Hooper Visual Organization Test Performance in Geriatric Rehabilitation Patients

Walsh, Priscilla; Lichtenberg, Peter A.; Rowe, Robert J.

doi:10.1300/j018v17n04_02

Cited by 2 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The deficits in visual spatial and analytic skills, as well as visual tracking and perceptual motor speed, raise the possibility that capacities beyond memory and general cognitive impairment require management and/or intervention in geriatric rehabilitation after hip fracture. 28 It is known that delirium persists longer in older patients, 13 and this research suggests that monitoring cognition after hospital discharge may be helpful in identifying patients at risk for short-term mortality. Additional information on the cognitive domains assessed in this study might also provide guidance for rehabilitation and safety goals, including navigating stairs, curbs, or other obstacles or when to resume driving.…”

Section: Discussionmentioning

confidence: 99%

“…Our scores for female hip fracture participants were within the normal range for geriatric rehabilitation patients, but the scores for men (17.0 when excluding dementia) were consistent with a mild level of cognitive impairment. 28 …”

Section: Discussionmentioning

confidence: 99%

“…The average HVOT scores in our sample were16.7 for men and 18.6 for women. Walsh, Lichtenberg, and Rowe (1997) reported HVOT means for 144 geriatric rehabilitation patients ages 60–95 of 18.6 for cognitively intact, 14.9 for mildly cognitively impaired, and 12.5 for moderately to severely impaired. Our scores for female hip fracture participants were within the normal range for geriatric rehabilitation patients, but the scores for men (17.0 when excluding dementia) were consistent with a mild level of cognitive impairment …”

Section: Discussionmentioning

confidence: 99%

“…Overall, our sample demonstrated a higher level of impairment than the currently published literature in this age group. The deficits in visual spatial and analytic skills, as well as visual tracking and perceptual motor speed, raise the possibility that capacities beyond memory and general cognitive impairment require management and/or intervention in geriatric rehabilitation after hip fracture . It is known that delirium persists longer in older patients, and this research suggests that monitoring cognition after hospital discharge may be helpful in identifying patients at risk for short‐term mortality.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Cognitive Differences between Men and Women who Fracture their Hip and Impact on Six‐Month Survival

Gruber‐Baldini

Hosseini

Orwig

et al. 2017

J American Geriatrics Society

View full text Add to dashboard Cite

Background/Objectives There is limited research in cognition and its relationship to mortality after hip fracture among men compared to women. Therefore, the goals of this study were to: (1) compare men and women who fractured their hip on cognition after hospital discharge, and (2) examine the impact of cognition on the differential risk of 6-month mortality between men and women post fracture. Design Prospective cohort study Setting Eight hospitals in Baltimore, Maryland. Participants Frequency matched 168 male and 171 female hip fracture patients, ages 65 or older, living in the community before fracture Measurements Cognition assed by Modified Mini-Mental State Examination (3MS, and derived MMSE score), Hooper Visual Organization test (HVOT), and Trail-making test (Trails A & B) within 22 days of hospital admission, and 6-month mortality. Results Men had more impaired cognitive scores on 3MS, MMSE, HVOT, and Trails A (p<.05) at baseline. These statistically significant differences between men and women remained on MMSE and HVOT after controlling for pre-fracture dementia, in-hospital delirium, age, education, race, and comorbidity. Men had higher 6-month mortality rates (HR=4.4, p<.001). Cognitive measures were also significantly associated with mortality, including 3MS, HVOT, and Trails B. Among the cognitive measures, higher 3MS was most protective for mortality (HR=0.98, p<.001), both unadjusted and adjusted for other cognitive scales, comorbidity, delirium, and pre-existing dementia. The highest mortality was among men with 3MS<78, with 26.3% dying within 6 months. The effects of cognition on mortality did not differ by sex. Conclusion Men display greater levels of cognitive impairment within the first 22 days of hip fracture than women, and cognitive limitations increase the risk of mortality in both men and women.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Cognitive Differences between Men and Women who Fracture their Hip and Impact on Six‐Month Survival

Gruber‐Baldini

Hosseini

Orwig

et al. 2017

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…Consistent with studies of older persons (39, 40), timing was increased to 5 minutes for each part and progress at the 3-minute mark was noted. The Hooper Visual Organization Test (41) measured ability to organize visual stimuli by mentally rotating parts of objects in space (42–44).…”

Section: Methodsmentioning

confidence: 99%

Examining Differences in Recovery Outcomes Between Male and Female Hip Fracture Patients: Design and Baseline Results of a Prospective Cohort Study From the Baltimore Hip Studies

et al. 2018

View full text Add to dashboard Cite

Background: Incidence of hip fractures in men is expected to increase, yet little is known about consequences of hip fracture in men compared to women. It is important to investigate differences at time of fracture using the newest technologies and methodology regarding metabolic, physiologic, neuromuscular, functional, and clinical outcomes, with attention to design issues for recruiting frail older adults across numerous settings. Objectives: To determine whether at least moderately-sized sex differences exist across several key outcomes after a hip fracture. Design, Setting, & Participants: This prospective cohort study (Baltimore Hip Studies 7th cohort [BHS-7]) was designed to include equal numbers of male and female hip fracture patients to assess sex differences across various outcomes post-hip fracture. Participants were recruited from eight hospitals in the Baltimore metropolitan area within 15 days of admission and were assessed at baseline, 2, 6 and 12 months post-admission. Measurements: Assessments included questionnaire, functional performance evaluation, cognitive testing, measures of body composition, and phlebotomy. Results: Of 1709 hip fracture patients screened from May 2006 through June 2011, 917 (54%) were eligible and 39% (n=362) provided informed consent. The final analytic sample was 339 (168 men and 171 women). At time of fracture, men were sicker (mean Charlson score= 2.4 vs. 1.6; p<0.001) and had worse cognition (3MS score= 82.3 vs. 86.2; p<0.05), and prior to fracture were less likely to be on bisphosphonates (8% vs. 39%; p<0.001) and less physically active (2426 kilocalories/week vs. 3625; p<0.001). Conclusions: This paper provides the study design and methodology for recruiting and assessing hip fracture patients and evidence of baseline and pre-injury sex differences which may affect eventual recovery one year later.

show abstract

Hooper Visual Organization Test Performance in Geriatric Rehabilitation Patients

Cited by 2 publications

References 23 publications

Cognitive Differences between Men and Women who Fracture their Hip and Impact on Six‐Month Survival

Cognitive Differences between Men and Women who Fracture their Hip and Impact on Six‐Month Survival

Examining Differences in Recovery Outcomes Between Male and Female Hip Fracture Patients: Design and Baseline Results of a Prospective Cohort Study From the Baltimore Hip Studies

Contact Info

Product

Resources

About