ASSOCIATION BETWEEN NURSE PRACTITIONERASSIGNED GLOBAL HEALTH RATINGS AND MORTALITY ON A SUB-ACUTE GERATRIC REHABILIATION UNIT.

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  • Additional Information
    • Affiliation:
      Associate Scientist, Lawson Health Research Institute, Assistant Professor, Department of Epidemiology and Biostatistics, Western University, London, ON
      Schulich School of Medicine and Dentistry, Western University, London, ON
      Research Associate, St. Joseph's Health Care, London, ON
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Geriatric rehabilitation units (GRUs) are designed to restore the functional independence of older adults by improving mobility and quality of life following an acute event or prolonged hospitalization. The purpose of this case control study which was conducted in a referral-based sub-acute geriatrician-led GRU was to identify factors associated with the worst possible patient outcome, death. The ultimate study goal was to identify mortality-related factors early in the admission, with the hope of remediation. Sex and date of admission were used to match cases (those who died) with controls (those alive at discharge). Although 69 people died while on the GRU (3.6% of all GRU admissions between January 1, 2005 and December 31, 2014), this analysis was limited to the 59 pairs whose global health was determined by the GRU's nurse practitioner (NP). In the parsimonious multivariable conditional logistic regression model of in-hospital death, the odds of death were 4.82 (95% confidence interval (CI): 1.36- 17.10) times greater among those whose global health on admission was "poor" than among those identified as having "fair/good" global health. Higher motor Functional Independence Measure (FIM®) scores were significantly associated with lower mortality (overall: 0.96 (0.92-1.00); males: 0.96 (0.92-1.00); females: 0.85 (0.75-0.96)). Parsimonious logistic regression models of global health among those who died differed by sex suggesting that factors associated with the assignment of global health and/or their weight may differ by sex. When used in conjunction with functional measures and medical diagnoses, NP-assessed global health ratings may be useful in identifying GRU patients who are at risk of in-hospital death.
    • Journal Subset:
      Blind Peer Reviewed; Canada; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed
    • Instrumentation:
      Functional Independence Measure (FIM)
    • ISSN:
      0831-7445
    • MEDLINE Info:
      NLM UID: 8500942
    • Grant Information:
      Funding for this work was provided by Western University’s Schulich School of Medicine and Dentistry Summer Research Training Program.
    • Publication Date:
      20200129
    • Publication Date:
      20200201
    • Accession Number:
      141394511
  • Citations
    • ABNT:
      GUTMANIS, I.; DHANANI, H.; MARLATT, N. M. Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit. Perspectives: The Journal of the Gerontological Nursing Association, [s. l.], v. 40, n. 4, p. 6–11, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511. Acesso em: 7 ago. 2020.
    • AMA:
      Gutmanis I, Dhanani H, Marlatt NM. Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit. Perspectives: The Journal of the Gerontological Nursing Association. 2019;40(4):6-11. Accessed August 7, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511
    • APA:
      Gutmanis, I., Dhanani, H., & Marlatt, N. M. (2019). Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit. Perspectives: The Journal of the Gerontological Nursing Association, 40(4), 6–11.
    • Chicago/Turabian: Author-Date:
      Gutmanis, Iris, Hasina Dhanani, and Nicole M. Marlatt. 2019. “Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit.” Perspectives: The Journal of the Gerontological Nursing Association 40 (4): 6–11. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511.
    • Harvard:
      Gutmanis, I., Dhanani, H. and Marlatt, N. M. (2019) ‘Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit’, Perspectives: The Journal of the Gerontological Nursing Association, 40(4), pp. 6–11. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511 (Accessed: 7 August 2020).
    • Harvard: Australian:
      Gutmanis, I, Dhanani, H & Marlatt, NM 2019, ‘Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit’, Perspectives: The Journal of the Gerontological Nursing Association, vol. 40, no. 4, pp. 6–11, viewed 7 August 2020, .
    • MLA:
      Gutmanis, Iris, et al. “Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit.” Perspectives: The Journal of the Gerontological Nursing Association, vol. 40, no. 4, Oct. 2019, pp. 6–11. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511.
    • Chicago/Turabian: Humanities:
      Gutmanis, Iris, Hasina Dhanani, and Nicole M. Marlatt. “Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit.” Perspectives: The Journal of the Gerontological Nursing Association 40, no. 4 (October 2019): 6–11. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511.
    • Vancouver/ICMJE:
      Gutmanis I, Dhanani H, Marlatt NM. Association between Nurse Practitionerassigned Global Health Ratings and Mortality on a Sub-Acute Geratric Rehabiliation Unit. Perspectives: The Journal of the Gerontological Nursing Association [Internet]. 2019 Oct [cited 2020 Aug 7];40(4):6–11. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141394511