%0 Journal Article
%T Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma
%J Age and ageing
%D 2017
%A Eagles, Debra
%A Perry, Jeffrey J.
%A Sirois, Marie-Josée
%A Lang, Eddy
%A Daoust, Raoul
%A Lee, Jacques
%A Griffith, Lauren
%A Wilding, Laura
%A Neveu, Xavier
%A Emond, Marcel
%V 46
%N 2
%P 214-218
%X BACKGROUND: there is no standardised test for assessing mobility in the Emergency Department (ED). <br><br>OBJECTIVE: we wished to evaluate the relationship between the Timed Up and Go (TUG) and frailty, functional decline and falls in community dwelling elders that present to the ED following minor trauma. <br><br>METHODS: this was a secondary analysis of a prospective cohort study conducted at eight Canadian hospitals. Evaluations included: TUG; Study of Osteoporotic Fractures Frailty Index; Older American Resources and Service Functional Scale; and self-reported falls. Of note, 3- and 6-month follow-up was conducted. Generalised linear model with log-binomial distribution was utilised. Relative risks (RR) and 95% CI were calculated. <br><br>RESULTS: TUG scores were available for 911/2918 patients, mean age 76.2 (SD 7.8) and 57.9% female. There was an association between TUG scores and frailty (P < 0.05) and functional decline at 3 (P < 0.05) and 6 (P < 0.05) months but not self-reported falls. For TUG scores 10-19 seconds, 20-29 seconds and ≥30 seconds, respectively: (i) frailty RR (95% CI): 1.8 (1.3-2.4), 3.0 (2.2-4.2) and 3.7 (2.6-5.1); (ii) functional decline RR (95% CI): 2.7 (1.1-6.4), 5.5 (2.1-14.3) and 8.9 (3.0-25.8); (iii) falls RR (95% CI): 0.9 (0.5-1.5), 1.3 (0.6-2.5) and 1.1 (0.4-3.5). <br><br>CONCLUSION: in community dwelling elders presenting to the ED following minor trauma, TUG scores were associated with frailty and strongly associated with functional decline at 3 and 6 months post injury. TUG scores were not associated with self-reported falls. Use of the TUG in the ED will help identify frail patients at risk of functional decline.<p /> <p>Language: en</p>
%G en
%I Oxford University Press
%@ 0002-0729
%U http://dx.doi.org/10.1093/ageing/afw184