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Ph.d. defence by Jane Andreasen

Klinisk Institut, Aalborg Universitet og Aalborg Universitetshospital har den glæde at invitere til ph.d.-forsvar ved fysioterapeut Jane Andreasen, Fysio- og Ergoterapien, som forsvarer ph.d.-afhandlingen: FRAILTY IN ACUTELY ADMITTED OLDER MEDICAL PATIENTS - IDENTIFICATION, MEANING AND CONSEQUENCES OF FRAILTY AT HOSPITAL DISCHARGE

Tidspunkt

20.01.2017 kl. 13.00 - 16.00

Beskrivelse

Time and Place

Friday, January 20th, 1 PM
The auditorium
Medicinerhuset, Aalborg University Hospital

 

Supervisors

Professor Erik Elgaard Sørensen, RN, PhD
Clinical Nursing Research Unit, Aalborg University Hospital; Department of Clinical Medicine, Aalborg University.

Associate Professor Mette Aadahl, PT, PhD
Research Centre for Prevention and Health, Rigshospitalet – Glostrup Hospital; Department of Public Health, University of Copenhagen.

Professor Hans Lund, PT, PhD
Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark; Centre for Evidence-Based Practice, Bergen University College, Norway

Professor Kim Overvad, MD, PhD (Study IV)
Department of Cardiology, Aalborg University Hospital; Section for Epidemiology, Department of Public Health, Aarhus University


Bedømmere

Professor Asbjørn Mohr Drewes, MD, PhD, (chair)
Department of Medical Gastroenterology, Aalborg University Hospital. Department of Clinical Medicine, Aalborg University

Assistant Professor Bernard Jeune
Epidemiology, Biostatistics and Biodemography, Danish Aging Research Center, South Denmark University

Professor Jos M.G.A. Schols
Department of Health Services Research, Maastricht University, Netherlands

 

Abstract

Frailty is a condition that may have far-reaching consequences for acutely admitted older medical patients. This PhD project addressed identification of frailty at discharge from hospital, the experience of daily life one week after discharge and what serious consequences frailty may have in terms of readmission or death within six months after discharge.

To identify bio-psycho-social frailty, The Tilburg Frailty Indicator, was translated, cross cultural adapted and face validated (N=34) into a Danish version. In the second study a content validation showed that the majority of important items related to frailty, from a target population perspective, (N=14) were covered in The Tilburg Frailty Indicator. In the third study the experiences of daily life of acutely admitted frail older medical patients (N=14) one week after discharge were explored. Several elements and stressors affected the wellbeing of the participants in daily life. In particular, contact with the health care system created frustrations and worries, but also physical disability, loneliness, and inactivity were issues of concern.  The observational cohort study (N=1328) showed that a  higher self-reported frailty and lower functional status were associated with a higher risk of readmission or death within six months after discharge in acutely admitted older medical patients.

The findings in this project contributed to new insights and reflections in relation to a valid and simple way of identifying frailty. The project documented an association between frailty and lower functional status and risk of readmission or death, and finally contributed to an understanding of the meaning and serious consequences of frailty in acutely admitted older medical patients in relation to discharge.

Arrangør

Aalborg University, Department of Clinical Medicine and Aalborg University Hospital

Adresse

Medicinerhuset, Mølleparkvej 4, 9000 Aalborg

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