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Factors associated with provision of wheelchairs in older adults

Karmarkar, AM and Dicianno, BE and Graham, JE and Cooper, R and Kelleher, A and Cooper, RA (2012) Factors associated with provision of wheelchairs in older adults. Assistive Technology, 24 (3). 155 - 167. ISSN 1040-0435

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Abstract

The objectives of this study were: to identify the factors that are associated with prescription of wheeled mobility devices for older adults, and to determine the effect that living setting has on the types of devices that older adults receive. Retrospective medical chart review at the Center for Assistive Technology on 337 older individuals. These individuals were aged >60 years, and each of them received a new wheeled mobility device from the center during 2007 or 2008. Data were analyzed in three tiers: tier 1 (manual versus powered mobility devices); tier 2 (motorized scooters versus power wheelchairs); and tier 3 (customized versus standard power wheelchairs). For tier 1, the factor associated with higher odds for receipt of manual wheelchairs versus powered were: cognitive limitations (OR =.03). For tier 2, diagnosis of cardio-vascular and pulmonary conditions were associated with prescription of motorized scooters (OR = 3.9). For tier 3, neurological conditions (OR = 3.1), male gender (OR =.37), institutional living (OR =.23), and lower age (OR =.96) were associated with receipt of customized power wheelchairs. This study objectively describes factors associated with prescription of wheeled mobility for older adults. This information can aid in development of guidelines and improving standards of practice for prescription of wheelchairs for older adults. © 2012 RESNA.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Karmarkar, AM
Dicianno, BEdicianno@pitt.eduDICIANNO0000-0003-0738-0192
Graham, JE
Cooper, Rcooperrm@pitt.eduCOOPERRM
Kelleher, Aakellehe@pitt.eduAKELLEHE
Cooper, RARCOOPER@pitt.eduRCOOPER
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 September 2012
Date Type: Publication
Journal or Publication Title: Assistive Technology
Volume: 24
Number: 3
Page Range: 155 - 167
DOI or Unique Handle: 10.1080/10400435.2012.659795
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 1040-0435
Article Type: Review
MeSH Headings: Aged; Female; Housing; Humans; Male; Middle Aged; Prescriptions; Wheelchairs--classification
PubMed ID: 23033733
Date Deposited: 08 Feb 2013 21:59
Last Modified: 02 Feb 2019 22:55
URI: http://d-scholarship.pitt.edu/id/eprint/17123

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