AM-PAC 6-CLICKS SCORES PREDICT HOSPITAL DISCHARGE DESTINATION IN OLDER ADULTS WITH CARDIOVASCULAR DISEASE. (11th November 2018)

• Record Type: Journal Article
• Authors: Blackwood, J; Fernandez, N
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 489
• Page End: 489
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.1824
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: INTRODUCTION/CLINICAL RELEVANCE: Cardiovascular disease (CVD) effects mobility which could lead to prolonged hospitalization and increased healthcare costs. Measuring function using Activity Measure for Post-Acute Care 6-click (AMPAC) scores can accurately predict acute hospital discharge location but there is limited research in patients with CVD. The purpose of this study was to describe the accuracy of AMPAC's mobility and daily activity scores to predict discharge destination from an acute care hospital. METHODS: A retrospective review of medical record data of 190 older adults (age 55+) from a large teaching hospital was performed. AMPAC scores obtained at initial physical or occupational therapy evaluation and discharge were used to create and validate receiver operating characteristic curves for predicting discharge destination. RESULTS: The area under the ROC for predicting discharge was 0.748 for mobility and 0.813 for activity AMPAC initial evaluation scores. Cutoff values providing the best values for determining discharge destination were 19 for daily activity scores and 22 for the mobility scores. CONCLUSIONS: AMPAC scores at initial physical or occupational therapy evaluation are able to predict discharge destination in older adults with CVD.