{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T13:11:08Z","timestamp":1761311468338,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T00:00:00Z","timestamp":1550448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The mobility trajectories of hospitalized older people are heterogeneous, and there is a need to understand patient groups with similar trajectories. Our aims were to identify mobility trajectories of older patients admitted to geriatric wards in an English university hospital, and describe patient characteristics and outcomes associated with different mobility groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational study of first admissions to geriatric wards for 3\u2009months starting 1 May 2016 was carried out. Anonymized routinely collected clinical data was extracted from the electronic patient records: age, sex, Clinical Frailty Scale score, presence of delirium (yes\/no), diagnosis of dementia (yes\/no), Charlson Comorbidity Index, falls in the past year and the highest recorded Modified Early Warning Score in the Emergency Department. Physiotherapists routinely collected the Elderly Mobility Scale on admission and discharge; this information was entered in a K\u2010means cluster analysis to identify mobility trajectory groups. We compared clinical characteristics and outcomes between these groups and used logistic regression models to determine independent predictors of group membership.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall functional trajectory was improvement, from a median Elderly Mobility Scale of 11 on admission to 14 on discharge. Cluster analysis identified five mobility trajectory groups: low\u2010low (<jats:italic>n<\/jats:italic>\u2009=\u2009117), intermediate\u2010intermediate (<jats:italic>n<\/jats:italic>\u2009=\u200995), intermediate\u2010high (<jats:italic>n<\/jats:italic>\u2009=\u2009205), low\u2010high (<jats:italic>n<\/jats:italic>\u2009=\u200989) and high\u2010high (<jats:italic>n<\/jats:italic>\u2009=\u2009209). Higher frailty and the presence of cognitive impairment were associated with the low\u2010low and intermediate\u2010intermediate group membership, and negatively associated with the high\u2010high group membership.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of hospitalized patients experienced functional improvement. Frailty and cognitive impairment might be associated with poorer mobility trajectories and hence require early identification. <jats:bold>Geriatr Gerontol Int 2019; 19: 305\u2013310<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13623","type":"journal-article","created":{"date-parts":[[2019,2,19]],"date-time":"2019-02-19T01:48:51Z","timestamp":1550540931000},"page":"305-310","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Functional mobility trajectories of hospitalized older adults admitted to acute geriatric wards: A retrospective observational study in an English university hospital"],"prefix":"10.1111","volume":"19","author":[{"given":"Adam","family":"Lyons","sequence":"first","affiliation":[{"name":"School of Clinical Medicine University of Cambridge  Cambridge UK"},{"name":"Department of Medicine for the Elderly Addenbrooke's Hospital  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3882-7447","authenticated-orcid":false,"given":"Roman","family":"Romero\u2010Ortuno","sequence":"additional","affiliation":[{"name":"Department of Medicine for the Elderly Addenbrooke's Hospital  Cambridge UK"},{"name":"Clinical Gerontology Unit, Department of Public Health and Primary Care University of Cambridge  Cambridge UK"},{"name":"Discipline of Medical Gerontology, Trinity College Dublin, Mercer's Institute for Successful Aging St James's Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1033-5897","authenticated-orcid":false,"given":"Peter","family":"Hartley","sequence":"additional","affiliation":[{"name":"Primary Care Unit, Department of Public Health and Primary Care University of Cambridge  Cambridge UK"},{"name":"Department of Physiotherapy Addenbrooke's Hospital  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glq069"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glp015"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31828cd2b6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12827"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03239.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13193"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glw096"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12164"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/60.12.1576"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcv066"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2685"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.08.033"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(10)60612-8"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/026921559701100412"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-44"},{"key":"e_1_2_7_18_1","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. Vienna Austria.: R Foundation for Statistical Computing 2018. Retrieved from URL:https:\/\/www.R-project.org\/."},{"key":"e_1_2_7_19_1","doi-asserted-by":"crossref","unstructured":"Wickham H.ggplot2: Elegant Graphics for Data Analysis. New York: Springer\u2010Verlag 2016.","DOI":"10.1007\/978-3-319-24277-4"},{"key":"e_1_2_7_20_1","unstructured":"Mail Online. How just 10 days in hospital can make a patient 10 years older.2016. Available from URL:https:\/\/www.dailymail.co.uk\/health\/article-3609849\/How-just-10-days-hospital-make-patient-10-years-older.html. Accessed July 2018."},{"key":"e_1_2_7_21_1","first-page":"877","article-title":"Heterogeneity of human aging and its assessment","volume":"72","author":"Mitnitski A","year":"2017","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"e_1_2_7_22_1","first-page":"920","article-title":"Frailty affects the initial treatment response and time to recovery of mobility in acutely ill older adults admitted to hospital","volume":"46","author":"Hatheway OL","year":"2017","journal-title":"Age Ageing"},{"key":"e_1_2_7_23_1","first-page":"559","article-title":"The association between cognitive impairment and functional outcome in hospitalised older patients: a systematic review and meta\u2010analysis","volume":"46","author":"Hartley P","year":"2017","journal-title":"Age Ageing"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv131"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001772"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.12.084"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2077"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl160"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.02.012"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fggi.13623","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.13623","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.13623","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.13623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T13:37:44Z","timestamp":1694353064000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.13623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,18]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/ggi.13623"],"URL":"https:\/\/doi.org\/10.1111\/ggi.13623","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"type":"print","value":"1444-1586"},{"type":"electronic","value":"1447-0594"}],"subject":[],"published":{"date-parts":[[2019,2,18]]},"assertion":[{"value":"2018-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}