Please ensure Javascript is enabled for purposes of website accessibility
ORIGINAL PAPER
Analysis of causes of hospitalization and functional fitness of patients in a rehabilitation department
 
More details
Hide details
1
Department of Rehabilitation in Disease of the Locomotor, Institute of Physiotherapy, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland
 
2
Rehabilitation Department, Regional Polyclinical Hospital, Kielce, Poland
 
3
Student of Physiotherapy, Jan Kochanowski University, Kielce, Poland
 
4
Department of Neurological Rehabilitation, Regional Polyclinical Hospital, Kielce, Poland
 
5
Clinical Department of Orthopedics and Traumatology, Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland
 
 
Submission date: 2015-08-10
 
 
Final revision date: 2016-01-16
 
 
Acceptance date: 2016-02-18
 
 
Publication date: 2016-04-05
 
 
Medical Studies 2016;32(1):4-9
 
KEYWORDS
TOPICS
ABSTRACT
Introduction: The increase observed in the size of the elderly population is related to an increase in the average life span. Involutional changes in the human body concern all organs and systems. Multiple morbidities, to a considerable extent, contribute to the limitation of motor fitness. Recently, a change has been noted in the age of patients hospitalized in rehabilitation departments. The majority of these patients are aged over 60, and are admitted due to aggravation of polyarticular pain, arterial hypertension, problems with knee or hip joints (degeneration, pain), ischemic heart disease, or degenerative polyarthritis. Hospitalization in the rehabilitation department contributes to the improvement in their state of health.
Aim of the research: The objective of the study was to analyse the causes of hospitalization and functional fitness of patients hospitalized in the Rehabilitation Department at the Regional Polyclinical Hospital in Kielce.
Material and methods: The study included 102 patients of the Rehabilitation Department at the Regional Polyclinical Hospital in Kielce, 79 female and 23 male, mean age 72.6.
Results: The majority of patients (74%) were admitted to the department with the diagnosis of aggravation of polyarticular pain, followed by arterial hypertension (as many as 64%), problems concerning knee and hip joints (degeneration, pain), ischemic heart disease, and polyarticular changes.
Conclusions: Patients aged over 60 comprised the largest group in the study, and the dominant causes of hospitalization were aggravation of pain and arterial hypertension.
REFERENCES (22)
1.
Halat B, Brudz D, Milewicz K, Pop T, Śliwiński Z. Wpływ ćwiczeń ogólnousprawniających na równowagę i chód osób w podeszłym wieku, przebywających w oddziale ZOL w Legnicy. Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie, Rzeszów 2014; 1: 84-96.
 
2.
Michałkiewicz H, Wróbel J. Całościowa ocena geriatryczna – narzędzie ważne również dla fizjoterapeutów. Zamojskie Studia i Materiały 2012; 141: 91-6.
 
3.
Krzymińska-Siemaszko R, Wieczorowska-Tobis K. Ocena sarkopenii u osób starszych – przyczynek do metodologii. Nowiny Lekarskie 2012; 81: 16-20.
 
4.
Żak M, Gryglewska B. Upadki pacjentów geriatrycznych z nadciśnieniem tętniczym – ocena ryzyka dokonywana po roku od upadku. Nadciśnienie Tętnicze 2005; 9: 112-7.
 
5.
Jajor J, Nonn-Wasztan S, Rostkowska E, Samborski W. Specyfika rehabilitacji ruchowej osób starszych. Nowiny Lekarskie 2013; 82: 89-96.
 
6.
Podhorecka M, Kędziora-Kornatowska K, Sielski G. Zmiany inwolucyjne w układzie ruchu oraz ich konsekwencje wpływające na zmniejszenie aktywności fizycznej osób starszych. Pielęgniarstwo XXI Wieku 2011; 1: 35-38.
 
7.
Skrzek A, Ignasiak Z, Domaradzki J. Zmiany inwolucyjne narządu ruchu a ryzyko złamań. Medycyna Fizykalna 2011; 17: 179-83.
 
8.
Almehed K, Hetenyi S, Ohlsson C, et al. Prevalence and risk factors of vertebral compression fractures in female SLE patient. Arthritis Research Therapy 2010; 12: 153-60.
 
10.
Paszkiewicz J, Wrońska I, Spisacka S, Staniszewska M, Ławnik A. Problemy opiekuńczo-pielęgnacyjne oddziału geriatrycznego. Med Ogól Nauki Zdrow 2014; 20: 320-4.
 
11.
Dzieża-Grudnik A, Czekaj D, Wójcik-Bugajska, Grodzicki T. Upadki w trakcie hospitalizacji – częstość występowania i konsekwencje. Przegl Lek 2014; 71: 537-40.
 
12.
Arinzon Z, Shabat S, Pelsakh A, Gepstein R, Berner YN. Gender differences influence the outcome of geriatric rehabilitation following hip fracture. Arch Gerontol Geriatr 2010; 50: 86-91.
 
13.
Gilewska M, Goryński P, Wysocki MJ. Otyłość i cukrzyca typu 2 jako główne przyczyny hospitalizacji w polskich szpitalach w 2008 roku. Probl Hig Epidemiol 2011; 92: 132-6.
 
14.
Zasadzka E, Borowicz AM, Roszak M, Pawalczyk M. Assessment of the risk of falling with the use of timed up and go test in the elderly with lower extremity osteoarthritis. Clin Interv Aging 2015; 10: 1289-98.
 
15.
Siu KC, Rajaram SS, Padilla C. Impact of psychosocial factors on functional improvement in Latino older adults after Tai Chi exercise. J Aging Phys Activ 2015; 23: 120-7.
 
16.
Villafańe JH, Pirali C, Buraschi R, Arienti C, Corbellini C, Negrini S. Moving forward in fall prevention: an intervention to improve balance among patients in a quasi-experimental study of hospitalized patients. Int J Rehabil Res 2015; 38: 313-9.
 
17.
Żak M, Krupnik SZ, Puzio G, Staszczak-Gawelda I, Czesak J. Assessment of functional capability and on-going falls-risk in older institutionalized people after total hip arthroplasty for femoral neck fractures. Arch Gerontol Geriatrics 2015; 61: 14-20.
 
18.
Manckoundia P, Taroux M, Kubicki A, Mourey F. Impact of ambulatory physiotherapy on motor abilities of elderly subjects with Alzheimer’s disease. Geriatr Gerontol Int 2014; 14: 167-75.
 
19.
da Silva KN, Teixeira LE, Imoto AM, Atallah AN, Peccin MS, Trevisani VF. Effectiveness of sensorimotor training in patients with rheumatoid arthritis: a randomized controlled trial. Rheumatol Int 2013; 33: 2269-75.
 
20.
Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev 2011; 11: CD004963.
 
21.
Kemmier W, Weineck J, Kalender WA, Engelke K. The effect of habitual physical activity, non-athetic exercise, muscle strength, and VO2max on bone mineral density is rather low in early postmenopausal osteopenic women. J Musculoskel Neuronal Interact 2004; 4: 325-34.
 
22.
Steffen T, Hacker T, Mollinger L. Age and gender related test performance in community- dwelling elderly people: Six Minute Walk Test, Berg Balance Scale, Timed Up&Go test and Gait Speeds. Phys Ther 2002; 82: 128-37.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top