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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:
Publisher: England: Oxford University Press
ID: ISSN: 0002-0729
Link: https://www.ncbi.nlm.nih.gov/pubmed/12540352
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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


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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.
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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
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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.
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1Aged
2Aged, 80 and over
3Aging
4Aging (Biology)
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29Prospective Studies
30Quality of Life
31Rehabilitation
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34Survival Rate
35Therapeutics, Physiological
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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.
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