Publications by authors named "Maria Aagesen"

3 Publications

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The cumulated ambulation score is superior to the new mobility score and the de Morton Mobility Index in predicting discharge destination of patients admitted to an acute geriatric ward; a 1-year cohort study of 491 patients.

Disabil Rehabil 2020 Aug 6:1-8. Epub 2020 Aug 6.

Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte, Copenhagen, Denmark.

Purpose: To investigate the predictive value of New Mobility Score, de Morton Mobility Index, and Cumulated Ambulation Score regarding discharge destination, and to determine the feasibility of the tests in an acute geriatric ward.

Materials And Methods: Observational 1-year cohort study of 491 geriatric patients admitted consecutively from own home. New Mobility Score (pre-hospital functional level), de Morton Mobility Index, and Cumulated Ambulation Score were recorded at the first physiotherapy contact.

Results: Univariable logistic regression showed that the odds for not being discharged home were 7 times higher (odds ratio = 7.6, 95%CI; 4.5-12.7) for patients with a non-independent mobility level (Cumulated Ambulation Score ≤ 5) compared to independent (Cumulated Ambulation Score = 6). Corresponding ratios were 6.2 (3.8-10.0) for de Morton Mobility Index ≤ 41 points and 2.8 (1.8-4.5) for New Mobility Score ≤5 points. Adjustment for gender, age, cause of admission, and marital status improved the predictive value of the Cumulated Ambulation Score. Upon admission, 99% of the patients were assessed with New Mobility Score, 100% with Cumulated Ambulation Score, and 81% with de Morton Mobility Index.

Conclusion: Cumulated Ambulation Score is more feasible and superior in predicting discharge destination than de Morton Mobility Index and New Mobility Score in an acute geriatric ward.Implications for rehabilitationEasy, quick, and accurate measurement of mobility is essential for discharge planning and effective targeting of physiotherapy in an acute geriatric ward.The objectively assessed Cumulated Ambulation Score is superior to the de Morton Mobility Index and the pre-hospital New Mobility Score in predicting discharge destination in geriatric patients admitted from their own home.The Cumulated Ambulation Score and the New Mobility Score are more feasible and less time consuming to complete in an acute geriatric ward compared to the de Morton Mobility Index.
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August 2020

Risk of being granted disability pension among incident cancer patients before and after a structural pension reform: A Danish population-based, matched cohort study.

Scand J Work Environ Health 2020 07 13;46(4):382-391. Epub 2020 Jan 13.

DEFACTUM, Social & Health Services and Labor Market, P.P. Oerums Gade 11, Building 1B, 8000 Aarhus C, Denmark.

Objective This study aimed to examine the risk of being granted a disability pension (DP) among incident cancer patients up to five years after diagnosis compared to a match control group, before and after the structural reform of the Danish Disability Pension Act in 2013. Methods All 20-60-year-old incident cancer-diagnosed individuals from 2000 to 2015 were identified in the Danish Cancer Registry. A control group, not previously diagnosed with cancer, was identified in Statistics Denmark matched by gender, age, education, and household income. Risk differences (RD) in cumulative incidence proportions of being granted a DP between cancer patients and controls were analyzed before and after the reform. Results In total, 111 773 incident cancer patients and 506 904 controls were included in the study. Before reform 10 561 cancer patients and 11 231 controls were granted DP; and 2570 cancer patients and 2646 controls were granted DP after the reform. The adjusted RD of being granted DP was significantly higher for cancer patients versus controls at all time points before the reform. The RD increased the most during the first (RD 3.6, 95% CI 3.5-3.7) and second (RD 7.2, 95% CI 7.0-7.4) follow-up year and levelled off the remaining three years. After the reform, the adjusted RD were lower for all 1-5 follow-up years compared to before the reform (RD range 2.8-7.7, 95% CI 2.6-8.1). Conclusion The 2013 reform of the Disability Pension Act reduced the risk of cancer patients being granted DP. The impact on a personal level should be further explored.
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July 2020

Reliability and agreement between 2 strength devices used in the newly modified and standardized Constant score.

J Shoulder Elbow Surg 2014 Dec 28;23(12):1806-1812. Epub 2014 Jun 28.

Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark; Clinical Orthopaedic Research Hvidovre, Copenhagen, Denmark.

Hypothesis: The new and standardized test protocol for the Constant score (CS) provides new methodology, but different devices are still used for shoulder strength testing. It was hypothesized that strength measurements using the IsoForceControl (IFC) dynamometer (MDS Medical Device Solutions, Oberburg, Switzerland) would provide results comparable with the IDO isometer (Innovative Design Orthopaedics, Redditch, UK).

Materials And Methods: Sixty healthy subjects, aged 19 to 83 years, were studied, with 5 men and 5 women in each of 6 ten-year age groups. The IFC and IDO were used in randomized order with an 8-minute interval between testing. Subjects performed 3 successive trials with strong verbal encouragement, with 1 minute between trials. The best strength performance was used in the analysis. The rater and subjects were blinded to all results.

Results: The IFC produced 0.28-kg (0.62-lb) higher strength values on average than the IDO (P = .002). The intraclass correlation coefficient (ICC2,1) was 0.97 (95% confidence interval, 0.95-0.98), whereas the standard error of measurement and smallest real difference were 0.43 kg (0.95 lb) and 1.2 kg (2.63 lb), respectively. The total CS and strength reached mean values of 92.4 points (SD, 6.2 points) and 8.2 kg (SD, 2.6 kg) (18.0 lb [SD, 5.8 lb]), respectively, and were negatively associated with age (r > -0.407, P ≤ .001). The strength values decreased (P ≤ .001) by 1.3 CS points per decade, and women had strength values that were 8 CS points lower on average than those of men of the same age.

Conclusions: The relative (intraclass correlation coefficient) and absolute (standard error of measurement) reliability between the IFC and IDO is excellent, indicating that performances reported from settings using the IDO are comparable with those recorded with the IFC in other settings.
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December 2014