
      hospital stay. METHODS: We conducted cross-sectional analyses using data from a 
      representative sample of community-dwelling adults (>/= 65 years). We assessed the 
      IC domains (vitality, locomotor, cognitive, sensory, and psychological) using 
      validated self-reported information and performance tests. We calculated 
      standardized estimated scores (z scores) for IC composite measure and domains and 
      conducted multivariate logistic and ordinal regressions. The primary outcomes 
      were hospitalizations in the previous year and length of hospital stay. RESULTS: 
      In a sample of 5354 participants (mean age = 73 +/- 6 years), we found that 
      participants with high IC composite z scores were less likely to have experienced 
      hospitalization in the previous year (OR = 0.51; 95% CI = 0.44-0.58). Among those 
      who were hospitalized, high IC scores were associated with short stays 
      (OR = 0.87; 95% CI = 0.80-0.95). Cognitive and psychological domains were 
      associated with hospitalizations, and the locomotor domain was related to length 
      of hospital stay. The vitality domain was associated with both outcomes. 
      CONCLUSION: IC as a composite measure was associated with previous 
      hospitalizations and length of stay. IC can help clinicians identify older people 
      prone to adverse outcomes, prompting preventive integrated care interventions.
CI  - (c) 2024. The Author(s), under exclusive licence to European Geriatric Medicine 
      Society.
FAU - Hernandes, Elisangela Cristina Ramos
AU  - Hernandes ECR
AUID- ORCID: 0000-0003-1770-1893
AD  - Masters' and Doctoral Programs in Physical Therapy, Universidade Cidade de Sao 
      Paulo, Rua Cesareo Galeno, 448, Tatuape, Sao Paulo, 03071-000, Brazil.
FAU - Aliberti, Marlon Juliano Romero
AU  - Aliberti MJR
AUID- ORCID: 0000-0001-7467-1745
AD  - Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de 
      Geriatria, Hospital das Clinicas, Disciplina de Geriatria, Faculdade de Medicina, 
      Universidade de Sao Paulo, Sao Paulo, Brazil.
AD  - Research Institute, Hospital Sirio-Libanes, Sao Paulo, Brazil.
FAU - Guerra, Ricardo Oliveira
AU  - Guerra RO
AUID- ORCID: 0000-0003-3824-3713
AD  - Department of Physiotherapy, Universidade Federal do Rio Grande do Norte, Natal, 
      Rio Grande do Norte, Brazil.
FAU - Ferriolli, Eduardo
AU  - Ferriolli E
AUID- ORCID: 0000-0002-5028-2451
AD  - Laboratorio de Investigacao Medica em Envelhecimento (LIM-66), Servico de 
      Geriatria, Hospital das Clinicas, Disciplina de Geriatria, Faculdade de Medicina, 
      Universidade de Sao Paulo, Sao Paulo, Brazil.
FAU - Perracini, Monica Rodrigues
AU  - Perracini MR
AUID- ORCID: 0000-0001-9331-3820
AD  - Masters' and Doctoral Programs in Physical Therapy, Universidade Cidade de Sao 
      Paulo, Rua Cesareo Galeno, 448, Tatuape, Sao Paulo, 03071-000, Brazil. 
      monica.perracini@unicid.edu.br.
AD  - Master's and Doctoral Programs in Gerontology, Faculty of Medical Sciences, 
      Universidade Estadual de Campinas, Campinas, Brazil. 
      monica.perracini@unicid.edu.br.
LA  - eng
PT  - Journal Article
DEP - 20240315
PL  - Switzerland
TA  - Eur Geriatr Med
JT  - European geriatric medicine
JID - 101533694
SB  - IM
OTO - NOTNLM
OT  - Hospitalization
OT  - Intrinsic capacity
OT  - Older people
OT  - Vitality
EDAT- 2024/03/16 21:43
MHDA- 2024/03/16 21:43
CRDT- 2024/03/16 00:34
PHST- 2023/09/29 00:00 [received]
PHST- 2024/01/04 00:00 [accepted]
PHST- 2024/03/16 21:43 [pubmed]
PHST- 2024/03/16 21:43 [medline]
PHST- 2024/03/16 00:34 [entrez]
AID - 10.1007/s41999-024-00933-y [pii]
AID - 10.1007/s41999-024-00933-y [doi]
PST - aheadofprint
SO  - Eur Geriatr Med. 2024 Mar 15. doi: 10.1007/s41999-024-00933-y.