Article

OBJECTIVE: To determine effectiveness of inpatient rehabilitation interventions
with older deconditioned adults following an acute hospital admission. DATA
SOURCES: Systematic review of randomised controlled trials (RCTs) from 14
electronic databases from their inception to February 2014. REVIEW METHODS:
Studies selected concerned inpatient rehabilitation, single or multi-factorial
interventions, conducted by any discipline, where participants were aged 55 years
or older and 50% or more could be classed as deconditioned. Studies were excluded
if they focused on acute onset of disability conditions. Data were extracted
using the McMaster Quantitative Review Form and appraised using the PEDro Rating
Scale. RESULTS: No RCTs were found that specifically addressed the aim. Four
studies were reviewed describing multi-disciplinary rehabilitation programs that
aimed to reduce functional decline in older adults, with inconsistent findings.
However, in two studies participants showed a positive improvement in completing
basic activities of daily living (ADL) following multi-disciplinary
rehabilitation, one at discharge (median change score Intervention
(I)0.23:Control (C)0.15,P=<0.001) and one at 12-months post discharge (I-48.4%:
C-25.4% (P0.001) Relative Risk (RR)1.90 95%CI: 1.15-3.16 (reviewer calculated)).
Discharge to home was also measured in two studies with participants in the
intervention groups having a higher probability of going home (I-55.6%: C-36.7 %,
RR 1.52 95%CI: 1.02-2.26 (reviewer calculated) and I-60%: C-20%, RR 3.00 95%CI:
1.16-7.73(reviewer calculated)). CONCLUSION: No RCTs have been conducted to
examine the effectiveness of specific recondition-ing interventions in
rehabilitation, and there is currently insufficient evidence to support the use
of geriatric rehabilitation programs to reduce functional decline in older adults
who are deconditioned.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS