Comorbidity Impact on Social Functioning After Hip Fracture: The Role of Rehabilitation

Radosavljevic, Natasa; Nikolić, Dejan; Lazović, Milica; Hrkovic, Marija; Ilic-Stojanovic, Olivera

doi:10.1590/1413-785220162404156874

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…It is know that comorbidity is frequently present in elderly [12], but so far in Serbia and countries in transition, there are a few studies dealing with physical health and needs on the representative level. Thus, mainly published studies are clinical investigations and case studies [13,14,15].…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic Predictors of Physical Functioning in the Elderly: A National Health Survey

Kostadinovic

Nikolić

Petronić

et al. 2018

IJERPH

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We aimed to evaluate the prevalence of sociodemographic factors with the presence and different degrees of walking difficulties in elderly above 65 years, and to analyze association between evaluated variables and the presence and degree of waking difficulties. In the population based study, 3540 individuals age above 65 years from Serbia were recruited. Further predictors were analyzed: gender, age, level of education, marital status, body mass index (BMI), index of well-being and place of residence. We assessed difficulty in walking half a km on level ground without the use of any aid (Group-1); and difficulty in walking up or down 12 steps (Group-2). Walking difficulties were categorized as no difficulty, some difficulty, a lot of difficulty and cannot do at all. For present difficulty significant predictors were: age (Group-1 (OR-3.022)/Group-2 (OR-3.825)), gender (Group-1 (OR-0.337)/Group-2 (OR-0.311)), educational level (Group-1 (OR-0.689)/Group-2 (OR-0.556)) and place of residence (Group-2 (OR-1.523)) while for non-performing the task, significant predictors were: age (Group-1 (OR-1.998)/Group-2 (OR-2.096)), gender (Group-1 (OR-0.629)/Group-2 (OR-0.495)), BMI (Group-1 (OR-1.219)/Group-2 (OR-1.305)), marital status (Group-1 (OR 0.764)/Group-2 (OR-0.769)), educational level (Group-1 (OR-0.679)/Group-2 (OR-0.719)) and index of well-being (Group-2 (OR-0.764)). Understanding of predictors, and their role on functional decline in elderly is of great importance for the development of specific population-based health programs to prevent further functional loss and preserve achieved functional gains.

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Section: Introductionmentioning

confidence: 99%

Sociodemographic Predictors of Physical Functioning in the Elderly: A National Health Survey

Kostadinovic

Nikolić

Petronić

et al. 2018

IJERPH

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“…The Charlson Comorbidity Index (CCI) predicts mortality, morbidity, and postoperative complications after a hip fracture [ 15 , 16 , 17 ]. Recent studies [ 18 , 19 ] on hip fracture patients undergoing intense inpatient rehabilitation showed that moderate to severe comorbidity and communication are prevalent and predict rehabilitation failure.…”

Section: Methodsmentioning

confidence: 99%

Rehabilitation Prognostic Factors following Hip Fractures Associated with Patient’s Pre-Fracture Mobility and Functional Ability: A Prospective Observation Study

Koudouna

Evangelopoulos

Chronopoulos

et al. 2023

Life

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Low physical function is associated with poor outcomes in the elderly population suffering from hip fractures. The present study aims to evaluate the prognostic tools for predicting patient recovery after hip fractures and investigate the correlation between the pre-fracture motor and functional statuses. A prospective study was performed, including 80 patients suffering from hip fractures. Patient history, previous falls, the type of fracture and overall survival were evaluated. Patient-reported outcome measures (SF-36, EQ-5D/VAS, Charlson Comorbidity Index (CCI), Short Physical Performance Battery (SPPB), Timed Up and Go (TUG) and Harris Hip Score (HHS)) were monitored before hospital discharge at 6 weeks, and 3, 6 and 12 months postoperatively. Overall, 55% of patients experienced at least one fall, and 46% of them used crutches before the fracture. The average CCI score was 6.9. The SPPB score improved from 1.4 ± 1.3 (1 week) to 4.4 ± 2.1 (48 weeks). A one-year age increase, female sex, and prior history of falls lead to 0.1-, 0.92-, 0.56-fold lower SPPB scores, respectively, at 12 months. The HHS recorded the greatest improvement between 6 and 12 weeks (52.1 ± 14.6), whereas the TUG score continued to improve significantly from 139.1 ± 52.6 s (6 weeks) to 66.4 ± 54 s (48 weeks). The SPPB and performance test can be routinely used as a prognostic tool.

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The Second Hip Fracture is not an Independent Predictor of Poor Outcomes in Elderly Patients – A Case-Control Study

Nguyen,

Huang,

Kuo

et al. 2024

Geriatr Orthop Surg Rehabil

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Introduction Hip fracture is particularly seen in elderly patients with frailty and osteoporosis and leads to diminished functional independence and quality of life. Despite the susceptibility of these patients to a second hip fracture (SHF), the literature insufficiently discussed its impact leading to poor outcomes. This study aims to directly assess the outcomes of elderly patients with initial hip fractures (IHF) vs those experiencing an SHF within a well-matched group with similar characteristics. Materials and Methods This case–control study gathered data from the clinical hip fracture registry at a medical center from 2019 to 2022. Patients with SHF were matched with those with IHF in a 1:2 ratio according to the similarity of age, sex, and Charlson Comorbidity Index classification. Demographics at admission, baseline characteristics, and 1-year postoperative outcome were compared between the SHF and IHF groups. Results Thirty-two SHF patients were matched with 64 IHF patients (81.25% of women, median age of 86 years). Anthropometric measurements and socioeconomic factors were not significantly different between the two groups. No differences in baseline characteristics were observed, except IHF patients had a significantly lower T-score than SHF patients (−3.98 vs. −3.31, P = 0.016). At one-year follow-up, despite a notable decrease in Barthel Index scores and an uptick in EQ-5D measures among the patients, the IHF and SHF groups demonstrated similar quality of life and a high level of activities of daily living. Discussions In this case-control study, after matching for age, sex, and comorbidities, an SHF did not indicate poorer outcomes than an IHF, providing a more optimistic outlook for the patients and healthcare providers. Conclusion Despite the significant challenges presented by hip fracture, the one-year postoperative outcomes did not differ between IHF and SHF patients, suggesting that SHF is not an independent predictor of poor outcomes following hip fracture in the elderly population.

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Comorbidity Impact on Social Functioning After Hip Fracture: The Role of Rehabilitation

Cited by 3 publications

References 13 publications

Sociodemographic Predictors of Physical Functioning in the Elderly: A National Health Survey

Sociodemographic Predictors of Physical Functioning in the Elderly: A National Health Survey

Rehabilitation Prognostic Factors following Hip Fractures Associated with Patient’s Pre-Fracture Mobility and Functional Ability: A Prospective Observation Study

The Second Hip Fracture is not an Independent Predictor of Poor Outcomes in Elderly Patients – A Case-Control Study

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