Anemia and Rehabilitation Outcomes in Patients Undergoing Convalescent Rehabilitation
Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: Assessment of the association between anemia and recovery of physical disability in patients with functional impairment.
DESIGN: A retrospective cohort study.
SETTING: A convalescent rehabilitation ward.
PARTICIPANTS: The subjects were patients undergoing convalescent rehabilitation due to neurologic disease, musculoskeletal disorders, or hospital-associated deconditioning. Patients were classified into 3 groups (no anemia; mild anemia [men: hemoglobin of 11.0-12.9 g/dL; women: hemoglobin of 11.0-11.9 g/dL]; and moderate/severe anemia [hemoglobin < 11.0 g/dL]) based on hemoglobin levels.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: The study outcomes were functional independence measures for motor function (FIM-M) score at discharge, changes in the FIM-M score between hospital admission and discharge, length of stay, and FIM-M efficiency score (change in FIM-M score divided by length of stay). A linear regression model was constructed to explore the association of anemia with the FIM-M efficiency score. As a subgroup analysis, we constructed a linear regression model to explore the association of anemia with the FIM-M efficiency score in patients with or without stroke.
RESULTS: Of 376 consecutive patients with a mean age of 80 years, 258 (69%) had mild or moderate/severe anemia. There were no significant differences between the 3 groups in the FIM-M score at discharge, changes in the FIM-M score, length of stay, and FIM-M efficiency score. A multiple linear regression model showed that the FIM-M efficiency score was not associated with anemia (mild anemia group: β=-0.02, P=.8; moderate/severe anemia group: β=-0.005, P=.9). In the subgroup analysis of patients with or without stroke, the multiple regression model also showed no significant association between anemia and FIM-M efficiency score in each group.
CONCLUSIONS: Anemia on admission was common among patients in a convalescent rehabilitation ward but was not associated with improvement of FIM-M after rehabilitation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:105 |
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| Enthalten in: |
Archives of physical medicine and rehabilitation - 105(2024), 3 vom: 17. März, Seite 539-545 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Arai, Hideki [VerfasserIn] |
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| Links: |
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| Themen: |
Activities of daily living |
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| Anmerkungen: |
Date Completed 04.03.2024 Date Revised 04.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.apmr.2023.10.017 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364727829 |
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| 500 | |a Date Revised 04.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: Assessment of the association between anemia and recovery of physical disability in patients with functional impairment | ||
| 520 | |a DESIGN: A retrospective cohort study | ||
| 520 | |a SETTING: A convalescent rehabilitation ward | ||
| 520 | |a PARTICIPANTS: The subjects were patients undergoing convalescent rehabilitation due to neurologic disease, musculoskeletal disorders, or hospital-associated deconditioning. Patients were classified into 3 groups (no anemia; mild anemia [men: hemoglobin of 11.0-12.9 g/dL; women: hemoglobin of 11.0-11.9 g/dL]; and moderate/severe anemia [hemoglobin < 11.0 g/dL]) based on hemoglobin levels | ||
| 520 | |a INTERVENTIONS: Not applicable | ||
| 520 | |a MAIN OUTCOME MEASURES: The study outcomes were functional independence measures for motor function (FIM-M) score at discharge, changes in the FIM-M score between hospital admission and discharge, length of stay, and FIM-M efficiency score (change in FIM-M score divided by length of stay). A linear regression model was constructed to explore the association of anemia with the FIM-M efficiency score. As a subgroup analysis, we constructed a linear regression model to explore the association of anemia with the FIM-M efficiency score in patients with or without stroke | ||
| 520 | |a RESULTS: Of 376 consecutive patients with a mean age of 80 years, 258 (69%) had mild or moderate/severe anemia. There were no significant differences between the 3 groups in the FIM-M score at discharge, changes in the FIM-M score, length of stay, and FIM-M efficiency score. A multiple linear regression model showed that the FIM-M efficiency score was not associated with anemia (mild anemia group: β=-0.02, P=.8; moderate/severe anemia group: β=-0.005, P=.9). In the subgroup analysis of patients with or without stroke, the multiple regression model also showed no significant association between anemia and FIM-M efficiency score in each group | ||
| 520 | |a CONCLUSIONS: Anemia on admission was common among patients in a convalescent rehabilitation ward but was not associated with improvement of FIM-M after rehabilitation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Activities of daily living | |
| 650 | 4 | |a Anemia | |
| 650 | 4 | |a Convalescent rehabilitation | |
| 650 | 4 | |a Functional independence measure for motor function | |
| 650 | 4 | |a Length of stay | |
| 650 | 7 | |a Hemoglobins |2 NLM | |
| 700 | 1 | |a Nozoe, Masafumi |e verfasserin |4 aut | |
| 700 | 1 | |a Kamiya, Kuniyasu |e verfasserin |4 aut | |
| 700 | 1 | |a Matsumoto, Satoru |e verfasserin |4 aut | |
| 700 | 1 | |a Morimoto, Takeshi |e verfasserin |4 aut | |
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