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Activity limitation of clinically slow elderly individuals
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Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Introduction/Background The National Institute of Rehabilitation in Mexico has an electronic clinical record system in which health conditions are classified with ICD-10, in 2013 the functioning/disability registry is started according to Mexican regulations, where it is indicated that for the generation of statistics on the level of health and disability must meet the guidelines established by the WHO in the ICF in the overall functioning of people. The objective of this work is to make known the implementation of the registry of the diagnosis of functioning/disability (DFD) in an electronic clinical record (ECR). Material and Method The DFD is recorded in the following notes of the ECR: initial note of external consultation, note of admission and hospital discharge. Characteristics of DFD: 1) Diagnosis of the four components. 2) Possibility of a wide range of n number of codes for each component. 3) Inclusion of the ICF catalog up to a second level. 4) Text writing is predictive. 5) Use of the raters from 0 to 4. 6) Mandatory use, without filling this section cannot record the medical note. Results Different analyzes have been carried out with different objectives: the functioning of the people served according to their health condition, their functioning during the time of their treatment, quality in the registry of functioning by the health person, among others. Conclusion The main conclusions are: a) Continuation in the training of the ICF among the health personnel, since it is observed that some registered codes are not “congruent” with the health condition, as well as codes with terminations 8 and 9 (“other specified” and “unspecified”) That indicate the quality of health information. b) Development of the methodology to assess and qualify disability, since the registration does not conclude the degree of disability of the person served. Keywords Disability; Record; Functioning Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1275 ISPR8-0151
Activity limitation of clinically slow elderly individuals A. Miciano 1,∗ , C. Cross 2 Nevada Rehab Institute, PMR, Las Vegas, USA 2 Las Vegas, USA ∗ Corresponding author. E-mail address: [email protected] (A. Miciano)
1
Introduction/Background Objectives: quantify the activity limitation (AL) of clinically slow elderly individuals (CSE); and,investigate the inter-relationship of AL status with body function and participation restriction. Material and Method In a retrospective study at a PMR clinic, 28 community dwelling elderly individuals participated (age range 65-85 years old) labeled as clinically slow (defined as < 2.2 miles per hour by 6-Minute Walk Test). The PROMIS-57 v1.0 physical function sub-scale (PROMIS-PF) from the National of Institute (NIH) toolbox was designated as the patient-reported outcome (PRO) to describe activity limitation (AL). The clinician-derived Performance-based Assessments (PBA) also were used to describe AL and included the Dynamic Gait Index (DGI) and Berg Balance Scale (BBS). The PROMIS-57 v1.0 fatigue (PROMISFA) and sleep disturbance (PROMIS-SD) sub-scales assessed body function, and the satisfaction with social role sub-scale (PROMISSSR) quantified participation restriction. Results Data met normality assumptions; mean differences were examined among variables using ANOVA with age as a covariate. Age did not differ significantly among participants. Descriptive statistics and significance tests are provided for each variable, followed by a Pearson Correlation analysis split by gender (significant P ≤ 0.05). The mean (SD) score were as follows (female,
male): PROMIS-PF T-scores 34.10 (5.70), 40.14 (8.82); DGI 13.76 (3.91), 22.10 (3.60); BBS 39.88 (8.28), 48.8 (7.06); PROMIS-FA 55.71 (12.30), 56.10 (3.97); PROMIS-SSR 51.53 (9.15), 46.50 (9.68). In females, PROMIS-PF correlated with PROMIS-FA (r = −.474, P = .04). In males, DGI correlated with PROMIS-FA (r = −.771, P = .042). Conclusion CSE tend to have moderate to severe AL and moderate PR, while their body function tend to be within population mean. The AL of CSE had a statistically significant correlation with the body function (specifically fatigue) in both genders. These findings support the importance of assessing AL in these individuals, along with the BF and PR. Further research should be conducted on the inter-relationship relationships of BF, AL, and PR in other geriatric syndromes. Keywords Activity limitation; Frailty; Community dwelling elderly Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1276
E4 Functioning epidemiology (Population-based comparative studies of functioning across conditions, cultures, and time, e.g. on employment of people with disability) ISPR8-2233
Epidemiology of disability and participation in Morocco: Results from 2014 National household survey A. Hajjioui 1,∗ , N. Abda 2 , R. El Guenouni 3 , M. Fourtassi 2 University Sidi Mohammed Ben Abdellah- Fez, Department of Physical and Rehabilitation Medicine, Fez, Morocco 2 Université Mohammed Premier, Oujda, Morocco 3 Ministry of Family- Solidarity- Equality and Social Development, Disability of Department, Rabat, Morocco ∗ Corresponding author. E-mail addresses: [email protected], [email protected] (A. Hajjioui)
1
Introduction/Background According to the World Health Organization, Over a billion people are estimated to live with some form of disability. A good quality data on disability are essential to policy makers in order to establish tailored programs for persons with disabilities (PWDs) based on the specific needs of each category. In low- and middle-income countries, data on disability are very scarce. The aim of this study is to determine the prevalence of disability and participation in Adult Moroccan population, and its distribution according to socio-demographic characteristics and geographical regions. Material and Method A national Survey was conducted in 2014, including a sample of 47,275 adult participants drawn from 16,044 households from urban and rural areas proportioned to population size. The sample’s socio-demographic characteristics were collected in a face-to-face interview. Then it was screened for disability using the Washington Group Short Set of Questions on Disability. Results Overall disability prevalence among Moroccan adult population was 9.5%, with important geographical disparities. Older age, lower education rates, unemployment, being single, and living in rural areas, were associated with higher disability prevalence rates. Visual and motor deficiencies were the most common disability modalities, and the prevalence of moderate to extreme disability, that is associated with more significant functioning limitations, was 2.6%.
Abstracts / Annals of Physical and Rehabilitation Medicine 61S (2018) e435–e557
Introduction/Background The National Institute of Rehabilitation in Mexico has an electronic clinical record system in which health conditions are classified with ICD-10, in 2013 the functioning/disability registry is started according to Mexican regulations, where it is indicated that for the generation of statistics on the level of health and disability must meet the guidelines established by the WHO in the ICF in the overall functioning of people. The objective of this work is to make known the implementation of the registry of the diagnosis of functioning/disability (DFD) in an electronic clinical record (ECR). Material and Method The DFD is recorded in the following notes of the ECR: initial note of external consultation, note of admission and hospital discharge. Characteristics of DFD: 1) Diagnosis of the four components. 2) Possibility of a wide range of n number of codes for each component. 3) Inclusion of the ICF catalog up to a second level. 4) Text writing is predictive. 5) Use of the raters from 0 to 4. 6) Mandatory use, without filling this section cannot record the medical note. Results Different analyzes have been carried out with different objectives: the functioning of the people served according to their health condition, their functioning during the time of their treatment, quality in the registry of functioning by the health person, among others. Conclusion The main conclusions are: a) Continuation in the training of the ICF among the health personnel, since it is observed that some registered codes are not “congruent” with the health condition, as well as codes with terminations 8 and 9 (“other specified” and “unspecified”) That indicate the quality of health information. b) Development of the methodology to assess and qualify disability, since the registration does not conclude the degree of disability of the person served. Keywords Disability; Record; Functioning Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1275 ISPR8-0151
Activity limitation of clinically slow elderly individuals A. Miciano 1,∗ , C. Cross 2 Nevada Rehab Institute, PMR, Las Vegas, USA 2 Las Vegas, USA ∗ Corresponding author. E-mail address: [email protected] (A. Miciano)
1
Introduction/Background Objectives: quantify the activity limitation (AL) of clinically slow elderly individuals (CSE); and,investigate the inter-relationship of AL status with body function and participation restriction. Material and Method In a retrospective study at a PMR clinic, 28 community dwelling elderly individuals participated (age range 65-85 years old) labeled as clinically slow (defined as < 2.2 miles per hour by 6-Minute Walk Test). The PROMIS-57 v1.0 physical function sub-scale (PROMIS-PF) from the National of Institute (NIH) toolbox was designated as the patient-reported outcome (PRO) to describe activity limitation (AL). The clinician-derived Performance-based Assessments (PBA) also were used to describe AL and included the Dynamic Gait Index (DGI) and Berg Balance Scale (BBS). The PROMIS-57 v1.0 fatigue (PROMISFA) and sleep disturbance (PROMIS-SD) sub-scales assessed body function, and the satisfaction with social role sub-scale (PROMISSSR) quantified participation restriction. Results Data met normality assumptions; mean differences were examined among variables using ANOVA with age as a covariate. Age did not differ significantly among participants. Descriptive statistics and significance tests are provided for each variable, followed by a Pearson Correlation analysis split by gender (significant P ≤ 0.05). The mean (SD) score were as follows (female,
male): PROMIS-PF T-scores 34.10 (5.70), 40.14 (8.82); DGI 13.76 (3.91), 22.10 (3.60); BBS 39.88 (8.28), 48.8 (7.06); PROMIS-FA 55.71 (12.30), 56.10 (3.97); PROMIS-SSR 51.53 (9.15), 46.50 (9.68). In females, PROMIS-PF correlated with PROMIS-FA (r = −.474, P = .04). In males, DGI correlated with PROMIS-FA (r = −.771, P = .042). Conclusion CSE tend to have moderate to severe AL and moderate PR, while their body function tend to be within population mean. The AL of CSE had a statistically significant correlation with the body function (specifically fatigue) in both genders. These findings support the importance of assessing AL in these individuals, along with the BF and PR. Further research should be conducted on the inter-relationship relationships of BF, AL, and PR in other geriatric syndromes. Keywords Activity limitation; Frailty; Community dwelling elderly Disclosure of interest The authors have not supplied their declaration of competing interest. https://doi.org/10.1016/j.rehab.2018.05.1276
E4 Functioning epidemiology (Population-based comparative studies of functioning across conditions, cultures, and time, e.g. on employment of people with disability) ISPR8-2233
Epidemiology of disability and participation in Morocco: Results from 2014 National household survey A. Hajjioui 1,∗ , N. Abda 2 , R. El Guenouni 3 , M. Fourtassi 2 University Sidi Mohammed Ben Abdellah- Fez, Department of Physical and Rehabilitation Medicine, Fez, Morocco 2 Université Mohammed Premier, Oujda, Morocco 3 Ministry of Family- Solidarity- Equality and Social Development, Disability of Department, Rabat, Morocco ∗ Corresponding author. E-mail addresses: [email protected], [email protected] (A. Hajjioui)
1
Introduction/Background According to the World Health Organization, Over a billion people are estimated to live with some form of disability. A good quality data on disability are essential to policy makers in order to establish tailored programs for persons with disabilities (PWDs) based on the specific needs of each category. In low- and middle-income countries, data on disability are very scarce. The aim of this study is to determine the prevalence of disability and participation in Adult Moroccan population, and its distribution according to socio-demographic characteristics and geographical regions. Material and Method A national Survey was conducted in 2014, including a sample of 47,275 adult participants drawn from 16,044 households from urban and rural areas proportioned to population size. The sample’s socio-demographic characteristics were collected in a face-to-face interview. Then it was screened for disability using the Washington Group Short Set of Questions on Disability. Results Overall disability prevalence among Moroccan adult population was 9.5%, with important geographical disparities. Older age, lower education rates, unemployment, being single, and living in rural areas, were associated with higher disability prevalence rates. Visual and motor deficiencies were the most common disability modalities, and the prevalence of moderate to extreme disability, that is associated with more significant functioning limitations, was 2.6%.