To describe the disability status of non-selected hospitalized persons.

We conducted a cross-sectional survey to assess activity limitations of every persons older than 18 years old hospitalized in a regional university hospital covering all medical fields. Evaluators rated on a scale from 0 to 4, 22 selected items of the International Classification of Functioning, covering the 6 following domains: learning and applying knowledge, general tasks and demands, communication, mobility, self-care, interpersonal interactions and relationships. Univariate and multivariate analyses were performed to analyze the prevalence, severity and profile of the handicap in terms of sociodemographic characteristics and care pathways.

Among 1572 eligible persons, 1267 (81%) were surveyed (mean age 62.7±20.4 years; 655 male [51.7%]). Overall, 82% showed at least one activity limitation. For 52%, disability was severe or total for at least one ICF item. Prevalence of disabilities was higher for mobility (75%) and self-care domains (63%). Disability was strongly related to age: age older than 80 years versus 18 to 44 years (OR=12.8; P<0.01). Disability was associated with hospitalization in rehabilitation units (96%; OR=4.3; P<0.01). Severe disability was associated with hospitalization in critical care units (OR=6.7; P<0.001) and psychiatry units (OR=5.3; P<0.001).

Handicap was common in hospitalized persons, involving all 6 tested ICF activity domains, particularly mobility and self-care. This study alerts care givers, hospital administrators, and in general people influencing health policies about the need to plan actions to reduce activity limitations of hospitalized persons, whatever the cause of the hospitalization.