Applications of de Morton Mobility Index on the Middle-Aged Population—Post Cholecystectomy: A Preliminary Report

(Saleh Abdulrahman Almulhim , Mounther Mohammed AlNaim , Abdullah Ahmed Alabdrabulridha , Renad Sunhat AlSubaie , Fatimah M. Alhubail , Abdulrahman Ahmed Alghamdi , Abdulmalek W. Alhithlool , Ahmed Hassan Kamal and Abdulrahman Saleh Al-Mulhim)

---

Abstract

The aim of this paper is to determine the postoperative outcomes and mobility levels of patients by utilizing DEMMI scores. This is the first study addressing this score in laparoscopic cholecystectomy. This cohort study was conducted at the King Fahad Hospital Al Hofuf and the National Guard Hospital in the Kingdom of Saudi Arabia from January 2022 to January 2023 using a sample of old-age patients undergoing laparoscopic cholecystectomy (LC). The target population comprised of 75 patients aged 50 years and older. Seventy-five patients were included in the study; the median age was 55, with a minimum age of 50 and a maximum age of 72, resulting in a range of 22. The early DEMMI score has a median of 62, a minimum of 53, and a maximum of 100, yielding a range of 47. Regarding the DEMMI score at discharge, the median was 85, with a minimum of 74 and a maximum of 100, resulting in a range of 26. DEMMI scores are a good tool for assessing patients following laparoscopic cholecystectomy. 
KEYWORDS
Assessment, complications, geriatric, surgery, movements, postoperative

PDF

References

Bedirli, A., Sözüer, E.M., Yüksel, O. and Yilmaz, Z. (2001). Laparoscopic cholecystectomy for symptomatic gallstones in diabetic patients. Journal of Laparoendoscopic and Advanced Surgical Techniques, 11(5), 281–284. DOI: 10.1089/109264201317054564
Bingener, J., Richards, M.L., Schwesinger, W.H., Strodel, W.E. and Sirinek, K.R. (2003). Laparoscopic cholecystectomy for elderly patients: gold standard for golden years? Archives of surgery, 138(5), 531–536. DOI:10.1001/archsurg.138.5.531
de Morton, N.A., Davidson, M. and Keating, J.L. (2008 a). The de Morton Mobility Index (DEMMI): an essential health index for an ageing world. Health and quality of life outcomes, 6(n/a), 1–15. DOI: 10.1186/1477-7525-6-63
de Morton, N.A., Keating, J.L. and Davidson, M. (2008 b). Rasch analysis of the barthel index in the assessment of hospitalized older patients after admission for an acute medical condition. Archives of physical medicine and rehabilitation, 89(4), 641–647. DOI: 10.1016/j.apmr.2007.10.021
Fried, G.M., Clas, D. and Meakins, J.L. (1994). Minimally invasive surgery in the elderly patient. Surgical Clinics of North America, 74(2), 375–387. PMID: 8165473
Golden, W.E., Cleves, M.A. and Johnston, J.C. (1996). Laparoscopic cholecystectomy in the geriatric population. Journal of the American Geriatrics Society, 44(11), 1380–1383. DOI: 10.1111/j.1532-5415.1996.tb01412.x
Gurusamy, K.S., Davidson, C., Gluud, C. and  Davidson, B.R. (2013). Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis. Cochrane Database of Systematic Reviews, n/a(6), CD005440. DOI: 10.1002/14651858.CD005440.pub3
Kamarajah, S.K., Karri, S., Bundred, J.R., Evans, R.P., Lin, A., Kew, T. and Griffiths, E.A. (2020). Perioperative outcomes after laparoscopic cholecystectomy in elderly patients: a systematic review and meta-analysis. Surgical endoscopy, 34(n/a), 4727–4740. DOI:10.1007/s00464-020-07805-z 
Kim, S.S.  and  Donahue, T.R. (2018). Laparoscopic cholecystectomy. Jama, 319(17), 1834–1834. DOI: 10.1001/jama.2018.3438.
Lo, C.M., Lai, E.C., Fan, S.T., Liu, C.L. and  Wong, J. (1996). Laparoscopic cholecystectomy for acute cholecystitis in the elderly. World Journal of Surgery, 20(8), 983–987. DOI: 10.1007/s002689900148
Majeski J. (2004). Laparoscopic cholecystectomy in geriatric patients. The American journal of surgery. 187(6), 747–50. DOI: 10.1016/j.amjsurg.2003.11.031
Nassar, A.H., Khan, K.S., Ng, H.J. and  Sallam, M. (2022). Operative difficulty, morbidity and mortality are unrelated to obesity in elective or emergency laparoscopic cholecystectomy and bile duct exploration. Journal of Gastrointestinal Surgery, 26(9), 1863–1872. DOI: 10.1007/s11605-022-05344-7
Thorsted, A.B., Thygesen, L.C., Jezek, A.H., Pedersen, M.M., Jorgensen, M.G., Vinding, K. and  Pedersen, S.G. (2024). The De Morton Mobility Index (DEMMI) in hospitalized geriatric patients is associated with risk of readmission, mortality, and discharge to a post-acute care facility: A nationwide register-based cohort study. Archives of Gerontology and Geriatrics, 120(n/a), 105325. DOI: 10.1016/j.archger.2024.105325