logo_hcam

Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

Revista Médica Científica CAMbios Vol. 18(1) Ene-Jun 2019
Ver PDF (Spanish)
Ver HTML (Spanish)

Keywords

Walking Speed
March
Adult
Hospitalization
Observational Study
Geriatrics

How to Cite

1.
Velocidad de la marcha como predictor de recuperación funcional en adultos mayores hospitalizados. Cambios rev. méd. [Internet]. 2019 Aug. 28 [cited 2025 Nov. 5];18(1):41-6. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/374

Abstract

INTRODUCTION. Functionality is an important parameter in the evaluation of the geriatric patient, which predisposes to frailty, institutionalization, morbidity, disability and death. OBJECTIVE. Determine the role of gait velocity as a predictor of functional recovery in hospitalized older adults. MATERIALS AND METHODS. Observational, longitudinal, prospective study. With a total of 167 patients and a sample of 152, with inclusion criteria: older adult who required hospitalization, that his basic pathology did not prevent them from walking, and excluded: 13 patients due to inability to perform the gait speed test, final phase of life or presenting severe cognitive impairment, 1 due to death and 1 due to loss of data, performed at the Geriatrics Service of the Quito Hospital No. 1 of the National Police, in the period May to September 2014, the demographic data were obtained from the Unique Medical Records, the patients were evaluated using the comprehensive geriatric assessment scales: Barthel Index, Mini-Mental Test, Tinetti Scale; and, measurement of the speed of the march in 6 meters in two moments; upon admission and hospital discharge. For the analysis the Microsoft Excel 2010 program was used, in the bivariate correlation, the statistical program Statistical Package for Social Sciences Inc. Chicago, version 18.0 was used. for Windows XP. RESULTS. A statistically significant association (p <0.05) was found with all the study variables. CONCLUSION. The improvement in gait after hospital intervention was relevant, its speed was a predictor of reliable hospital stay, those patients with low gait
rates at admission, remained hospitalized for longer.

Ver PDF (Spanish)
Ver HTML (Spanish)

References

Instituto Nacional de Estadística y Censos Ecuador. Censo de población y vivienda. Biblioteca digital [Internet]. 2010 [citado 2018 Ago 24];1: Disponible en: http://www.inec.gob.ec/estadisticas/

Alonso P, Sansó FJ, Díaz-Canel AM, Carrasco OT. Envejecimiento poblacional y fragilidad en el adulto mayor. Rev Cubana Salud Pública [Internet]. 2007 Mar [citado 2018 Ago 4];33(1). ISSN 1561-3127. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662007000100010&lng=es

Lebrão ML, Laurenti RS. bem-estar e envelhecimento: o estudo SABE no Município de São Paulo. Rev. bras. epidemiol [Internet]. 2005 June [cited 2018 Ago 24] ; 8( 2 ): 127-141. DOI: http://dx.doi.org/10.1590/S1415-790X2005000200005. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415790X2005000200005&lng=en

Varela L, Chávez H, Galvez M, Mendez F. Funcionalidad en el adulto mayor previa a su hospitalización a nivel nacional. Rev Med Hered [Internet]. 2005 Jul [citado 2018 Ago 24] ; 16(3): 165-171. ISSN 1729-214X. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018130X2005000300002&lng=es

Cooper R, Hardy R, Sayer AA, Ben-Shlomo, Birnie K, Cooper C, et al. Age and gender differences in physical capability levels from mid-life onwards: the harmonisation and meta-analysis of data from eight UK cohort studies. PLos One. 2011;6(11):e27899. DOI: 10.1371/journal.pone.0027899. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22114723

Varela L. Velocidad de la marcha como indicador de fragilidad en adultos mayores de la comunidad en Lima. Rev Esp Geriatr Gerontol. Ene 2010;45(1):23-25. ISSN 1729-214X Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2009000300003

Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait Speed and Survival in Older Adults. JAMA[Internet]. 2011 Jan 5[cited 2018 Sep 10];305(1):50-8. DOI: 10.1001/jama.2010.1923. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21205966

Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir G V., et al. Lower Extremity Function and Subsequent Disability: Consistency Across Studies, Predictive Models, and Value of Gait Speed Alone Compared With the Short Physical Performance Battery. Journals Gerontol Ser A Biol Sci Med Sci [Internet]. 2000 Apr 1;55(4):M221–31. Available from: https://academic.oup.com/biomedgerontology/article-lookup/doi/10.1093/gerona/55.4.M221

Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VK. Ageing and gait variability--a population-based study of older people. Age Ageing[Intenet]. 2010 Mar[cited 2018 Sep 10];39(2):191-7. DOI: 10.1093/ageing/afp250. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20083617

Semba RD, Nicklett EJ, Ferrucci L. Does accumulation of advanced glycation end products contribute to the aging phenotype?. J Gerontol A Biol Sci Med Sci[Internet].2010 Sep[cited 2018 Sep 15];65(9):963-75. DOI: 10.1093/gerona/glq074. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20478906

Montero M, Schapira M, Duque G, Soriano E, Kaplam R, Camera L. Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study. BMC Geriatr[Internet]. 2005[cited 2018 Sep 15]; 5:15-21. PMID: 16321159. DOI: 10.1186/1471-2318-5-15Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1325027/

Lenardt MH, Hammerschmidt N, Carneiro K, Betiolli SE, Wachholz PA. Prevalencia de prefragilidad para el componente velocidad de la marcha en ancianos. Rev. Latino-Am. Enfermagem[Internet]. 2013[citado 2018 Nov 24];21(3):1-8. ISSN 1518-8345. Disponible en: http://www.scielo.br/pdf/rlae/v21n3/es_0104-1169-rlae-21-03-0734.pdf

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing [Internet]. 2019 [citado 2019 Jan 1];48(1):16–31. Available from: https://academic.oup.com/ageing/article/48/1/16/5126243

Barragán F. Velocidad de la marcha al egreso hospitalario y su relación con re -hospitalizaciones a 30 y 60 días en pacientes mayores de 65 años [Tesis]. Rev. Fac. Med[Internet]. 2016[cited 2018 Sep 15];64(1):1-172. DOI:http://dx.doi.org/10.15446/revfacmed.v64n1.55381. Disponible en:https://revistas.unal.edu.co/index.php/revfacmed/issue/viewFile/4513/573

Yerobi M. Estudio de indicadores de la fragilidad en ancianos institucionalizados [tesis doctoral]. Pamplona- España: Universidad Pública de Navarra; 2011. Disponible en: https://academica-e.unavarra.es/xmlui/bitstream/handle/2454/5266/TFM%20MAIDER%20UGARTEMENDIA.pdf?sequence=1&isAllowed=y

Luis P, Hidalgo P, Pedro F, Fernández G, Isabel M, García C, et al. Deterioro funcional en ancianos ingresados en un hospital sin unidades geriátricas. Gerokomos [Internet]. 2010 Mar [citad 2018 Sep 15]; 21(1): 8-16. ISSN 1134-928X. Disponible en: http://scielo.isciii.es/scielo.phpscript=sci_arttext&pid=S1134928X2010000100002&lng=es

Gómez JF, Cursio CL, Henao GM. Fragilidad en ancianos colombianos. Rev.Medica.Sanitas[Internet]. 2012[cited 2018 Dec 10];15(4):8-16. Disponible en: http://www.unisanitas.edu.co/Revista/45/08%20ANCIANOS%20DFN.pdf

Ostir GV, Berges I, Kuo YF, Goodwin JS, Ottenbacher KJ, Guralnik JM. Assessing gait speed in acutely ill older patients admitted to an acute care for elders hospital unit. Arch Intern Med[Internet]. 2012 Feb 27[cited 2018 Jan 10];172(4):353-8. DOI: 10.1001/archinternmed.2011.1615. PubMed PMID: 22371922. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487589/

Abellan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging[Internet]. 2009 Dec[cited 2019 Jan 15];13(10):881-889. PMID: 19924348. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19924348

Deshpande N, Ferrucci L, Metter J, Faulkner KA, Strotmeyer E, Satterfield S. Association of lower limb cutaneous sensitivity with gait speed in the elderly: the health ABC study. Am J Phys Med Rehabil[Internet]. 2008 Nov[cited 2019 Mar 10]; 87(11): 921-8. PMID: 18936557. DOI:10.1097/PHM.0b013e31818a5556 Available from: https://www.ncbi.nlm.nih.gov/pubmed/18936557

Verghese J, Holtzer R, Lipton RB, Wang C. Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci[Internet]. 2009 Aug[cited 2019 May 16];64(8):896-901. PMID: 19349593. DOI: 10.1093/gerona/glp033. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19349593

Figliolino J, Morais T, Berbel A, Dal C. Análise da influência do exercício físico em idosos com relação a equilíbrio, marcha e atividade de vida diária. Rev. bras. geriatr. gerontol [Internet]. 2009 Aug [cited 2019 Jun 02] ;12(2): 227-238. ISSN 1981-2256. Available from: http://www.scielo.br/scielo.php?pid=S180998232009000200227&script=sci_abstract&tlng=pt

 

The authors who publish in this journal accept the following conditions:

1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.

2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.