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More than half of hip fracture patients do not regain mobility in the first postoperative year.
- Source :
-
Geriatrics & Gerontology International . Apr2013, Vol. 13 Issue 2, p334-341. 8p. 4 Charts, 1 Graph. - Publication Year :
- 2013
-
Abstract
- Aim: To measure functional recovery and determine risk factors for failure to return to the prefracture level of mobility of hip fracture patients 1 year postoperatively. Methods: A prospective cohort follow-up study of 390 hip fracture patients aged 65 years and older was carried out. Patients were stratified in categories based on prefracture mobility: mobile without aid, with aid in- and outdoors, or only mobile indoors. Immobile patients were excluded. Risk factors for not regaining prefracture mobility were identified. Results: Nearly half of all patients regained their prefracture level of mobility after 1 year. Mobile patients without an aid were less likely to return to their prefracture mobility level compared with patients who were mobile with aid or mobile indoors. After 1 year, 18.7% of all patients had become immobile. Most important independent risk factors for failure to return to the prefracture level of mobility were a limited prefracture level of activities of daily living and a delirium during admission. Conclusions: The risk not to regain prefracture mobility is highest in mobile patients without an aid. The risk of becoming immobile is higher in those having a lower prefracture mobility. Activities of daily living dependence and delirium were the main risk factors for not regaining mobility. Geriatr Gerontol Int 2013; 13: 334-341. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MOVEMENT disorders
*CHI-squared test
*CLUSTER analysis (Statistics)
*CONFIDENCE intervals
*CONVALESCENCE
*DELIRIUM
*EPIDEMIOLOGY
*FISHER exact test
*BONE fractures
*HIP joint injuries
*LENGTH of stay in hospitals
*HOSPITAL admission & discharge
*LONGITUDINAL method
*ORTHOPEDIC apparatus
*SCIENTIFIC observation
*PATIENTS
*QUESTIONNAIRES
*RESEARCH funding
*SCALES (Weighing instruments)
*TIME
*DATA analysis
*BODY movement
*REPEATED measures design
*DESCRIPTIVE statistics
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 14441586
- Volume :
- 13
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Geriatrics & Gerontology International
- Publication Type :
- Academic Journal
- Accession number :
- 86462701
- Full Text :
- https://doi.org/10.1111/j.1447-0594.2012.00904.x