This prospec ve study was performed in pa ents aged 65 years or older who underwent hip fracture surgery. The objec ve was to determine the func onal evolu on in a group of pa ents three months a er hospital discharge, to iden fy the variables related to this func onal recovery and to describe the associated mortality and instu onaliza on process. We analyzed demographic variables such as age, sex, and living situa on. Other aspects considered included: comorbidity, cogni ve impairment, walking ability, dependency level according to Barthel's Index, ins tu onaliza on, and mortality. The informa on was collected on admission and three months a er discharge. Considering the en re sample, 89.6% was female and the average age was 83.56 years; 40% of pa ents regained their prior independence and a 16.7% mortality rate was registered, together with a slight progression toward ins tu onalizaon. The func onal capacity and cogni ve impairment of pa ents before the fracture are determinants of func onal recovery and subsequent recovery of independence. DESCRIPTORS RESUMENEstudio observacional prospec vo en pacientes mayores de 65 años intervenidos de fractura de cadera. El obje vo fue conocer la evolución funcional de los pacientes a los tres meses del alta hospitalaria, iden fi car variables relacionadas con dicha recuperación funcional, describir la mortalidad e ins tucionalización asociadas al proceso. Se analizaron variables demográfi cas como edad, sexo, convivencia. Otros aspectos registrados fueron: comorbilidad, deterioro cogni vo, capacidad para caminar, nivel de dependencia según índice de Barthel, ins tucionalización y mortalidad. Se recogió la información al ingreso y a los 3 meses del alta. El 89,6% de la muestra, fueron mujeres, la edad media fue de 83,56 años. El 40% de los pacientes recuperaron la independencia previa registrándose una mortalidad del 16,7% así como una leve progresión hacia la ins tucionalización. La capacidad funcional y el deterioro cogni vo del paciente, previos a la fractura condicionan su recuperación funcional y dependencias posteriores.
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