Rehabilitation for hospital-associated deconditioning.
Functional decline associated with acute hospitalization may be termed "hospital-associated deconditioning." This seems to be a relatively common problem, with older adults most frequently affected. As the older adult population in the United States is projected to double by 2030, the incidence of this condition is likely to increase in a similar manner. Despite the prevalence of hospital-associated deconditioning, there is a paucity of research examining the functional recovery and rehabilitation of these patients. The available evidence to date indicates that acute inpatient rehabilitation seems to be effective for improving function in patients with hospital-associated deconditioning. However, there are no studies examining other rehabilitation programs or long-term outcomes after rehabilitation in this patient population. The purpose of this article is to review the current state of knowledge regarding the rehabilitation of patients with hospital-associated deconditioning, including terminology, epidemiology, etiology, current rehabilitation recommendations, and future areas of research.
Kortebein
Patrick
P
Department of PM&R and Geriatrics, Central Arkansas Veterans Healthcare System and University of Arkansas for Medical Sciences, Arkansas 72214, USA.
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005081:Exercise Therapy; D005260:Female; D006304:Health Status; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009043:Motor Activity; D010865:Pilot Projects; D020127:Recovery of Function; D016896:Treatment Outcome