Does anatomical type of proximal hip fracture affect rehabilitation outcomes among older adults?

Ben-Joseph, Ronen; Hornik-Lurie, Tzipi; Hershkovitz, Avital; Peleg, Danielle Ann; Peled, Lee; Ayzenfeld, Rachel Heffez

doi:10.1016/j.injury.2022.06.015

Cited by 2 publications

(2 citation statements)

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“…As for the type of hip fracture, the present study showed that subtrochanteric fractures demonstrated poor functional ability recovery two weeks after post-hospital discharge compared to other fracture types. Joseph and colleagues [31] demonstrated that patients with femoral neck fractures performed better than those with intertrochanteric or subtrochanteric fractures in the rehabilitation department. This finding might be explained.…”

Section: Discussionmentioning

confidence: 99%

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Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Monkuntod,

Aree-Ue,

Roopsawang

2023

JCM

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Background: hip fractures commonly have an impact on older adults’ health. Surgical treatment aims to reduce pain and promote functional ability. However, developing adverse health outcomes or complications post-hip surgery may impede older patients’ recovery to return to functional ability as pre-fracture. We aimed to examine the association of personal factors and adverse health outcomes during hospitalization and post-hospital discharge on the functional ability of older people undergoing hip surgery. Methods: a total of 120 older people with hip fractures who were scheduled for surgery at three tertiary hospitals and met the inclusion criteria were recruited for this study. Data were obtained at admission, before discharge, and during the two-week postoperative follow-up using the Demographic, Hip Dysfunction and Osteoarthritis Outcome Score, Joint Replacement, the Confusion Assessment Method (CAM) Thai version, and Health Outcome Questionnaires. Descriptive statistics and multiple logistic regression analyses were performed to analyze the data. Results: most participants were female, with a mean age of 78.10 years (range = 60–93; SD = 8.37). The most common adverse health outcome during hospitalization was urinary tract infection, followed by delirium, pneumonia, deep vein thrombosis, and surgical site infection. At two weeks immediately post-hospital discharge, 16 participants experienced unpleasant events, including delirium, urinary tract infection, surgical site infection, and pneumonia. The significant predictors of poor functional ability at two weeks immediately post-hospital discharge were old age (OR = 1.114, p = 0.001), subtrochanteric fracture (OR = 13.48, p = 0.008), and type of surgery (OR = 4.105, p = 0.049).

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Section: Discussionmentioning

confidence: 99%

“…This finding might be explained. Subtrochanteric fractures were rehabilitated with weight-bearing limitations affecting functional ability [31]. Evidence also highlights that older age with a subtrochanteric fracture is a significant factor in developing substantial adverse effects on functional decline [32].…”

Section: Discussionmentioning

confidence: 99%