Functional Impairment Clinical Trial
Official title:
Effects of an Intrahospital Exercise Program in Functional Capacity of Old Inpatients
Background The Activity in GEriatric acute CARe (AGECAR) is a randomized control trial to assess the effectiveness of an intrahospital strength and walk program during short hospital stays for improving functional capacity of patients aged 75 years or older.
Objective: The main objective of this study is to assess whether an inpatient exercise
program, beyond other components of interdisciplinary care, could reduce hospital associated
disability (HAD) in medical patients aged 75 years and older admitted to an acute care for
elders (ACE) unit.
Population: The reference population will be patients aged 75 years and older admitted to the
ACE unit from the emergency department. This study will include only patients discharged
alive. Exclusion criteria include patients fully dependent at baseline, unable to sign
informed consent, unstable medical condition, short stay (<3 days), end stage illness.
Interventions: Patients will be randomly assigned to a control or an intervention group.
Participants allocated to the control group will receive usual care in the ACE unit with
actions directed to prevent delirium and functional decline. The intervention group, in
addition to the usual care, will receive an exercise program. Briefly, this program consisted
of strengthening of lower limbs muscles, and walking, daily from Monday to Friday.
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