Independencia para actividades de la vida diaria en ancianos previamente autónomos intervenidos por fractura de cadera secundaria a una caída tras 6 meses de evolución

Candel-Parra, Eduardo; Córcoles-Jiménez, María Pilar; Egido-Fernández, María Ángeles del; Villada-Munera, Ascensión; Jiménez-Sánchez, María Delirio; Moreno-Moreno, Mónica; Carrión-González, Miriam; Denia-Cortés, Ángeles

doi:10.1016/s1130-8621(08)75853-4

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…The hospital mortality found in our study (12.5%) differs from other Spanish studies, which showed 6% (14) and 5.2% (15) . This difference can be attributed to the higher mean age of our study population, although global mortality at three months (16.7%) agrees with other Spanish studies (13.9% and 14.8%) (2,16) , but exceeds the 9.9% found in a European study at four months (18) .…”

Section: Discussioncontrasting

confidence: 99%

“…These results coincide with other studies in which pa ents walked totally independently or with help before the fracture (2,(13)(14) . Also, a greater propor on of pa ents who can walk independently is observed when pa ents have par cipated in a rehabilita on program (2,13) .…”

Section: Discussionsupporting

confidence: 91%

“…Results on the recovery of the ability to perform BADL at three months a er the hip fracture (40% in our study) also coincide with other studies reviewed (2,5,14) . A 21-point drop in the Barthel Index score is observed across the study period, similar to other studies (13)(14) .…”

Section: Discussionsupporting

confidence: 91%

“…A 21-point drop in the Barthel Index score is observed across the study period, similar to other studies (13)(14) .…”

Section: Discussionsupporting

confidence: 89%

“…Our pa ents' mean age is 83.56 years while, in other studies, the mean age fi gures between 80.17 and 82.3 years (13)(14)(15)(16)(17) , except in one Brazilian study (18) , with a mean age of 77.3 years.…”

Section: Discussioncontrasting

confidence: 55%

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Evaluación funcional en ancianos intervenidos de fractura de cadera

Montalbán-Quesada

García‐García

Moreno-Lorenzo

2012

Rev. esc. enferm. USP

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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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