caa a22 4500 606191607 CHVBK 20210128100900.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00391-015-0870-7 doi (NATIONALLICENCE)springer-10.1007/s00391-015-0870-7 Effects of inpatient geriatric interventions in a German geriatric hospital [Elektronische Daten] Impact on ADL, mobility and cognitive status [S. Bordne, R.-J. Schulz, S. Zank] Effekte stationärer geriatrischer Interventionen in einer deutschen geriatrischen Klinik Auswirkungen auf ADL, Mobilität und Kognition Background: Given the demographic changes, the need for effective geriatric intervention is obvious. Geriatric care aims to maintain the highest possible level of independence and quality of life and to reduce the risk of need for care. Objectives: This study investigated the benefits of geriatric care on functional performance, mobility and cognition. Material and methods: This study involved a retrospective analysis of clinical data from 646 patients. At hospital admission and discharge functional status was assessed using the Barthel index. Mobility was evaluated by means of the Tinetti test and cognition by the mini-mental state examination (MMSE). A follow-up was conducted on 112 patients 2-5 months after hospital discharge. Statistical analysis included t-tests including Cohen's d for effect size and multivariate regression analysis. Results: The mean age of the study population was 81.1 ± 7.1 years including 439 women  (68 %) and 207 men  (32 %). There were significant average improvements for activities of daily living (ADL), mobility and cognition comparing discharge and admission scores. For functional and mobility status, effect sizes were medium to high. Regression analyses showed that ADL improvement was predicted by functional, mobile and cognitive status at admission. Follow-up analyses revealed a high percentage of former patients still living at home and an overall maintenance of ADL levels. Conclusion: Geriatric patients seem to experience long-term improvements during geriatric treatment, which appears to fulfill its aim of recovering independence. For a better understanding of relevant factors for the recreation of geriatric patients, further research is needed, e.g. with respect to the impact of the nutritional status. Springer-Verlag Berlin Heidelberg, 2015 Demography nationallicence Follow-up nationallicence Geriatric care nationallicence Regression analysis nationallicence Rehabilitation nationallicence Demographie nationallicence Geriatrische Behandlung nationallicence Regressionsanalyse nationallicence Bordne S. Faculty of Human Sciences, Rehabilitative Gerontology, University of Cologne, Herbert-Lewin-Straße 2, 50931, Köln, Germany aut Schulz R.-J Department of Geriatric Medicine, St. Marien-Hospital, Cologne, Germany aut Zank S. Faculty of Human Sciences, Rehabilitative Gerontology, University of Cologne, Herbert-Lewin-Straße 2, 50931, Köln, Germany aut Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 370-375 0948-6704 48:4<370 2015 48 391 https://doi.org/10.1007/s00391-015-0870-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00391-015-0870-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bordne S. Faculty of Human Sciences, Rehabilitative Gerontology, University of Cologne, Herbert-Lewin-Straße 2, 50931, Köln, Germany aut NATIONALLICENCE 700 1- Schulz R.-J Department of Geriatric Medicine, St. Marien-Hospital, Cologne, Germany aut NATIONALLICENCE 700 1- Zank S. Faculty of Human Sciences, Rehabilitative Gerontology, University of Cologne, Herbert-Lewin-Straße 2, 50931, Köln, Germany aut NATIONALLICENCE 773 0- Zeitschrift für Gerontologie und Geriatrie Springer Berlin Heidelberg 48/4(2015-06-01), 370-375 0948-6704 48:4<370 2015 48 391