[Functional evolution in elderly individuals with hip fracture surgery].

نویسندگان

  • Silvia Montalbán-Quesada
  • Inmaculada García-García
  • Carmen Moreno-Lorenzo
چکیده

This prospective study was performed in patients aged 65 years or older who underwent hip fracture surgery. The objective was to determine the functional evolution in a group of patients three months after hospital discharge, to identify the variables related to this functional recovery and to describe the associated mortality and institutionalization process. We analyzed demographic variables such as age, sex, and living situation. Other aspects considered included: comorbidity, cognitive impairment, walking ability, dependency level according to Barthel's Index, institutionalization, and mortality. The information was collected on admission and three months after discharge. Considering the entire sample, 89.6% was female and the average age was 83.56 years; 40% of patients regained their prior independence and a 16.7% mortality rate was registered, together with a slight progression toward institutionalization. The functional capacity and cognitive impairment of patients before the fracture are determinants of functional recovery and subsequent recovery of independence.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques

Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...

متن کامل

Association of New Coronavirus Disease With Fragility Hip and Lower Limb Fractures in Elderly Patients

The novel coronavirus-induced infection (COVID-19) was declared a pandemic by the World Health Organization onMarch 11, 2020. Iran is one of the countries with a high incidence of COVID-19 infection.Data on three patients with fragility hip fracture and COVID-19 infection were collected from one hospital located inBadrud, Isfahan, Iran, from March 1, 2010, to March 30, 2020. A...

متن کامل

How to Treat the Complex Unstable Intertrochanteric Fractures in Elderly Patients? DHS or Arthroplasty

Background:  Due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. The purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with DHS in the elderly patients with unstable intertrochanteric fractures.   Methods:  We prospectively studied and followed-up ...

متن کامل

Type II Intertrochanteric Fractures: Proximal Femoral Nailing (PFN) Versus Dynamic Hip Screw(DHS)

  Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS) is still considered the gold standard for treating intertrochanteric fractures by many. Not many studies compare the DHS with Proximal femoral nail (PFN), in Type II intertrochanteri...

متن کامل

Functional status and early surgery in elderly patients with hip fracture.

To the Editor—I read with interest the paper by Liu et al1 that focused on elderly patients undergoing hip fracture surgery, showing that the longer the delay to surgery (>2 days), the higher the risk of death. Despite the potential limitations correctly identified by the authors, the introduction of the Key Performance Indicator in Hong Kong in 2008 undoubtedly led to an overall improved quali...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Revista da Escola de Enfermagem da U S P

دوره 46 5  شماره 

صفحات  -

تاریخ انتشار 2012