@article{17269,
  author = {Sherrington Catherine and Close J. and Barraclough E. and Taylor M. and Herbert Rob and Lord S. and Cumming R.},
  title = {Mobility-related disability three months after aged care rehabilitation can be predicted with a simple tool: an observational study},
  abstract = {<p>
QUESTIONS: What is the prevalence of mobility-related disability 3 months after discharge from inpatient aged care rehabilitation? Can a clinical tool predict which individuals will experience mobility-related disability 3 months after discharge? DESIGN: Prospective cohort study. PARTICIPANTS: 442 patients newly admitted to two large inpatient rehabilitation units. OUTCOME MEASURES: Predictors were co-morbidities; pre-admission mobility; and discharge cognition, pain, vision, muscle strength, and mobility. The outcome of interest was inability to climb a flight of stairs and walk 800 m without assistance. RESULTS: 157 participants (36%) were unable to climb a flight of stairs and walk 800 m without assistance prior to hospital admission. Three months after discharge, 254 participants (59%) were unable to complete both tasks. A simple clinical prediction tool based on pre-admission ability to complete the two tasks, co-morbidity on admission, and pre-discharge measurement of: leaning while standing (Maximal Balance Range test), low-contrast visual acuity, and knee extension strength, had good discrimination (area under the receiver-operating characteristic curve [AUC] = 0.77, 95% CI 0.72 to 0.81, bootstrap adjusted AUC = 0.77) and was well calibrated. This tool provided substantially better (p &lt; 0-001) discrimination than pre-admission ability alone (AUC = 0.64, 95% CI 0.60 to 0.68, bootstrap adjusted AUC = 0.64). The observed risk of persisting disability ranged from 13% in those with no predictors to 93% in those with 5 predictors. CONCLUSION: Mobility-related disability 3 months after discharge from inpatient rehabilitation is common and can be predicted easily with a clinical tool.
</p>
},
  year = {2010},
  journal = {Journal of Physiotherapy},
  volume = {56},
  edition = {2010/05/21},
  number = {2},
  pages = {121-7},
  isbn = {1836-9553 (Print)},
  note = {Sherrington, CatherineLord, Stephen RClose, Jacqueline C TBarraclough, ElizabethTaylor, MoragCumming, Robert GHerbert, Robert DResearch Support, Non-U.S. Gov'tAustraliaJournal of physiotherapyJ Physiother. 2010;56(2):121-7.},
  language = {eng},
}