POSTSCRIPTUM: Protocol of Geriatric Rehabilitation in Patients Aged 60 Years and Older Living in Moscow Boarding houses or Nursing homes. Protocol of Multicentral Prospective Study
https://doi.org/10.37586/2686-8636-1-2023-54-62
Abstract
Background: GR with implementation of additional geriatric rehabilitation stage has been shown in a number of studies to be efficient in daily functional activities as well as in reducing hospital readmissions and mortality. However, better integration of geriatric care models into clinical practice requires further investigations.
Aim: to assess the influence of geriatric rehabilitation on functional activity.
Methods: рrotocol POSTSCRIPTUM suggests Multicentral Prospective Study on different protocols for Geriatric Rehabilitationл in Moscow boarding houses or nursing homes. The study consists of 21-days period of active treatment based on the results of complex geriatric assessment and 12-months follow-up period. The study enrolls patients aged 60 years and older, who have indications for geriatric rehabilitation.
Conclusion: POSTSCRIPTUM — the 1st Russian study on efficacy of geriatric rehabilitation programs that based on complex geriatric assessment.
About the Authors
O. N. TkachevaRussian Federation
Tkacheva Olga N., MD, PhD, professor, corresponding
member of the Russian Academy of Sciences, Director
Moscow
N. K. Runikhina
Russian Federation
Runikhina Nadezhda K., MD, PhD, professor, Deputy
Director
Moscow
I. P. Malaya
Russian Federation
Malaya Irina P., MD, PhD, Head of Laboratory of Clinical Pharmacology and Pharmacotherapy
Moscow
N. V. Sharashkina
Russian Federation
Sharashkina Natalia V., MD, PhD, Head of Geriatrics
Laboratory, Associate Professor, Age-related Diseases
Department
Moscow
V. S. Ostapenko
Russian Federation
Ostapenko Valentina S., MD, PhD, Head of Geriatrics
Department, Associate Professor, Age-related Diseases
Department
Moscow
Yu. V. Kotovskaya
Russian Federation
Kotovskaya Yulia V., MD, PhD, professor, Deputy Director
Moscow
A. G. Melia
Russian Federation
Melia Aleksandr G., physiotherapist, Head of the Geriatric Rehabilitation Department
Moscow
E. A. Mkhitaryan
Russian Federation
Mkhitaryan Elen A., MD, PhD, associate professor, Age-related Diseases Department; Head of Laboratory of Neurogeriatrics
Moscow
References
1. Еремушкин М.А. Основы реабилитации: учебное пособие. 2-е изд. М.: Академия, 2012. 208 с.
2. Иванова Г.Е., Мельникова Е.В., Белкин А.А., Беляев А.Ф., Бодрова Р.А., Буйлова Т.В., Мальцева М.Н., Мишина И.Е., Прокопенко С.В., Сарана А.М., Стаховская Л.В., Хасанова Д.Р., Цыкунов М.Б., Шамалов Н.А., Суворов А.Ю., Шмонин А.А. Как организовать медицинскую реабилитацию? Вестник восстановительной медицины. 2018. № 2 (84). С. 2–12.
3. Кантемирова Р.К. Реабилитация инвалидов с заболеваниями, ассоциированными с возрастом / Реабилитация инвалидов: национальное руководство. Краткое издание / Под ред. Проф. Г.Н. Пономаренко; ФГБУ ФНЦРИ им. Г.А. Альбрехта Минтруда России. — СПб. М.: ГЕОТАР-Медиа. 2020. — 544 с: 506–520 с.
4. Grund S, van Wijngaarden J, Gordon A, Schols J, Bauer J (2019) EuGMS survey on structures of geriatric rehabilitation across Europe. Eur Geriatr Med 3:S1–S156
5. van Balen, R., Gordon, A.L., Schols, J.M.G.A. et al. What is geriatric rehabilitation and how should it be organized? A Delphi study aimed at reaching European consensus. Eur Geriatr Med 10, 977–987 (2019).
6. Parsons M., Senior H., Kerse N., Chen M.H., Jacobs S. et al. Should care managers for older adults be located in primary care? A randomized controlled trial // J. Am. Geriatr. Soc. 2012. Vol. 60, N 1. P. 86-92. DOI: 10.1111/j.1532-5415.2011.03763.x.
7. McGilton KS, Vellani S, Zheng N, Wang D, Yeung L, Escrig-Pinol A. Healthcare professionals’ perspectives on rehabilitating persons with cognitive impairment. Dementia (London). 2021 Jul; 20(5):1772-1790. DOI: 10.1177/1471301220969615. Epub 2020 Nov 23. PMID: 33222528; PMCID: PMC8216319.
8. Dahl U., Johnsen R., Sstre R., Steinsbekk A. The influence of an intermediate care hospital on health care utilization among elderly patients — a retrospective comparative cohort study // BMC Health Serv. Res. 2015. Vol. 15. P. 48. DOI: 10.1186/s12913-015-0708-4.
9. Ткачева О.Н., Котовская Ю.В., Рунихина Н.К. и др. Клинические рекомендации «Старческая астения». Российский журнал гериатрической медицины, 2020; 1: 11–46. DOI: 10.37586/2686-8636-1-2020-11-46
10. Rikli RE, Jones CJ (1999). Functional fitness normative scores for community residing older adults ages 60-94. Journal of Aging and Physical Activity, 7, 160–179.
11. https://scardio.ru/content/activities/2016/Russia_(Russian)_EQ-5D-5L.pdf
12. Stathi A, Withall J, Greaves CJ, Thompson JL, Taylor G, Medina-Lara A, Green C, Bilzon J, Gray S, Johansen-Berg H, Sexton CE, Western MJ, de Koning JL, Bollen JC, Moorlock SJ, Demnitz N, Seager P, Guralnik JM, Jack Rejeski W, Fox KR. A community-based physical activity intervention to prevent mobility-related disability for retired older people (REtirement in ACTion (REACT)): study protocol for a randomised controlled trial. Trials. 2018 Apr 17;19(1):228. DOI: 10.1186/s13063-018-2603-x. PMID: 29665854; PMCID: PMC5905123.
13. Giné-Garriga M, Roqué-Fíguls M, Coll-Planas L, SitjaRabert M, Salvà A. Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2014;95:753–69.
14. Pahor M, Guralnik JM, Ambrosius WT, Blair S, Bonds DE, Church TS, Espeland MA, Fielding RA, Gill TM, Groessl EJ. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA. 2014;311:2387–96.
15. Bernabei R, Landi F, Calvani R, Cesari M, Del Signore S, Anker SD, Bejuit R, Bordes P, Cherubini A, Cruz-Jentoft AJ, Di Bari M, Friede T, Gorostiaga Ayestarán C, Goyeau H, Jónsson PV, Kashiwa M, Lattanzio F, Maggio M, Mariotti L, Miller RR, Rodriguez-Mañas L, Roller-Wirnsberger R, Rýznarová I, Scholpp J, Schols AMWJ, Sieber CC, Sinclair AJ, Skalska A, Strandberg T, Tchalla A, Topinková E, Tosato M, Vellas B, von Haehling S, Pahor M, Roubenoff R, Marzetti E; SPRINTT consortium. Multicomponent intervention to prevent mobility disability in frail older adults: randomised controlled trial (SPRINTT project). BMJ. 2022 May 11;377:e068788. DOI: 10.1136/bmj-2021-068788. PMID: 35545258; PMCID: PMC9092831.
16. Kitzman DW, Whellan DJ, Duncan P, Pastva AM, Mentz RJ, Reeves GR, Nelson MB, Chen H, Upadhya B, Reed SD, Espeland MA, Hewston L, O'Connor CM. Physical Rehabilitation for Older Patients Hospitalized for Heart Failure. N Engl J Med. 2021 Jul 15;385(3):203-216. DOI: 10.1056/NEJMoa2026141. Epub 2021 May 16. PMID: 33999544; PMCID: PMC8353658.
Review
For citations:
Tkacheva O.N., Runikhina N.K., Malaya I.P., Sharashkina N.V., Ostapenko V.S., Kotovskaya Yu.V., Melia A.G., Mkhitaryan E.A. POSTSCRIPTUM: Protocol of Geriatric Rehabilitation in Patients Aged 60 Years and Older Living in Moscow Boarding houses or Nursing homes. Protocol of Multicentral Prospective Study. Russian Journal of Geriatric Medicine. 2023;(1):54-62. (In Russ.) https://doi.org/10.37586/2686-8636-1-2023-54-62