Handgrip strength predicts disability in older emergency department patients: a prospective cohort study
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| Format: | Artículo científico |
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Sociedade Brasileira de Geriatria e Gerontologia
2024
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| _version_ | 1876424741828427776 |
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| author | Victor de Carvalho Brito Pontes |
| author_facet | Victor de Carvalho Brito Pontes |
| contents | Handgrip strength predicts disability in older emergency department patients: a prospective cohort study Victor de Carvalho Brito Pontes Jair Licio Ferreira Santos Laís Araújo dos Santos-Vilar Eduardo Ferriolli Multidisciplinaria (Ciencias Naturales y Exactas) sarcopenia Mmergency care Activities of Daily Living muscle strength dynamometer Objective: This study assessed handgrip strength as a predictor of disability in activities of daily living in older emergency department patients 60 and 90 days after discharge.Methods: This prospective cohort study was conducted in the emergency department of a tertiary university hospital in Brazil. The sample consisted of 320 patients aged ≥ 65 years who were assessed within 48 hours of admission. The Katz Index was used to assess activities of daily living performance, and handgrip strength was measured with a hydraulic dynamometer. Participants were followed up 60 and 90 days after hospital discharge. The variables were entered into a bivariate regression analysis model.Results: A total of 177 (55.3%) patients had reduced handgrip strength according to EWGSOP2 criteria. After 60 days, disability occurred in 17.8% and 5.6% of those with reduced and normal HGS, respectively (OR 3.94; 95%CI 1.52 – 10.19, p = 0.005). After 90 days, disability occurred in 15.1% and 4.1% of those with reduced and normal HGS, respectively (OR 4.44; 95% CI 1.50 – 13.14, p = 0.007).Conclusions: Dynamometric measurement of HGS should be performed in all older emergency department patients to detect those at greater risk of medium-term disability. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769035 https://www.redalyc.org/journal/7397/739777769035/ https://www.redalyc.org/journal/7397/739777769035/html/ https://www.redalyc.org/journal/7397/739777769035/739777769035.epub https://www.redalyc.org/journal/7397/739777769035/movil 10.53886/gga.e0000142_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| format | Artículo científico |
| id | redalyc_739777769035 |
| institution | Redalyc |
| language | en |
| publishDate | 2024 |
| publisher | Sociedade Brasileira de Geriatria e Gerontologia |
| spellingShingle | Handgrip strength predicts disability in older emergency department patients: a prospective cohort study Victor de Carvalho Brito Pontes Multidisciplinaria (Ciencias Naturales y Exactas) sarcopenia Mmergency care Activities of Daily Living muscle strength dynamometer Handgrip strength predicts disability in older emergency department patients: a prospective cohort study Victor de Carvalho Brito Pontes Jair Licio Ferreira Santos Laís Araújo dos Santos-Vilar Eduardo Ferriolli Multidisciplinaria (Ciencias Naturales y Exactas) sarcopenia Mmergency care Activities of Daily Living muscle strength dynamometer Objective: This study assessed handgrip strength as a predictor of disability in activities of daily living in older emergency department patients 60 and 90 days after discharge.Methods: This prospective cohort study was conducted in the emergency department of a tertiary university hospital in Brazil. The sample consisted of 320 patients aged ≥ 65 years who were assessed within 48 hours of admission. The Katz Index was used to assess activities of daily living performance, and handgrip strength was measured with a hydraulic dynamometer. Participants were followed up 60 and 90 days after hospital discharge. The variables were entered into a bivariate regression analysis model.Results: A total of 177 (55.3%) patients had reduced handgrip strength according to EWGSOP2 criteria. After 60 days, disability occurred in 17.8% and 5.6% of those with reduced and normal HGS, respectively (OR 3.94; 95%CI 1.52 – 10.19, p = 0.005). After 90 days, disability occurred in 15.1% and 4.1% of those with reduced and normal HGS, respectively (OR 4.44; 95% CI 1.50 – 13.14, p = 0.007).Conclusions: Dynamometric measurement of HGS should be performed in all older emergency department patients to detect those at greater risk of medium-term disability. 2024 artículo científico 2447-2115 https://www.redalyc.org/articulo.oa?id=739777769035 https://www.redalyc.org/journal/7397/739777769035/ https://www.redalyc.org/journal/7397/739777769035/html/ https://www.redalyc.org/journal/7397/739777769035/739777769035.epub https://www.redalyc.org/journal/7397/739777769035/movil 10.53886/gga.e0000142_EN en http://www.redalyc.org/revista.oa?id=7397 Geriatrics, Gerontology and Aging application/pdf Sociedade Brasileira de Geriatria e Gerontologia Geriatrics, Gerontology and Aging (Brasil) Vol.18 |
| title | Handgrip strength predicts disability in older emergency department patients: a prospective cohort study |
| topic | Multidisciplinaria (Ciencias Naturales y Exactas) sarcopenia Mmergency care Activities of Daily Living muscle strength dynamometer |
| url | https://www.redalyc.org/articulo.oa?id=739777769035 https://www.redalyc.org/journal/7397/739777769035/ https://www.redalyc.org/journal/7397/739777769035/html/ https://www.redalyc.org/journal/7397/739777769035/739777769035.epub https://www.redalyc.org/journal/7397/739777769035/movil |