Effect of Comorbidity on Functional Recovery After Hip Fracture in the Elderly

Mathew, Roy; Hsu, Wan‐Hsiang; Young, Yuchi

doi:10.1097/phm.0b013e318282bc67

Cited by 47 publications

(36 citation statements)

References 9 publications

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“…Adequately reorganizing and managing depression might help to ensure successful participation in rehabilitation. According to Mathew, Hsu, and Young (2013) who identified various comorbidities, our data showed poorer walking ability in patients with higher CCIs and ASA scores. However, we summarized the patients' comorbidities and, therefore, could not analyze the distinct comorbidities in detail.…”

Section: Discussionmentioning

confidence: 73%

Factors influencing the progress of mobilization in hip fracture patients during the early postsurgical period?—A prospective observational study

Buecking

Bohl

Eschbach

et al. 2015

Archives of Gerontology and Geriatrics

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Section: Discussionmentioning

confidence: 73%

Factors influencing the progress of mobilization in hip fracture patients during the early postsurgical period?—A prospective observational study

Buecking

Bohl

Eschbach

et al. 2015

Archives of Gerontology and Geriatrics

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“…Mathew et al [21] and Kenzora et al [22] demonstrated that the presence of combined medical disease, especially stroke and congestive heart failure was related to increased mortality or poor functional outcome in many studies. This finding was consistent with that in our study, and we also demonstrated that combined medical disease can affect the need for an assistive device after hip fracture surgery, in addition to the possibility of ambulation.…”

Section: Discussionmentioning

confidence: 99%

Prediction of Ambulatory Status After Hip Fracture Surgery in Patients Over 60 Years Old

Kim

Jung

2016

Ann Rehabil Med

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ObjectiveTo predict ambulatory capacity, 1 month after physical therapy following hip fracture surgery.MethodsA retrospective chart review was carried out. Patients more than 60 years old, who underwent hip fracture surgery and received physical therapies, were selected (n=548). Age, gender, presence of cognitive dysfunction, combined medical diseases, combined fractures, previous history of hip surgery, prefracture ambulatory capacity, days from the fracture to surgery, type of fracture, type of surgery, presence of postoperative complications, days from the surgery to physical therapy, and total admission period, were collected. Prefracture ambulatory capacity and postoperative ambulatory capacity were classified into non-ambulatory status (NA), ambulation with assistive device (AA), and independent-ambulation without any assistive device (IA). Multiple-logistic regression analysis was performed for the prediction of postoperative ambulatory capacity.ResultsAge (odds ratio [OR]=0.94 for IA and 0.96 for IA or AA), gender (OR=1.64 for IA and 0.98 for IA or AA), prefracture ambulatory capacity (OR of IA=19.17 for IA; OR of IA=16.72 for IA or AA; OR of AA=1.26 for IA, OR of AA=9.46 for IA or AA), and combined medical disease (OR=2.02) were found to be the factors related to postoperative ambulatory capacity and the prediction model was set up using these four factors.ConclusionUsing this model, we can predict the ambulatory capacity following hip fracture surgery. Further prospective studies should be constructed to improve postoperative ambulatory capacity.

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“…Severity (and, to a lesser extent, number) of comorbidities also increased the risk of poor outcomes. Two studies (Mathew, Hsu, & Young, 2013; Semel et al, 2010) have reported poorer outcomes in hip fracture patients with greater numbers of comorbidities, while a third (Lew, Lee, Date, and Zeiner, 2002) found no significant association between number of comorbidities and functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

Inpatient Rehabilitation Outcomes in a National Sample of Medicare Beneficiaries With Hip Fracture

et al. 2014

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Effects of patient characteristics on rehabilitation outcomes (functional status at discharge, discharged home) were assessed in a retrospective study of Medicare beneficiaries admitted to inpatient rehabilitation facilities (IRFs) following hospitalization for hip fracture in 2009 (n=34,984). Hierarchical regression analysis showed significantly higher functional status at discharge (p<.0001) for patients with these characteristics: White or Asian; younger; female; lived alone; higher functional status at admission; fewer comorbidities; no tier comorbidities; longer IRF length of stay (LOS). Likelihood of discharged home was higher for patients with these characteristics: Hispanic (1.49 [1.32–1.68]), Asian (1.35 [1.04–1.74]), or Black (1.28 [1.12–1.47]); younger (0.96 [0.96–0.96]); female (1.14 [1.08–1.20]); lived with others (2.12 [2.01–2.23]); higher functional status at admission (1.06 [1.06–1.06]); fewer comorbidities, no tier comorbidities; longer LOS (1.61 [1.56–1.67]). Functional status at admission, tier comorbidities, and race/ethnicity contributed most to variance in functional status at discharge. Living with others contributed most to variance in discharged home.

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Effect of Comorbidity on Functional Recovery After Hip Fracture in the Elderly

Cited by 47 publications

References 9 publications

Factors influencing the progress of mobilization in hip fracture patients during the early postsurgical period?—A prospective observational study

Factors influencing the progress of mobilization in hip fracture patients during the early postsurgical period?—A prospective observational study

Prediction of Ambulatory Status After Hip Fracture Surgery in Patients Over 60 Years Old

Inpatient Rehabilitation Outcomes in a National Sample of Medicare Beneficiaries With Hip Fracture

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