{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:21:20Z","timestamp":1777638080379,"version":"3.51.4"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["0786_CAP4ie_4_P"],"award-info":[{"award-number":["0786_CAP4ie_4_P"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Aging"],"abstract":"<jats:p><jats:bold>Aim:<\/jats:bold> In this study, we analyze the relationship between the functional profile of older people admitted to long-term care units in Portugal and some demographic variables such as education level, sex, and age as well as the emotional state of mind.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A sample of 59,516 older people from the National Network of Integrated Continuous Care of Portugal were analyzed in this longitudinal study. All the retrospective data of the older people were collected during the period of hospitalization at the long-term care units. The database records of these units were analyzed, and a functional profile spanning the period of hospitalization was calculated.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Activities of daily living and cognitive states improved, in the first 90\u00a0days of hospitalization, while mobility and instrumental activities of daily living worsened for the same period of 90\u00a0days. Generally, there was a decline in all domains after 450\u00a0days of hospitalization. The older women that did not attend school, those over 85\u00a0years old, and those who suffered from anxiety were pre-dominantly placed in the group of those with greater dependence (severe\/complete dependence).<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The participants hospitalized between 90 and 360\u00a0days presented the best results in the long-term care units of the National Network of Integrated Continuous Care of Portugal. With this study, we highlight the importance of evaluating the functional status of persons in long-term hospitalizations and the influence exerted by the level of education on the recovery and rehabilitation of dependence.<\/jats:p>","DOI":"10.3389\/fragi.2023.1192718","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T04:26:41Z","timestamp":1683174401000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Long-term care units: a Portuguese study about the functional profile"],"prefix":"10.3389","volume":"4","author":[{"given":"C\u00e9sar","family":"Fonseca","sequence":"first","affiliation":[]},{"given":"Ana","family":"Ramos","sequence":"additional","affiliation":[]},{"given":"Bruno","family":"Morgado","sequence":"additional","affiliation":[]},{"given":"Paulo","family":"Quaresma","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9","family":"Garcia-Alonso","sequence":"additional","affiliation":[]},{"given":"Anabela","family":"Coelho","sequence":"additional","affiliation":[]},{"given":"Manuel","family":"Lopes","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2333721418796663","DOI":"10.1177\/2333721418796663","article-title":"Geographical differences in perceived health status among older adults in Ghana: Do gender and educational status matter?","volume":"4","author":"Abalo","year":"2018","journal-title":"Gerontology Geriatric Med."},{"key":"B2","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1111\/hsc.12678","article-title":"The relationship between frailty, functional dependence, and healthcare needs among community-dwelling people with moderate to severe dementia","volume":"27","author":"Abreu","year":"2019","journal-title":"Health and Soc. care community"},{"key":"B3","unstructured":"Monitoriza\u00e7\u00e3o da rede nacional de cuidados continuados integrados (rncci)\n            Administra\u00e7\u00e3o Central do Sistema de Sa\u00fade (Acss)\n          2014"},{"key":"B4","unstructured":"Monitoriza\u00e7\u00e3o mensal da RNCCI: Janeiro de 2016\n            Administra\u00e7\u00e3o Central do Sistema de Sa\u00fade (Acss)"},{"key":"B5","first-page":"87","article-title":"Aging and functionality of the institutionalized elderly people of Alto Alentejo: Contributions to the diagnosis of the situation","author":"Arco","year":"2021"},{"key":"B6","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1186\/s12889-019-6961-4","article-title":"Multimorbidity and care dependence in older adults: A longitudinal analysis of findings from the 10\/66 study","volume":"19","author":"Bao","year":"2019","journal-title":"BMC Public Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s12877-021-02127-8","article-title":"Body mass index, performance on activities of daily living and cognition: Analysis in two different populations","volume":"21","author":"Borda","year":"2021","journal-title":"BMC Geriatr."},{"key":"B8","volume-title":"Autonomia Funcional em Idosos: Caracteriza\u00e7\u00e3o multidimensional em idosos utentes de um centro de sa\u00fade urbano","author":"Botelho","year":"1999"},{"key":"B9","doi-asserted-by":"publisher","first-page":"11153","DOI":"10.3390\/ijerph191811153","article-title":"Mental health patient-reported outcomes and experiences assessment in Portugal","volume":"19","author":"Coelho","year":"2022","journal-title":"Int. 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