{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:23:37Z","timestamp":1793658217028,"version":"4.5.1"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,1,17]],"date-time":"2015-01-17T00:00:00Z","timestamp":1421452800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003977","name":"Israeli Science Foundation","doi-asserted-by":"crossref","award":["565\/08"],"award-info":[{"award-number":["565\/08"]}],"id":[{"id":"10.13039\/501100003977","id-type":"DOI","asserted-by":"crossref"}]},{"name":"HMO Clalit Health Services","id":[{"id":"https:\/\/ror.org\/04zjvnp94","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the combined contribution of processes of hospitalization and preadmission individual risk factors in explaining functional decline at discharge and at 1\u2010month follow\u2010up in older adults with nondisabling conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Internal medicine wards in two Israeli medical centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Six hundred eighty\u2010four individuals aged 70 and older admitted for a nondisabling problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Functional decline was measured according to change in modified Barthel Index from premorbid to discharge and from premorbid to 1 month after discharge. In\u2010hospital mobility, continence care, sleep medication consumption, satisfaction with hospital environment, and nutrition intake were assessed using previously tested self\u2010report instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred eighty\u2010two participants (41.2%) reported functional decline at discharge and 317 (46.3%) at 1\u00a0month after discharge. Path analysis indicated that in\u2010hospital mobility (standardized maximum likelihood estimate (\n                      <jats:styled-content style=\"fixed-case\">SMLE<\/jats:styled-content>\n                      )\u00a0=\u00a0\u22120.48,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), continence care (\n                      <jats:styled-content style=\"fixed-case\">SMLE<\/jats:styled-content>\n                      \u00a0=\u00a0\u22120.12,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and length of stay (\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      ) (\n                      <jats:styled-content style=\"fixed-case\">SMLE<\/jats:styled-content>\n                      \u00a0=\u00a00.06,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) were directly related to functional decline at discharge and, together with personal risk factors, explained 64% of variance. In\u2010hospital mobility, continence care, and\n                      <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content>\n                      were indirectly related to functional decline at 1\u00a0month after discharge through functional decline at discharge (\n                      <jats:styled-content style=\"fixed-case\">SMLE<\/jats:styled-content>\n                      \u00a0=\u00a00.45,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Nutrition consumption (\n                      <jats:styled-content style=\"fixed-case\">SMLE<\/jats:styled-content>\n                      \u00a0=\u00a0\u22120.07,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) was significantly related to functional decline at 1\u00a0month after discharge, explaining, together with other risk factors, 32% of variance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In\u2010hospital low mobility, suboptimal continence care, and poor nutrition account for immediate and 1\u2010month posthospitalization functional decline. These are potentially modifiable hospitalization risk factors for which practice and policy should be targeted in efforts to curb the posthospitalization functional decline trajectory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13193","type":"journal-article","created":{"date-parts":[[2015,1,17]],"date-time":"2015-01-17T04:55:51Z","timestamp":1421470551000},"page":"55-62","source":"Crossref","is-referenced-by-count":382,"title":["Hospital\u2010Associated Functional Decline: The Role of Hospitalization Processes Beyond Individual Risk Factors"],"prefix":"10.1111","volume":"63","author":[{"given":"Anna","family":"Zisberg","sequence":"first","affiliation":[{"name":"Cheryl Spencer Department of Nursing Faculty of Social Welfare and Health Sciences University of Haifa Mount Carmel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrat","family":"Shadmi","sequence":"additional","affiliation":[{"name":"Cheryl Spencer Department of Nursing Faculty of 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