Abstract：
Older patients face increasing challenges in preserving mobility during hospitalization. This retrospective cohort study aimed to evaluate the effect of an Occupational Therapy (OT) program on mobility at discharge in older patients admitted to an Acute Geriatric Unit (AGU). All patients aged ≥65 years consecutively admitted to the AGU in an 18-month period were included in the study if scoring <4 or ≥ 8 at the Clinical Frailty Scale. Overall, 807 patients (median age 85 years, 50.2% females) were included: 665 (82%) received OT, while 142 who did not receive OT were used as controls. The Cumulated Ambulation Scale (CAS) was used to assess mobility at discharge. By multivariable logistic regression, OT was independently associated with higher odds of achieving higher CAS score at discharge. These findings emphasize the potential benefits of OT in acute geriatric settings, providing valuable insights for preserving mobility of frail older individuals during hospitalization.
摘要：
老年患者在住院期间保持活动能力方面面临越来越多的挑战。这项回顾性队列研究旨在评估职业治疗（OT）计划对急性老年病房（AGU）住院的老年患者出院时流动性的影响。如果临床虚弱量表评分<4或≥8，则所有年龄≥65岁的患者在18个月内连续入院AGU，均纳入研究。总的来说,807名患者（中位年龄85岁，50.2％的女性）包括在内：665（82％）接受了OT，142名没有接受OT的人被用作对照。累积步行量表（CAS）用于评估出院时的移动性。通过多变量逻辑回归，OT与出院时获得较高CAS评分的较高几率独立相关。这些发现强调了OT在急性老年病中的潜在益处，为住院期间保持虚弱的老年人的活动能力提供有价值的见解。
