schliessen

Filtern

 

Bibliotheken

Cover Image

Proximal femur fracture in older patients – rehabilitation and clinical outcome

Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal... Full description

Journal Title: Age and ageing 2003-01, Vol.32 (1), p.74-80
Main Author: Röder, Frank
Other Authors: Schwab, Matthias , Aleker, Thomas , Mörike, Klaus , Thon, Klaus‐Peter , Klotz, Ulrich
Format: Electronic Article Electronic Article
Language: English
Subjects:
Accidental Falls - prevention & control
Aged
Aged, 80 and over
Aging
Aging (Biology)
clinical outcome
Combined Modality Therapy
Comorbidity
Elderly
Elderly people
Evaluation
falls
Female
Follow-Up Studies
Fractured hips
Germany
Health aspects
hip fracture
Hip fractures
Hip Fractures - mortality
Hip Fractures - rehabilitation
Hospital Mortality
Humans
Longitudinal Studies
Male
older patients
Physical therapy
Postoperative Complications - mortality
Postoperative Complications - rehabilitation
Prospective Studies
Quality of Life
Rehabilitation
Rehabilitation Centers
Surgery
Survival Rate
Therapeutics, Physiological
Treatment Outcome
Publisher: England: Oxford University Press
ID: ISSN: 0002-0729
Link: https://www.ncbi.nlm.nih.gov/pubmed/12540352
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: cdi_proquest_miscellaneous_72966969
title: Proximal femur fracture in older patients – rehabilitation and clinical outcome
format: Article
creator:
  • Röder, Frank
  • Schwab, Matthias
  • Aleker, Thomas
  • Mörike, Klaus
  • Thon, Klaus‐Peter
  • Klotz, Ulrich
subjects:
  • Accidental Falls - prevention & control
  • Aged
  • Aged, 80 and over
  • Aging
  • Aging (Biology)
  • clinical outcome
  • Combined Modality Therapy
  • Comorbidity
  • Elderly
  • Elderly people
  • Evaluation
  • falls
  • Female
  • Follow-Up Studies
  • Fractured hips
  • Germany
  • Health aspects
  • hip fracture
  • Hip fractures
  • Hip Fractures - mortality
  • Hip Fractures - rehabilitation
  • Hospital Mortality
  • Humans
  • Longitudinal Studies
  • Male
  • older patients
  • Physical therapy
  • Postoperative Complications - mortality
  • Postoperative Complications - rehabilitation
  • Prospective Studies
  • Quality of Life
  • Rehabilitation
  • Rehabilitation Centers
  • Surgery
  • Survival Rate
  • Therapeutics, Physiological
  • Treatment Outcome
ispartof: Age and ageing, 2003-01, Vol.32 (1), p.74-80
description: Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P
language: eng
source:
identifier: ISSN: 0002-0729
fulltext: no_fulltext
issn:
  • 0002-0729
  • 1468-2834
url: Link


@attributes
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
RANK2.1642632
LOCALfalse
PrimoNMBib
record
control
sourceidgale_proqu
recordidTN_cdi_proquest_miscellaneous_72966969
sourceformatXML
sourcesystemPC
galeidA97823587
sourcerecordidA97823587
originalsourceidFETCH-LOGICAL-1570t-980ba58eea4bbd74e1bab573b6484906f6b7c0a034fd2613c232422ca9fb1f2a0
addsrcrecordideNqFks1u1DAUhSMEotPCliWKWKAuyNR_sZNlNYIWMVIBAUXdWI5zE1yceLAdqex4B96QJ8HVRJSpipAXlq8-H_kcnyx7gtESo5oeqR7M2B9RssRLwe5lC8x4VZCKsvvZAiFECiRIvZfth3CZjrjE5GG2h0nJEC3JInv31rsrMyibdzBMPu-80nHykJsxd7YFn29UNDDGkP_68TP38EU1xpqYhm7M1djm2prR6CTgpqjdAI-yB52yAR7P-0H28dXLD6vTYn128np1vC5wKVAs6go1qqwAFGuaVjDAjWpKQRvOKlYj3vFGaKQQZV1LOKaaUMII0aruGtwRhQ6y51vdjXffJghRDiZosFaN4KYgk23Oa17_FyyF4BhzlMBnt8BLN_kxmZAEM0wJrvkN1CsL0oydiymya0V5XIuK0LISCSrugNJqYTDajdCZNP-bP9zhExLhKvZqCkFWJ-sd9MVdqHbWQg8yRbw628GXW1x7F4KHTm58-m7_XWIkrxsktw2SlEgsBUsXns4hTM0A7Q0-VyYB7JainuuQPBr7b905EhPSe__IKv9VckFFKU8_X8j1-ac35-9XF5Kh34244Wc
sourcetypeAggregation Database
isCDItrue
recordtypearticle
pqid214132196
display
typearticle
titleProximal femur fracture in older patients – rehabilitation and clinical outcome
creatorRöder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich
creatorcontribRöder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich
descriptionBackground: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.
identifier
0ISSN: 0002-0729
1EISSN: 1468-2834
2DOI: 10.1093/ageing/32.1.74
3PMID: 12540352
4CODEN: AANGAH
languageeng
publisherEngland: Oxford University Press
subjectAccidental Falls - prevention & control ; Aged ; Aged, 80 and over ; Aging ; Aging (Biology) ; clinical outcome ; Combined Modality Therapy ; Comorbidity ; Elderly ; Elderly people ; Evaluation ; falls ; Female ; Follow-Up Studies ; Fractured hips ; Germany ; Health aspects ; hip fracture ; Hip fractures ; Hip Fractures - mortality ; Hip Fractures - rehabilitation ; Hospital Mortality ; Humans ; Longitudinal Studies ; Male ; older patients ; Physical therapy ; Postoperative Complications - mortality ; Postoperative Complications - rehabilitation ; Prospective Studies ; Quality of Life ; Rehabilitation ; Rehabilitation Centers ; Surgery ; Survival Rate ; Therapeutics, Physiological ; Treatment Outcome
ispartofAge and ageing, 2003-01, Vol.32 (1), p.74-80
rightsCopyright Oxford University Press(England) Jan 2003
lds50peer_reviewed
oafree_for_read
citedbyFETCH-LOGICAL-1570t-980ba58eea4bbd74e1bab573b6484906f6b7c0a034fd2613c232422ca9fb1f2a0
links
openurl$$Topenurl_article
thumbnail$$Usyndetics_thumb_exl
backlink$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12540352$$D View this record in MEDLINE/PubMed
search
creatorcontrib
0Röder, Frank
1Schwab, Matthias
2Aleker, Thomas
3Mörike, Klaus
4Thon, Klaus‐Peter
5Klotz, Ulrich
title
0Proximal femur fracture in older patients – rehabilitation and clinical outcome
1Age and ageing
addtitleAge Ageing
descriptionBackground: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.
subject
0Accidental Falls - prevention & control
1Aged
2Aged, 80 and over
3Aging
4Aging (Biology)
5clinical outcome
6Combined Modality Therapy
7Comorbidity
8Elderly
9Elderly people
10Evaluation
11falls
12Female
13Follow-Up Studies
14Fractured hips
15Germany
16Health aspects
17hip fracture
18Hip fractures
19Hip Fractures - mortality
20Hip Fractures - rehabilitation
21Hospital Mortality
22Humans
23Longitudinal Studies
24Male
25older patients
26Physical therapy
27Postoperative Complications - mortality
28Postoperative Complications - rehabilitation
29Prospective Studies
30Quality of Life
31Rehabilitation
32Rehabilitation Centers
33Surgery
34Survival Rate
35Therapeutics, Physiological
36Treatment Outcome
issn
00002-0729
11468-2834
fulltextfalse
rsrctypearticle
creationdate2003
recordtypearticle
recordideNqFks1u1DAUhSMEotPCliWKWKAuyNR_sZNlNYIWMVIBAUXdWI5zE1yceLAdqex4B96QJ8HVRJSpipAXlq8-H_kcnyx7gtESo5oeqR7M2B9RssRLwe5lC8x4VZCKsvvZAiFECiRIvZfth3CZjrjE5GG2h0nJEC3JInv31rsrMyibdzBMPu-80nHykJsxd7YFn29UNDDGkP_68TP38EU1xpqYhm7M1djm2prR6CTgpqjdAI-yB52yAR7P-0H28dXLD6vTYn128np1vC5wKVAs6go1qqwAFGuaVjDAjWpKQRvOKlYj3vFGaKQQZV1LOKaaUMII0aruGtwRhQ6y51vdjXffJghRDiZosFaN4KYgk23Oa17_FyyF4BhzlMBnt8BLN_kxmZAEM0wJrvkN1CsL0oydiymya0V5XIuK0LISCSrugNJqYTDajdCZNP-bP9zhExLhKvZqCkFWJ-sd9MVdqHbWQg8yRbw628GXW1x7F4KHTm58-m7_XWIkrxsktw2SlEgsBUsXns4hTM0A7Q0-VyYB7JainuuQPBr7b905EhPSe__IKv9VckFFKU8_X8j1-ac35-9XF5Kh34244Wc
startdate200301
enddate200301
creator
0Röder, Frank
1Schwab, Matthias
2Aleker, Thomas
3Mörike, Klaus
4Thon, Klaus‐Peter
5Klotz, Ulrich
general
0Oxford University Press
1Oxford Publishing Limited (England)
scope
0BSCLL
1CGR
2CUY
3CVF
4ECM
5EIF
6NPM
7AAYXX
8CITATION
9BSHEE
107QJ
117T5
127TK
137U9
14H94
15K9.
16NAPCQ
177X8
sort
creationdate200301
titleProximal femur fracture in older patients – rehabilitation and clinical outcome
authorRöder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich
facets
frbrtype5
frbrgroupidcdi_FETCH-LOGICAL-1570t-980ba58eea4bbd74e1bab573b6484906f6b7c0a034fd2613c232422ca9fb1f2a0
rsrctypearticles
prefilterarticles
languageeng
creationdate2003
topic
0Accidental Falls - prevention & control
1Aged
2Aged, 80 and over
3Aging
4Aging (Biology)
5clinical outcome
6Combined Modality Therapy
7Comorbidity
8Elderly
9Elderly people
10Evaluation
11falls
12Female
13Follow-Up Studies
14Fractured hips
15Germany
16Health aspects
17hip fracture
18Hip fractures
19Hip Fractures - mortality
20Hip Fractures - rehabilitation
21Hospital Mortality
22Humans
23Longitudinal Studies
24Male
25older patients
26Physical therapy
27Postoperative Complications - mortality
28Postoperative Complications - rehabilitation
29Prospective Studies
30Quality of Life
31Rehabilitation
32Rehabilitation Centers
33Surgery
34Survival Rate
35Therapeutics, Physiological
36Treatment Outcome
toplevelpeer_reviewed
creatorcontrib
0Röder, Frank
1Schwab, Matthias
2Aleker, Thomas
3Mörike, Klaus
4Thon, Klaus‐Peter
5Klotz, Ulrich
collection
0Istex
1Medline
2MEDLINE
3MEDLINE (Ovid)
4MEDLINE
5MEDLINE
6PubMed
7CrossRef
8Academic OneFile (A&I only)
9Applied Social Sciences Index & Abstracts (ASSIA)
10Immunology Abstracts
11Neurosciences Abstracts
12Virology and AIDS Abstracts
13AIDS and Cancer Research Abstracts
14ProQuest Health & Medical Complete (Alumni)
15Nursing & Allied Health Premium
16MEDLINE - Academic
jtitleAge and ageing
delivery
delcategoryRemote Search Resource
fulltextno_fulltext
addata
au
0Röder, Frank
1Schwab, Matthias
2Aleker, Thomas
3Mörike, Klaus
4Thon, Klaus‐Peter
5Klotz, Ulrich
formatjournal
genrearticle
ristypeJOUR
atitleProximal femur fracture in older patients – rehabilitation and clinical outcome
jtitleAge and ageing
addtitleAge Ageing
date2003-01
risdate2003
volume32
issue1
spage74
epage80
pages74-80
issn0002-0729
eissn1468-2834
codenAANGAH
abstractBackground: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.
copEngland
pubOxford University Press
pmid12540352
doi10.1093/ageing/32.1.74
tpages7
oafree_for_read