Intrinsic capacity in acutely hospitalized older adults

• DOI: 10.1016/j.exger.2023.112247
• Publication Date: 2023-06-27T22:10:27Z
• Authors: Masaaki Nagae; Hiroyuki Umegaki; Hitoshi Komiya; Hirotaka Nakashima; Chisato Fujisawa; Kazuhisa Watanabe; Yosuke Yamada; Shuzo Miyahara
• Keywords: Hospital discharge

We aimed to examine the association between intrinsic capacity (IC) and adverse outcomes of hospitalization.A prospective observational cohort study.We recruited patients aged 65 years or older who were admitted geriatric ward an acute hospital Oct 2019 Sep 2022.Each five IC domains (locomotion, cognition, vitality, sensory, psychological capacity) was graded into three levels, composite score calculated (0, lowest; 10, highest). Hospital-related defined as in-hospital death, hospital-associated complications (HACs), length stay, frequency discharge home.In total, 296 individuals (mean age 84.7 ± 5.4 years, 42.7 % males) analyzed. Mean 6.5 1.8, 95.6 participants had impairment in at least one domain. A higher independently associated with lower death (odds ratio [OR] 0.59) HACs (OR 0.71), home 1.50), shorter stay (β = -0.24, p < 0.01). The locomotion, occurrence HACs, destination, stay.Evaluating feasible setting hospitalization. For inpatients decreased IC, integrated management may be required achieve functional independence.