{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T10:55:49Z","timestamp":1791111349696,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T00:00:00Z","timestamp":1504051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to investigate the incidence of, and factors associated with, in\u2010hospital functional decline among older acute hospital patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a prospective observational study of consecutive patients admitted under geriatric medicine over 5 years. The primary outcome measure was functional decline between admission and discharge, representing deterioration in any of the following: Modified Barthel Index (MBI), independence in Timed Up and Go test or walking, and\/or need for walking aid.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 56% (950\/1693) patients (mean age 81.9 years) exhibited in\u2010hospital functional decline. Premorbid MBI (odds ratio (OR) 1.05 per unit increase, P &lt; 0.001), adverse drug reaction (OR 1.50, P = 0.001) and in\u2010hospital consultation as the referral source (OR 1.57, P = 0.001) were independently associated with functional decline, adjusting for age, dementia and nursing home residence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These factors may aid identification of vulnerable patients who might particularly benefit from targeted multidisciplinary intervention. Further studies validating this, and exploring the impact of focussed management, are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.12458","type":"journal-article","created":{"date-parts":[[2017,8,31]],"date-time":"2017-08-31T09:03:01Z","timestamp":1504170181000},"source":"Crossref","is-referenced-by-count":24,"title":["Predictors on admission of functional decline among older patients hospitalised for acute care: A prospective observational study"],"prefix":"10.1111","volume":"36","author":[{"given":"David","family":"Basic","sequence":"first","affiliation":[{"name":"Department of Geriatric Medicine Liverpool Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-9718","authenticated-orcid":false,"given":"Danielle","family":"N\u00ed Chr\u00f3in\u00edn","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Liverpool Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Conforti","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Liverpool Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Shanley","sequence":"additional","affiliation":[{"name":"Centre for Applied Nursing Research Western Sydney University; and Ingham Institute for Applied Medical Research Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2016.01.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.02023.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.9.M569"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh036"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2008.01930.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp097"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/60.12.1576"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01579.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03409.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq069"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-010-0086-x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/aft181"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2369-14-228"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.010440"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-015-0176-z"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4032"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2010.04.003"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-1610"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13193"},{"key":"e_1_2_8_21_1","volume-title":"Diabetes in Culturally and Linguistically Diverse Australians: Identification of Communities at High Risk","author":"Thow AM","year":"2005"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288809164105"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2004.11.1.13405"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2009.02040.x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b50"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1556"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm089"},{"key":"e_1_2_8_29_1","unstructured":"Agency for Clinical Innovation.Minimum Standards for the Management of Hip Fractures. 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