Functional Dependence After Hip Fracture
- 1 October 2001
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in American Journal of Physical Medicine & Rehabilitation
- Vol. 80 (10), 736-743
- https://doi.org/10.1097/00002060-200110000-00006
Abstract
Cree M, Carriere KC, Soskolne CL, Suarez-Almazor M: Functional dependence after hip fracture. Am J Phys Med Rehabil 2001;80:736–743. To identify patients at high risk of functional dependence and examine the progression of disability after a hip fracture. This was a population-based prospective inception cohort study of all patients aged 65+ yr who fractured a hip between July 1996 and August 1997. Demographic, socioeconomic, social support, and health status information was assessed in the hospital and 3 mo postfracture. The analysis included 367 patients. Almost all patients with cognitive impairment were functionally dependent postfracture, with new disabilities frequently occurring in transferring. Among patients of high mental status, increased risk of functional dependence was associated with advanced age, more co-morbidities, hip pain, poor self-rated health, and previous employment in a prestigeous occupation. Bathing disability was most likely in those who functioned independently prefracture; a disability in dressing was most common otherwise. Hip pain is amenable to treatment and may improve chances of functional recovery. Patients can be assisted in regaining prefracture function if they are targeted for rehabilitation on the basis of mental status. The focus should be on bathing and dressing among patients of high cognition and transferring among those patients with mental impairment.Keywords
This publication has 22 references indexed in Scilit:
- World-wide Projections for Hip FractureOsteoporosis International, 1997
- A Longitudinal Examination of Functional Recovery Among Older People with Subcapital Hip FracturesJournal of the American Geriatrics Society, 1997
- The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study.American Journal of Public Health, 1997
- Physical Function and Social Class Among Swedish Oldest OldJournal of Gerontology, 1994
- Socioeconomic status and physical health, how are they related? An empirical study based on twins reared apart and twins reared togetherSocial Science & Medicine, 1993
- Decline in Physical Function following Hip FractureJournal of the American Geriatrics Society, 1992
- Predictors of Functional Recovery One Year Following Hospital Discharge for Hip Fracture: A Prospective StudyJournal of Gerontology, 1990
- Hip Fractures in Primary Health Care: Evaluation of a rehabilitation programmeScandinavian Journal of Primary Health Care, 1990
- Determinants of recovery 12 months after hip fracture: the importance of psychosocial factors.American Journal of Public Health, 1989
- Recovery of Function After Hip Fracture The Role of Social SupportsJournal of the American Geriatrics Society, 1988