Dataset Information

Hospital-associated deconditioning: Not only physical, but also cognitive.

ABSTRACT:

Introduction

Hospital-associated deconditioning (HAD) or post-hospital syndrome is well recognized as reduced functional performance after an acute hospitalization. Recommendations for the management of HAD are still lacking, partly due to a poor understanding of the underlying processes. We aimed to review existing data on risk factors, pathophysiology, measurement tools, and potential interventions.

Materials and methods

We conducted a systematic review from bibliographical databases in English, Spanish and French with keywords such as 'post-hospitalization syndrome' or 'deconditioning'. We selected studies that included people aged 60 years or older. Three researchers independently selected articles and assessed their quality.

Results

From 4421 articles initially retrieved, we included 94 studies. Most were related to risk factors, trajectories and measures, and focused on the physical aspects of deconditioning. Risk factors for HAD included age, nutritional status, mobility, and pre-admission functional status, but also cognitive impairment and depression. Regarding interventions, almost all studies were devoted to physical rehabilitation and environmental modifications. Only one study focused on cognitive stimulation.

Discussion

In the last decade, studies on HAD have mostly focused on the physical domain. However, neurological changes may also play a role in the pathophysiology of HAD. Beyond physical interventions, cognitive rehabilitation and neurological interventions should also be evaluated to improve deconditioning prevention and treatment in the hospital setting.

SUBMITTER: Chen Y

PROVIDER: S-EPMC9303382 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

Hospital-associated deconditioning: Not only physical, but also cognitive.

Chen Yaohua Y Almirall-Sánchez Arianna A Mockler David D Adrion Emily E Domínguez-Vivero Clara C Romero-Ortuño Román R

International journal of geriatric psychiatry 20220301 3

<h4>Introduction</h4>Hospital-associated deconditioning (HAD) or post-hospital syndrome is well recognized as reduced functional performance after an acute hospitalization. Recommendations for the management of HAD are still lacking, partly due to a poor understanding of the underlying processes. We aimed to review existing data on risk factors, pathophysiology, measurement tools, and potential interventions.<h4>Materials and methods</h4>We conducted a systematic review from bibliographical data ...[more]

PMID: 35142397

Similar Datasets

Project description:BackgroundHospital-acquired deconditioning is a term used in clinical practice, describing a loss of physical and/or cognitive function associated with hospitalisation. Previous reviews have addressed interventions, its prevalence in older adults and potential assessment tools. However, each review has reported a core limitation, the need for an agreed-upon definition and diagnostic criteria for hospital-acquired deconditioning.ObjectiveWe aimed to identify key components used to define hospital-acquired deconditioning in adults. We sought to do this by identifying diagnostic criteria, describing how authors operationalised Hospital- Acquired Deconditioning (HAD), and describing differences between HAD and other immobility-linked syndromes. This article focuses on how hospital-acquired deconditioning is understood and operationalised.DesignA scoping review using the Joanna Briggs Institute methodology for evidence synthesis.Eligibility criteriaPublished in English after 1 January 1990, investigating adults over 18, set in inpatient rehabilitation or acute care settings, and including either a definition or description of hospital-acquired deconditioning or an outline of strategies to assess, prevent or manage hospital-acquired deconditioning.Sources of evidencePublished and grey literature, no restriction was placed on study design.Charting methodsRelevant data, where available, was extracted from each source using a proprietary data extraction template.ResultsOne hundred and three articles were included from 2403 retrieved results. Thirty-three were from rehabilitation or post-acute care settings, 53 from acute care, 15 from intensive care and two from other settings. The literature was diverse in methodology and research question addressed. Hospital-acquired deconditioning was poorly defined, no consistent patterns were identified in aetiology and sequelae; diagnostic criteria were not fully agreed on.ConclusionsThe literature on hospital-acquired deconditioning is large, diverse and incomplete. Further work is required to develop a shared definition of hospital-acquired deconditioning, enabling researchers to coalesce for better understanding of the phenomenon, and clinicians, in turn, to better treat and mitigate against it.Review registrationOSF: https://osf.io/b5sgw/.

Dataset Information

Hospital-associated deconditioning: Not only physical, but also cognitive.

Introduction

Materials and methods

Results

Discussion

Publications

Hospital-associated deconditioning: Not only physical, but also cognitive.

Similar Datasets

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