{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T07:49:54Z","timestamp":1784792994725,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,2,2]],"date-time":"2017-02-02T00:00:00Z","timestamp":1485993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,5]]},"abstract":"\n Objectives<\/jats:title>\n \n To describe the association between restricted life\u2010space and characteristics of community\u2010dwelling adults hospitalized for congestive heart failure (\n CHF<\/jats:styled-content>\n ) or chronic obstructive pulmonary disease (\n COPD<\/jats:styled-content>\n ), to estimate the effect of hospitalization on postdischarge mobility, and to determine whether baseline restricted life\u2010space predicts hospital readmission.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Observational.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Urban academic hospital that serves as a safety net for urban and rural populations with low resources and serves central and northern Alabama.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Individuals with\n CHF<\/jats:styled-content>\n or\n COPD<\/jats:styled-content>\n hospitalized from home (N = 478).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n The Life\u2010Space Assessment (\n LSA<\/jats:styled-content>\n ) measures mobility by asking about movement in situations ranging from within one's dwelling to beyond one's town.\n LSA<\/jats:styled-content>\n scores below 60 correspond to \u201crestricted life\u2010space.\u201d Baseline\n LSA<\/jats:styled-content>\n scores before admission were measured during an index hospitalization; follow\u2010up\n LSA<\/jats:styled-content>\n scores were determined over the telephone at 90 days. Participant characteristics were examined according to baseline restricted life\u2010space using the chi\u2010square test and Student's\n t<\/jats:italic>\n \u2010test. Each characteristic's association with restricted life\u2010space was estimated uisng logistic regression.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of the participants, 372 (77.8%) were classified as having baseline restricted life\u2010space. Baseline restricted life\u2010space was associated with older age (odds ratio (OR) = 1.29 per decade, 95% confidence interval (\n CI<\/jats:styled-content>\n ) = 1.17\u20131.42,\n P<\/jats:italic>\n = .001), female sex (\n OR<\/jats:styled-content>\n = 2.69, 95%\n CI<\/jats:styled-content>\n = 1.69\u20134.29,\n P<\/jats:italic>\n < .001), African\u2010American race (\n OR<\/jats:styled-content>\n = 1.55, 95%\n CI<\/jats:styled-content>\n = 1.00\u20132.41,\n P<\/jats:italic>\n = .05), and having inadequate financial resources (\n OR<\/jats:styled-content>\n = 2.03, 95%\n CI<\/jats:styled-content>\n = 1.22\u20133.38,\n P<\/jats:italic>\n = .006). In the baseline unrestricted life\u2010space group, 49.5% (n = 49) had restricted life\u2010space at 90\u2010day follow\u2010up. Baseline restricted life\u2010space was associated with greater odds of 90\u2010day hospital readmission (unadjusted\n OR<\/jats:styled-content>\n = 1.64, 95%\n CI<\/jats:styled-content>\n = 1.00\u20132.70,\n P<\/jats:italic>\n = .05; adjusted\n OR<\/jats:styled-content>\n = 1.72, 95%\n CI<\/jats:styled-content>\n = 1.04\u20132.85,\n P<\/jats:italic>\n = .03).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Baseline restricted life\u2010space was associated with greater risk of hospital readmission within 90 days after hospital discharge. These findings suggest a need to customize the management of individuals hospitalized with\n CHF<\/jats:styled-content>\n or\n COPD<\/jats:styled-content>\n based on baseline life\u2010space level.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14739","type":"journal-article","created":{"date-parts":[[2017,2,2]],"date-time":"2017-02-02T11:48:55Z","timestamp":1486036135000},"page":"1004-1011","source":"Crossref","is-referenced-by-count":38,"title":["Life\u2010Space Assessment Predicts Hospital Readmission in Home\u2010Limited Adults"],"prefix":"10.1111","volume":"65","author":[{"given":"Roya","family":"Fathi","sequence":"first","affiliation":[{"name":"Division of Geriatrics University of California at San Francisco San Francisco California"},{"name":"Division of Geriatrics San Francisco Veterans Affairs Medical Center San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Bacchetti","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of California at San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary N.","family":"Haan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of California at San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas K.","family":"Houston","sequence":"additional","affiliation":[{"name":"Quantitative Health Sciences University of Massachusetts Medical School Worcester Massachusetts"},{"name":"Center for Healthcare Organization and Implementation Research Bedford Veterans Affairs Medical Center Bedford Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanan","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Geriatrics University of California at San Francisco San Francisco California"},{"name":"Center for Research on Aging Jewish Home of San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine S.","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Division of Geriatrics University of California at San Francisco San Francisco California"},{"name":"Center for Research on Aging Jewish Home of San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.1849"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.1008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03161.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01641.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.4.411"},{"key":"e_1_2_6_8_1","unstructured":"UAB Study of Aging[on\u2010line]. 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