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Multidisciplinary Intervention to Prevent Hospital-Associated Disability in Older Adults: A Prospective Study in a Tertiary Hospital Setting

Author(s) Fahad Alenizy, Sami M. AlEnazi, Tomader Y. Srur, Dhiyaa M. Al Anazi, Falah M. Almutairi, Zainab A. Alsomali, Myyer A. Alanazi, Abdulmajeed S. Alharbi, Ahmed Alsaeed, Mamdouh S. Alotaibi
Country Saudi Arabia
Abstract Background: Older adults are particularly vulnerable to the common consequence of Hospital Associated Disability (HAD), which has been shown to have a lower incidence due to preventative measures taken. HAD is known to prolong the recovery process, increase the likelihood of institutionalization, and severely diminish the patient’s quality of life.

Objective: The goal of the study is to assess how an multidisciplinary early rehabilitation program impacts the prevalence of HAD in elderly patients in the inpatient setting of a tertiary care hospital in Riyadh, Saudi Arabia.

Methods: The sample for this quasi-experimental study consisted of 120 patients aged 65 and older who were admitted to a geriatric unit. The treatment group (n=60) received early, multidisciplinary rehabilitation with a physician, nurse, PT, pharmacist, and social worker, whereas the comparison group (n=60) was treated with standard hospital care. The main endpoint measured was incidence of HAD, which was defined as a reduction in functional independence as measured by activities of daily living (ADLs) by 1 or more from the pre-hospital baseline to discharge. Other measured outcomes included occurrence of falls, delirium, and rate of readmission within 30 days post dischage.

Results: The incidence of HAD was significantly reduced in the intervention group (18.3%) compared to the control group (45%). Also, the intervention group was better off in terms of greater ADL decline but still showed reduced ADL decline (21.7% vs. 50%), fewer falls (1.7% vs. 10% ), less delirium (3.3% vs. 15%), and lower 30-day readmission (8.3% vs. 20%).

Conclusion: A systematic multidisciplinary rehabilitation scheme has shown decrease in HAD and its associated burdens among elderly patients. Adopting such frameworks into standard inpatient practice could enhance rehabilitation results and decrease the strain on the healthcare system in older patients.
Keywords hospital-associated disability, geriatrics, multidisciplinary care, early rehabilitation, functional decline, tertiary hospital, Saudi Arabia.
Field Medical / Pharmacy
Published In Volume 15, Issue 1, January-March 2024
Published On 2024-01-05
Cite This Multidisciplinary Intervention to Prevent Hospital-Associated Disability in Older Adults: A Prospective Study in a Tertiary Hospital Setting - Fahad Alenizy, Sami M. AlEnazi, Tomader Y. Srur, Dhiyaa M. Al Anazi, Falah M. Almutairi, Zainab A. Alsomali, Myyer A. Alanazi, Abdulmajeed S. Alharbi, Ahmed Alsaeed, Mamdouh S. Alotaibi - IJSAT Volume 15, Issue 1, January-March 2024. DOI 10.5281/zenodo.15259016
DOI https://doi.org/10.5281/zenodo.15259016
Short DOI https://doi.org/g9f8s3
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