{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T05:24:42Z","timestamp":1775366682711,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T00:00:00Z","timestamp":1525219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"VA Rehabilitation Research & Development Merit Review Grant","award":["E7036R"],"award-info":[{"award-number":["E7036R"]}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify trajectories of recovery of community mobility in acutely ill older adults using the University of Alabama at Birmingham Life\u2010Space Assessment (LSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observation cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Central Alabama, Birmingham Veterans Affairs Medical Center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010dwelling adults aged 65 and older hospitalized for nonsurgical medical reasons (N=173).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>We determined LSA scores for the month before and monthly for 6 months after hospitalization (composite scores ranging from 0\u2013120, with 120 reflecting completely unrestricted mobility).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the month after hospitalization, 92 (53%) participants had a clinically significant decrease in life\u2010space mobility, while 42 (24%) were unchanged, and 39 (23%) had an increase from the month preceding hospitalization. Of participants with a life\u2010space decrease, the majority recovered their prehospitalization mobility status during 6 months of follow\u2010up, whereas 34% did not recover. Participants whose life\u2010space decreased were hospitalized significantly longer (P=.01) and, on average, had higher prehospital life\u2010space scores (P=.01) than those who maintained or increased their life\u2010space.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A clinically significant loss of community mobility was common after hospitalization, but most participants recovered to prehospitalization mobility within 6 months of discharge. Research examining in\u2010hospital and posthospitalization interventions to achieve faster recovery of community mobility is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15397","type":"journal-article","created":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T14:08:07Z","timestamp":1525270087000},"page":"1399-1403","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Trajectories of Community Mobility Recovery After Hospitalization in Older Adults"],"prefix":"10.1111","volume":"66","author":[{"given":"Christine","family":"Loyd","sequence":"first","affiliation":[{"name":"Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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