Please use this identifier to cite or link to this item: https://doi.org/10.1111/ijcp.13838
Title: Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review
Authors: Soh, Cheng Hwee
Hassan, Syed Wajih Ul
Sacre, Julian
Lim, Wen Kwang
Maier, Andrea B 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
Pharmacology & Pharmacy
General & Internal Medicine
PHYSICAL PERFORMANCE BATTERY
CHRONIC DISEASE SCORE
INTERRATER RELIABILITY
MEDICAL ILLNESSES
COMORBIDITY INDEX
FUNCTIONAL STATUS
ELDERLY-PATIENTS
DISABILITY
HOSPITALIZATION
MULTIMORBIDITY
Issue Date: 14-Dec-2020
Publisher: WILEY
Citation: Soh, Cheng Hwee, Hassan, Syed Wajih Ul, Sacre, Julian, Lim, Wen Kwang, Maier, Andrea B (2020-12-14). Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE 75 (4). ScholarBank@NUS Repository. https://doi.org/10.1111/ijcp.13838
Abstract: Objectives: Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients. Methods: A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included. Results: Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients. Conclusion: Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow-up duration does not alter the performance of morbidity measures.
Source Title: INTERNATIONAL JOURNAL OF CLINICAL PRACTICE
URI: https://scholarbank.nus.edu.sg/handle/10635/234891
ISSN: 1368-5031
1742-1241
DOI: 10.1111/ijcp.13838
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