Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set

Abstract The impact of dynapenia on the complexity of care for residents of long-term care facilities (LTCF) remains unclear. The present study evaluated associations between dynapenia, care problems and care complexity in 504 residents of Veterans Care Homes (VCHs) in Taiwan. Subjects with dynapeni...

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Autores principales:	Tzu-Ya Huang, Chih-Kuang Liang, Hsiu-Chu Shen, Hon-I Chen, Mei-Chen Liao, Ming-Yueh Chou, Yu-Te Lin, Liang-Kung Chen
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f9c554e764b740d7bbeed9e0796d3269
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spelling	oai:doaj.org-article:f9c554e764b740d7bbeed9e0796d32692021-12-02T16:06:44ZGait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set10.1038/s41598-017-08791-42045-2322https://doaj.org/article/f9c554e764b740d7bbeed9e0796d32692017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-08791-4https://doaj.org/toc/2045-2322Abstract The impact of dynapenia on the complexity of care for residents of long-term care facilities (LTCF) remains unclear. The present study evaluated associations between dynapenia, care problems and care complexity in 504 residents of Veterans Care Homes (VCHs) in Taiwan. Subjects with dynapenia, defined as low muscle strength (handgrip strength <26 kg), were older adults with lower body mass index (BMI), slow gait speed, and higher numbers of Resident Assessment Protocol (RAP) triggers. After adjusting for age, education, BMI, and Charlson’s comorbidity index (CCI), only age, education, BMI and gait speed were independently associated with higher numbers of RAP triggers, but not dynapenia or handgrip strength (kg). Dividing subjects into groups based on quartiles of gait speed, those with gait speed ≤0.803 m/s were significantly associated with higher complexity of care needs (defined as ≥4 RAP triggers) compared to the reference group (gait speed >1 m/s). Significantly slow gait speed was associated with RAP triggers, including cognitive loss, poor communication ability, rehabilitation needs, urinary incontinence, depressed mood, falls, pressure ulcers, and use of psychotropic drugs. In conclusion, slow gait speed rather than dynapenia is a simple indicator for higher complexity of care needs of older male LTCF residents.Tzu-Ya HuangChih-Kuang LiangHsiu-Chu ShenHon-I ChenMei-Chen LiaoMing-Yueh ChouYu-Te LinLiang-Kung ChenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tzu-Ya Huang Chih-Kuang Liang Hsiu-Chu Shen Hon-I Chen Mei-Chen Liao Ming-Yueh Chou Yu-Te Lin Liang-Kung Chen Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
description	Abstract The impact of dynapenia on the complexity of care for residents of long-term care facilities (LTCF) remains unclear. The present study evaluated associations between dynapenia, care problems and care complexity in 504 residents of Veterans Care Homes (VCHs) in Taiwan. Subjects with dynapenia, defined as low muscle strength (handgrip strength <26 kg), were older adults with lower body mass index (BMI), slow gait speed, and higher numbers of Resident Assessment Protocol (RAP) triggers. After adjusting for age, education, BMI, and Charlson’s comorbidity index (CCI), only age, education, BMI and gait speed were independently associated with higher numbers of RAP triggers, but not dynapenia or handgrip strength (kg). Dividing subjects into groups based on quartiles of gait speed, those with gait speed ≤0.803 m/s were significantly associated with higher complexity of care needs (defined as ≥4 RAP triggers) compared to the reference group (gait speed >1 m/s). Significantly slow gait speed was associated with RAP triggers, including cognitive loss, poor communication ability, rehabilitation needs, urinary incontinence, depressed mood, falls, pressure ulcers, and use of psychotropic drugs. In conclusion, slow gait speed rather than dynapenia is a simple indicator for higher complexity of care needs of older male LTCF residents.
format	article
author	Tzu-Ya Huang Chih-Kuang Liang Hsiu-Chu Shen Hon-I Chen Mei-Chen Liao Ming-Yueh Chou Yu-Te Lin Liang-Kung Chen
author_facet	Tzu-Ya Huang Chih-Kuang Liang Hsiu-Chu Shen Hon-I Chen Mei-Chen Liao Ming-Yueh Chou Yu-Te Lin Liang-Kung Chen
author_sort	Tzu-Ya Huang
title	Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
title_short	Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
title_full	Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
title_fullStr	Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
title_full_unstemmed	Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set
title_sort	gait speed rather than dynapenia is a simple indicator for complex care needs: a cross-sectional study using minimum data set
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/f9c554e764b740d7bbeed9e0796d3269
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Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set

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