Biomedical subjects

K Hulter Asberg

Publications and source records attributed to K Hulter Asberg.

4 recordsLinked to original sources

PubMed1991

Subjective dysfunction after stroke. A study with sickness impact profile.

In 1986, the functional capacity of 124 patients with an acute stroke was assessed one week after admission to Södertelje hospital, Sweden. In order to analyse health-related quality of life, interviews were undertaken to determine sickness impact 6-9 months after stroke. 57 of the 91 surviving patients could participate. 53 persons were living in their own homes. 70% had a clinically significant subjective dysfunction, which correlated both to the objective functional capacity and to age. Sickness Impact Profile was a useful measure, yielding information of value for planning of long-term rehabilitation and home care.

Activities of Daily Living↗

PubMed1987

Disability as a predictor of outcome for the elderly in a department of internal medicine. A comparison of predictions based on index of ADL and physician predictions.

The predictive validity of ratings based on Katz' Index of ADL (Activities of Daily Living) and of physician ratings of patient outcome was studied in a department of internal medicine, 129 patients, 65 years of age or older, were assessed independently and simultaneously by licensed practical nurses using Katz' Index of ADL and by a physician using clinical judgement. These assessments were related to observed outcome regarding survival or death in the ward, length of stay, and type of hospital discharge. Two alternative ADL-groupings were used, grade A-E versus grade F-G and grade A-F versus grade G. Sensitivity and specificity of ADL-ratings and of physician ratings were found to be rather similar regarding length of stay less than 10 days and discharge to own home. Predictions regarding patient deaths based on ADL-grades F-G and G had a higher sensitivity than predictions based on physician ratings. The specificity of the two types of predictions was about the same. There was only a fair correlation between age and ADL-grade. ADL-assessments may thus be useful for planning purposes for elderly patients also in acute medical wards.

Activities of Daily Living↗

PubMed1986

Physicians' outcome predictions for elderly patients. Survival, hospital discharge, and length of stay in a department of internal medicine.

In order to study physicians' ability to predict survival, site of living after discharge, and length of stay in a hospital department of internal medicine, five physicians rated a total of 156 patients 65 years of age and older, who had been admitted due to acute illness. Predicted and observed outcome were compared. The results showed no relation except with regard to predicted and observed discharge to own home. Inter-rater reliability was found to be low except with regard to discharge to own home. This study shows that the physicians had difficulties in predicting survival or death in the ward, site of living after discharge, other than to own home, and length of stay in the ward. In order to increase the knowledge about elderly with acute illness and improve planning of individual care, it is desirable to develop reliable and valid instruments for clinical prediction of outcome for elderly persons in short-term hospital care.

Aged↗

PubMed1986

Early activation for acutely ill elderly patients.

In order to describe both the process and the impact of introducing a program of early activation for acutely admitted elderly patients in medical wards, two populations, one before and the other after the intervention of the program, were followed up. The program was implemented in cooperation with the nursing staff, who were integrated in the rehabilitation work. Population I (219 admissions) was collected in 1981 and Population II (272 admissions) during a corresponding period in 1983. Survival, type of residence and ADL status 5 months after hospital admission were recorded as outcome measures. There were no differences between 1981 and 1983. In 1983 the mean length of stay was 4.7 days shorter than in 1981. The program cannot be shown to have caused the difference in length of stay. The study shows that such a program of early activation was easy to apply in clinical practice for aged and disabled patients in general medical wards.

Activities of Daily Living↗