Factors associated with successful rehabilitation in older adults: A systematic review and best evidence synthesis

Laag, P.J. van der; Arends, S.A.M.; Bosma, M.S.; Hoogen, A. van den

doi:doi:10.1016/j.gerinurse.2020.11.010

Purpose; Returning to community living is an indicator for successful rehabilitation in older adults admitted
to geriatric rehabilitation. Predicting successful rehabilitation could contribute to the deployment of early
discharge planning, and leads to a more custom-made rehabilitation trajectory. This review aims to present
an overview of factors associated with successful rehabilitation following inpatient geriatric rehabilitation.
Method; A systematic literature review was conducted in PubMed, CINAHL and Embase. Extracted factors
were analysed via Bakker’s five levels of evidence.
Results; Nine studies with methodological quality of good to moderate were included. For 13 of the 18 extracted
factors, limited (n=3),moderate (n=5) and conflicting (n=5) evidence found a significant association.
Conclusions; Caregiver, comorbidities, motor-function, nutritional status, time from onset are significantly
related to successful rehabilitation. These factors...Show morePurpose; Returning to community living is an indicator for successful rehabilitation in older adults admitted
to geriatric rehabilitation. Predicting successful rehabilitation could contribute to the deployment of early
discharge planning, and leads to a more custom-made rehabilitation trajectory. This review aims to present
an overview of factors associated with successful rehabilitation following inpatient geriatric rehabilitation.
Method; A systematic literature review was conducted in PubMed, CINAHL and Embase. Extracted factors
were analysed via Bakker’s five levels of evidence.
Results; Nine studies with methodological quality of good to moderate were included. For 13 of the 18 extracted
factors, limited (n=3),moderate (n=5) and conflicting (n=5) evidence found a significant association.
Conclusions; Caregiver, comorbidities, motor-function, nutritional status, time from onset are significantly
related to successful rehabilitation. These factors could support healthcare professionals to indicate successful
rehabilitation at admission and contributes to deployment of early discharge planning and development
of more custom-made rehabilitation trajectories.
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Factors associated with successful rehabilitation in older adults: A systematic review and best evidence synthesis