The effect of co-morbidity on the rehabilitation process in elderly patients after hip fracture

Press, Yan; Grinshpun, Yacov; Berzak, Alex; Friger, Michael; Clarfield, A. Mark

doi:10.1016/j.archger.2007.01.059

Cited by 39 publications

(32 citation statements)

References 32 publications

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“…Given the aforementioned facts, the present study showed that SI could be a sensitive predictor for rehabilitation outcome in the adult population after hip fracture. Such claims were discussed in previous studies as well 22 . Furthermore, we have shown that male sex, increased comorbidity and patients aged over 85 years could be considered as factors with a potential for lower functional capacity regarding recovery after a hip fracture, and thus should be individually assessed and included in intensive and vigorous rehabilitation programs, both in rehabilitation facilities or hospitals and after discharge.…”

Section: Discussionmentioning

confidence: 81%

“…Such claims were discussed in previous studies as well. 22 Furthermore, we have shown that male sex, increased comorbidity and patients aged over 85 years could be considered as factors with a potential for lower functional capacity regarding recovery after a hip fracture, and thus should be individually assessed and included in intensive and vigorous rehabilitation programs, both in rehabilitation facilities or hospitals and after discharge. It should be also stressed that estimation of functional status by BBS could be taken as a sensitive predictive value for the evaluation of functional improvement in patients after a hip fracture.…”

Section: Discussionmentioning

confidence: 99%

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Estimation of functional recovery in patients after hip fracture by Berg Balance Scale regarding the sex, age and comorbidity of participants

Radosavljevic¹,

Nikolić

Lazović

et al. 2012

Geriatrics Gerontology Int

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Estimation of functional recovery in patients after hip fracture by Berg Balance Scale regarding the sex, age and comorbidity of participants

Radosavljevic¹,

Nikolić

Lazović

et al. 2012

Geriatrics Gerontology Int

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“…In this study, functional recovery in hip fracture patients was associated with cognitive function and balance control upon transfer to rehabilitation. 16,[25][26][27] The mean age of our poor recovery group was not statistically different from that of the good recovery group, although it tended to be somewhat higher. Of the 220 patients, 26 (11.8%) had level 2, and 14 (6.4%) had level 1 preoperative ambulatory function at the initial classification.…”

Section: Discussionmentioning

confidence: 63%

Determinants of Functional Outcomes Using Clinical Pathways for Rehabilitation After Hip Fracture Surgery

Kang

Lee

Kim

et al. 2018

Ann Geriatr Med Res

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Background This study evaluated functional outcomes using newly established clinical pathways after hip fracture surgery in older adults and analyzed the major determinants of successful functional outcomes in rehabilitation programs using standardized clinical pathways. Methods This was a retrospective cohort study performed in a tertiary rehabilitation facility. A total of 220 patients who had received unilateral hip fracture surgery were followed up from immediately after surgery to 6 months postoperatively. Clinical pathways for rehabilitation included early, individualized rehabilitation, education for activities of daily living, review of general medical conditions, and arrangement of discharge settings. One rehabilitation specialist consecutively checked ambulatory function using 3-level grading, and patients were classified into good recovery and poor recovery groups based on ambulatory function at 6 months postoperatively. Logistic regression analysis was performed using 7 representative variables (age, sex, bone mineral density, Mini-Mental Status Examination [MMSE], Berg Balance Scale [BBS], premorbid ambulatory function, and length of hospital stay). Results A total of 86.8% of patients could walk with or without assistance at 6 months after surgery and 75.5% of patients involved in the rehabilitation program were classified into the good recovery group in this study. the good recovery group showed higher mmse and bbs scores compared with the poor recovery group. the factors in the model most strongly correlated with recovery were mmse and bbs. Conclusion This study showed that a well-designed rehabilitation program could improve ambulatory function in older patients after hip fracture surgery and that cognitive impairment and poor balance control may inhibit the recovery of ambulatory function.

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“…Notre population accumule plusieurs facteurs de risque de MPE : elle est plus âgée, avec des taux plus élevés de patients polypathologiques et dépendants [16,26]. Nous les avons étudiées avec le CIRS-G, utilisé dans seulement deux autres études [15,27]. Les pathologies chroniques seraient associées à la présence d'une MPE.…”

Section: Discussionunclassified

Prévalence de la malnutrition protéino-énergétique de patients de plus de 75ans hospitalisés pour une fracture de l’extrémité proximale du fémur

Drevet

Bioteau

Mazière

et al. 2014

Revue de Chirurgie Orthopédique et Traumatologique

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The effect of co-morbidity on the rehabilitation process in elderly patients after hip fracture

Cited by 39 publications

References 32 publications

Estimation of functional recovery in patients after hip fracture by Berg Balance Scale regarding the sex, age and comorbidity of participants

Estimation of functional recovery in patients after hip fracture by Berg Balance Scale regarding the sex, age and comorbidity of participants

Determinants of Functional Outcomes Using Clinical Pathways for Rehabilitation After Hip Fracture Surgery

Prévalence de la malnutrition protéino-énergétique de patients de plus de 75ans hospitalisés pour une fracture de l’extrémité proximale du fémur

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