1. ZHAW digitalcollection
  2. Gesundheit
  3. Publikationen
  4. Publikationen Gesundheit
Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-20157
Full metadata record
DC FieldValueLanguage
dc.contributor.authorKoch, Daniel-
dc.contributor.authorKutz, Alexander-
dc.contributor.authorHaubitz, Sebastian-
dc.contributor.authorBaechli, Ciril-
dc.contributor.authorGregoriano, Claudia-
dc.contributor.authorConca, Antoinette-
dc.contributor.authorVolken, Thomas-
dc.contributor.authorSchuetz, Philipp-
dc.contributor.authorMueller, Beat-
dc.date.accessioned2020-06-18T13:57:16Z-
dc.date.available2020-06-18T13:57:16Z-
dc.date.issued2020-
dc.identifier.issn0897-1897de_CH
dc.identifier.issn1532-8201de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/20157-
dc.description.abstractBackground: There is growing evidence that patients with functional decline are at increased risk of readmission, mortality and institutionalization. Instruments to measure the status of self-care could provide important information for efficient care planning. The widely used Self Care Index serves as an indicator for the severity of nursing dependency. To date, no evidence is available on the association of the instrument with rehospitalization, mortality and institutionalization. Objectives: To examine the association of functional status measures (Self Care Index on admission, at discharge and functional decline) with 30-day mortality, readmission and institutionalization in hospitalized non-surgical patients. Design: Prospective cohort study. Participants: We included 4540 emergency medical patients at a single hospital in Switzerland. Methods: Primary outcome was 30-day mortality rate; secondary outcomes were 30-day readmission and institutionalization. We analyzed the association of the functional status with the binary endpoints using logistic regression models and C-statistics for discrimination. Results: All of the examined measures were significant predictors of overall 30-day mortality; Self Care Index on admission: adj. OR: 0.90 (95% CI: 0.87–0.92); Self Care Index at discharge: adj. OR: 0.86 (95% CI: 0.83–0.88); functional decline: adj. OR: 1.22 (95% CI: 1.14–1.31) and all Self Care Index single items. A combined model (functional status on admission and functional decline during hospitalization) showed a good accuracy with regard to the AUC: adj. AUC: 0.80 (95% CI: 0.74–0.86). Conclusions: Several functional measures were associated with 30-day mortality. Self Care Index total score, five single items and a combined model showed the best performance.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofApplied Nursing Researchde_CH
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/de_CH
dc.subjectMortalityde_CH
dc.subjectReadmissionde_CH
dc.subjectFunctional declinede_CH
dc.subjectPatient dischargede_CH
dc.subjectInstitutionalizationde_CH
dc.subjectSelf-carede_CH
dc.subject.ddc610.73: Pflegede_CH
dc.titleAssociation of functional status and hospital-acquired functional decline with 30-day outcomes in medical inpatients : a prospective cohort studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.1016/j.apnr.2020.151274de_CH
dc.identifier.doi10.21256/zhaw-20157-
zhaw.funding.euNode_CH
zhaw.issue151274de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume54de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Gesundheit

Files in This Item:
File Description SizeFormat 
2020_Koch-etal_Association-of-functional-status-medical-inpatients.pdf607.38 kBAdobe PDFThumbnail
View/Open
Show simple item record
Koch, D., Kutz, A., Haubitz, S., Baechli, C., Gregoriano, C., Conca, A., Volken, T., Schuetz, P., & Mueller, B. (2020). Association of functional status and hospital-acquired functional decline with 30-day outcomes in medical inpatients : a prospective cohort study. Applied Nursing Research, 54(151274). https://doi.org/10.1016/j.apnr.2020.151274
Koch, D. et al. (2020) ‘Association of functional status and hospital-acquired functional decline with 30-day outcomes in medical inpatients : a prospective cohort study’, Applied Nursing Research, 54(151274). Available at: https://doi.org/10.1016/j.apnr.2020.151274.
D. Koch et al., “Association of functional status and hospital-acquired functional decline with 30-day outcomes in medical inpatients : a prospective cohort study,” Applied Nursing Research, vol. 54, no. 151274, 2020, doi: 10.1016/j.apnr.2020.151274.
KOCH, Daniel, Alexander KUTZ, Sebastian HAUBITZ, Ciril BAECHLI, Claudia GREGORIANO, Antoinette CONCA, Thomas VOLKEN, Philipp SCHUETZ und Beat MUELLER, 2020. Association of functional status and hospital-acquired functional decline with 30-day outcomes in medical inpatients : a prospective cohort study. Applied Nursing Research. 2020. Bd. 54, Nr. 151274. DOI 10.1016/j.apnr.2020.151274
Koch, Daniel, Alexander Kutz, Sebastian Haubitz, Ciril Baechli, Claudia Gregoriano, Antoinette Conca, Thomas Volken, Philipp Schuetz, and Beat Mueller. 2020. “Association of Functional Status and Hospital-Acquired Functional Decline with 30-Day Outcomes in Medical Inpatients : A Prospective Cohort Study.” Applied Nursing Research 54 (151274). https://doi.org/10.1016/j.apnr.2020.151274.
Koch, Daniel, et al. “Association of Functional Status and Hospital-Acquired Functional Decline with 30-Day Outcomes in Medical Inpatients : A Prospective Cohort Study.” Applied Nursing Research, vol. 54, no. 151274, 2020, https://doi.org/10.1016/j.apnr.2020.151274.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.