Residual Disability, Mortality, and Nursing Home Placement After Hip Fracture Over 2 Decades

Abstract

Objective: To examine trends in 12-month post-fracture residual disability, nursing home placement, and mortality among patients with a hip fracture between 1990 and 2011.Design: Secondary analysis of 12-month outcomes from three cohort studies and control arms of two randomized controlled trials.Setting: Original studies were conducted as part of the Baltimore Hip Studies (BHS).Participants: Community-dwelling patients ≥65 years of age hospitalized for surgical repair of a non-pathological hip fracture (n=988).Main Outcomes: 12-month residual disability, mortality, and nursing home residency were examined in case-mix adjusted models by sex and study. Residual disability was calculated by subtracting pre-fracture scores of Lower Extremity Physical Activities of Daily Living from scores at 12-months post fracture. We also examined the proportion of individuals with a 12-month score higher than their pre-fracture score (residual disability >0).

Translation, reliability, agreement and validity of the Turkish version of Cumulated Ambulation Score in patients with hip fracture

“…It is a major cause of disability, dependency and death in the elderly. [ 3 - 5 ] After hip-fracture surgery, physical functions of the vast majority of patients are impaired. [ 6 , 7 ]…”

Barriers to uptake of the hip fracture core outcome set: An international survey of 80 hip fracture trialists

“…1 Up to one-third of patients die in the first year postfracture, with one-fifth of survivors transitioning to long-term care. 2 To improve outcomes, there is a need for strong and clinically applicable evidence to inform practice. 3 A core outcome set (COS) is a list of outcomes to measure effects of interest in clinical trials according to expert stakeholders such as patients, health professionals, commissioners and government bodies, industry and trialists.…”

“…1 Up to one-third of patients die in the first year post-fracture, with one-fifth of survivors transitioning to long-term care. 2 To improve outcomes, there is a need for strong and clinically applicable evidence to inform practice. 3…”

Implementation of a Geriatrics-Focused Orthopaedic and Hospitalist Fracture Program Decreases Perioperative Complications and Improves Resource Utilization

“…Older adults hospitalized with hip fracture are at a high risk of morbidity (eg, increased hospital readmissions and functional decline) and mortality. [14][15][16][17][18][19] However, there is great variation in the way hip fracture is managed, even within our own health system. The AGS CoCare: Ortho model is a comprehensive, evidence-based framework that was designed for implementation across diverse health care settings.…”