Assessment of the functional status of patients admitted to a medical clinic ward: a cross-sectional study
DOI:
https://doi.org/10.18554/refacs.v12i3.7589Keywords:
Functional status, Activities of daily living, Length of stay, Patient Admission, InpatientsAbstract
Objective: to characterize the functional status of patients admitted to a medical clinic ward and compare clinical variables according to functional level and verify whether a low functional level was associated with worse clinical outcomes. Methods: this is a cross-sectional, descriptive and quantitative study, carried out with adult patients admitted to a university hospital from May to July of 2019. Functional independence was assessed using the Barthel Index. Patients were grouped according to their Barthel Index score: severe dependence (<60 points), moderate dependence (between 60 and 80 points) and independent (>85). Variables between groups were analyzed using the Chi-square test and ANOVA. The analysis of variables associated with length of hospital stay was performed using multiple linear regression. Results: 97 patients were included. Of these, 52.5% were female, with a mean age of 63.3 (17.7) years and 86 (88.7%) had comorbidities. Most patients (85.6%) were referred from the UPA. Respiratory diseases were the main causes of hospitalization (33%). Only 19.1% were functionally independent. Patients with moderate to severe functional dependence had a greater need for hospital readmission (p=0.040). Length of hospital stay until referral to a hospital (p=0.011) was an independent factor associated with a longer hospital stay. Conclusion: it was found that patients admitted to the ward in the first 24 hours had a low functional level. Patients with functional dependence, when compared to independent patients, had a higher readmission rate.
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