Acute hospital care of the elderly: minimizing the risk of functional decline

CLINICAL ISSUES Between 25% and 60% of older patients in the hospital undergoing care for an acute illness risk some loss of independent physical function. This loss may lead to prolonged hospital stay, nursing-home placement, or death. The risk of functional decline is related to the hospital environment, as well as to the physical frailty of the patient, disease severity, and cognitive impairment.