Predictive factors of mortality and deterioration in performance of activities of daily living after hip fracture surgery in <scp>K</scp>agoshima, <scp>J</scp>apan

Ishidou, Yasuhiro; Koriyama, Chihaya; Kakoi, Hironori; Setoguchi, Takao; Nagano, Satoshi; Hirotsu, Masataka; Yamamoto, Takuya; Yokouchi, Masahiro; Komiya, Setsuro

doi:10.1111/ggi.12718

Cited by 34 publications

(37 citation statements)

References 42 publications

(72 reference statements)

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“…Ishidou et al . presented a decline at discharge from hospital (50 points), and a recovery after 12 months (75 points) . Long‐term follow up regarding the progression is still missing.…”

Section: Discussioncontrasting

confidence: 78%

“…and Ishidou et al . Both studies showed a high pre‐facture Barthel Index score (96 points vs 90 points) . Gherardini et al .…”

Section: Discussionmentioning

confidence: 92%

“…examined 387 patients after hip fractures, who underwent surgery in 33 facilities. They stated the progression of the Barthel Index score from 90 points at pre‐fracture, 50 points at discharge and 75 points 1 year after surgery . Further follow‐up information was missing.…”

Section: Introductionmentioning

confidence: 99%

“…They stated the progression of the Barthel Index score from 90 points at pre-fracture, 50 points at discharge and 75 points 1 year after surgery. 7 Further follow-up information was missing. Similar results were shown by Vergara et al, who reported the loss of 24 points of the Barthel Index score 6 months after hip fracture.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Pre-facture functional impairment seems to be associated with poor function and mobility in shortand mid-term follow up. 7,[10][11][12] Other factors that are associated with poor functional outcome after the different observation periods (6-12 months) are increasing age, 7,8,12,13 living in an institution, 13 poor mental status, 7,12,14,15 female sex, 12 trochanteric fractures, 7 a higher degree of comorbidity 8 and poor functional status after discharge. 13 There is only one retrospective cohort study with functional long-term follow up that reported the Barthel Index 4.9 years after hip fracture.…”

Section: Introductionmentioning

confidence: 99%

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Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Knauf

Buecking

Hack

et al. 2019

Geriatrics Gerontology Int

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Aim The importance of proximal femoral fractures is increasing due to demographic change. Despite appropriate care, these are associated with poor results. We are still lagging behind, and require information on the long‐term functional outcome of these patients and the predictive factors involved. Methods Between 2009 and 2011, 402 patients aged >60 years with hip fractures were included in this prospective observational study. Patients were assessed with the Barthel Index before fracture, at discharge, and 6 months, 1 year and 5 years after surgery. In addition, a variety of parameters (sex, age, fracture type, American Society of Anesthesiologists classification, Mini‐Mental State Examination, housing situation, occurrence of complications during inpatient stay and type of care) were collected to identify the possible independent predictive factors using multivariate analysis. Results The lowest Barthel Index was found at discharge (66 ± 24) for patients from an acute hospital. The Barthel Index improved within the first 6 months (86 ± 21) and decreased afterwards. The factors associated with a significantly higher point loss of the Barthel Index in the multivariate analysis were age (P‐value 0.020), pre‐fracture Barthel Index, (P ≤ 0.001), Mini‐Mental State Examination (P ≤ 0.001) and type II complications (P = 0.001). The other values showed no significant influence on the Barthel Index. Conclusions The present results showed that patients after a hip fracture have a great rehabilitation potential within the first 6 months after the event. More attention should be paid to type II complications and the occurrence of cognitive impairment. Both seem to be a surrogate parameter for the frailty of the patients. Geriatr Gerontol Int 2019; 19: 809–814.

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“…Ishidou et al . presented a decline at discharge from hospital (50 points), and a recovery after 12 months (75 points) . Long‐term follow up regarding the progression is still missing.…”

Section: Discussioncontrasting

confidence: 78%

“…and Ishidou et al . Both studies showed a high pre‐facture Barthel Index score (96 points vs 90 points) . Gherardini et al .…”

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Knauf

Buecking

Hack

et al. 2019

Geriatrics Gerontology Int

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Risk Factors and Trends Associated With Mortality Among Adults With Hip Fracture in Singapore

et al. 2020

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IMPORTANCE Examining trends in mortality following hip fracture and its associated factors is important for population health surveillance and for developing preventive interventions. OBJECTIVE To examine temporal trends in, and risk factors associated with, mortality following hip fracture over 18 years in Singapore. DESIGN, SETTING, AND PARTICIPANTS This retrospective, population-based cohort study included men and women aged 50 years and older admitted to Singapore hospitals for first hip fracture identified and followed up from 2000 to 2017. Demographic information, fracture type, and Charlson Comorbidity Index (CCI) score were retrieved from nationwide claims data, and mortality data were from the National Death Registry. Data were analyzed from August 2018 to December 2019. MAIN OUTCOMES AND MEASURES Adjusted hazard ratios (aHRs) and their 95% confidence intervals were estimated using Cox proportional hazards regression. Kaplan-Meier life table methods were used to calculate survival following the hip fracture on a cohort basis. The crude survival over time since fracture was compared by sex, age group, ethnicity, CCI, and fracture type. Standardized mortality ratios (SMRs) were calculated using all-cause mortality obtained from Singapore population life tables. RESULTS Among 36 082 first inpatient admissions for hip fractures (mean [SD] patient age, 78.2 [10.1] years; 24 902 [69.0%] female; 30 348 [84.1%] Chinese, 2863 [7.9%] Malay, 1778 [4.9%] Indian, and 1093 [3.0%] other ethnicity), elevated rates of mortality were observed for male sex

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What activities of daily living at discharge affect the discharge destination of patients in an acute‐care hospital in Japan: A retrospective factor analysis

Tachi

Otsubo

Toyoshima

et al. 2021

Health Planning & Management

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It is important to clarify the influence of activities of daily living (ADL) at discharge on the discharge destination of hospitalised patients. The Functional Independence Measure (FIM) is a widely used ADL assessment scale. In this retrospective study, we aimed to identify what ADL based on FIM at discharge affect the discharge destination of hospitalised patients in an acute‐care hospital, in addition to how nutritional status and the number of drugs used, as well as types of disease, affect discharge‐to‐home. We surveyed age, sex, disease type, length of hospital stay, discharge destination, FIM score at discharge, serum albumin level, and the number of continued drugs in hospitalised patients who underwent rehabilitation in Gifu Municipal Hospital (Gifu, Japan) between January 2014 and December 2014. Multiple logistic regression analysis was performed with discharge to home as a dependent variable and age, sex, disease, FIM score and polypharmacy as independent variables. Multiple logistic regression analysis indicated that a significantly high percentage of discharged‐to‐home patients were associated with ‘self‐care’ (≥33 points; OR: 2.03), ‘sphincter control’ (≥14 points; OR: 1.49), ‘transfers’ (≥13 points; OR: 1.94), and ‘locomotion’ (≥7 points; OR: 3.55), among others. High FIM sub‐scale scores at discharge for self‐care, sphincter control, transfers, and locomotion were clarified as factors associated with discharge‐to‐home. These findings of the association of ADL based on FIM and discharge destination would be useful in deciding discharge destinations for patients in an acute‐phase hospital.

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Predictive factors of mortality and deterioration in performance of activities of daily living after hip fracture surgery in Kagoshima, Japan

Abstract: Patients with poor activities of daily living performance at the time of hospital discharge were likely to show poor functional recovery and a high 1-year postoperative mortality. Geriatr Gerontol Int 2017; 17: 391-401.

Cited by 34 publications

References 42 publications

Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Development of the Barthel Index 5 years after hip fracture: Results of a prospective study

Risk Factors and Trends Associated With Mortality Among Adults With Hip Fracture in Singapore

What activities of daily living at discharge affect the discharge destination of patients in an acute‐care hospital in Japan: A retrospective factor analysis

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