Abstract
Despite progress in surgery and care, hip fracture (HF) remains a catastrophic event, burdened with high risk of mortality and disability. This study aims at identifying predictors of recovering ambulation after intensive inpatient rehabilitation within the Tuscany Region HF rehabilitation pathway. All HF patients referred from acute care to the two Massa-Carrara Rehabilitation facilities January 2015-June 2017 were enrolled. Comorbidity Total Score (CIRS) defined high- or low-care setting referral. Recovery of ambulation, with or without aid, (assessed by SAHFE) was the primary outcome. Personal data, comorbidity, cognitive (MMSe) and pre-fracture function (mRANKIN) were recorded on admission. Outcomes included hospital readmission, length of stay (LOS) and home discharge. Urinary catheter, bedsores, disability (modified Barthel Index-mBI), communication disability (CDS), trunk control (TCT), pain (NRS), and ambulation were recorded (admission-discharge). Of 352 patients enrolled (age 83.9 ± 7.1; 80% women), 1 died and 6 were readmitted to acute-care hospital; 97% patients referred to high-care, and 64% referred to low-care, presented moderate-high comorbidity on admission. Median LOS was 22 days; 95% patients were discharged ...Continue Reading
References
Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Jul 1, 1990·Journal of Neurology, Neurosurgery, and Psychiatry·C Collin, D Wade
Jan 1, 1989·Journal of Clinical Epidemiology·S ShahB Cooper
May 1, 1968·Journal of the American Geriatrics Society·B S LinnL Gurel
Jun 1, 1995·Aging : Clinical and Experimental Research·B BernardiniO Bonaccorso
Oct 20, 1999·The Australian and New Zealand Journal of Surgery·A K Cree, S Nade
Mar 17, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L P FriedUNKNOWN Cardiovascular Health Study Collaborative Research Group
Jan 31, 2006·Archives of Physical Medicine and Rehabilitation·Devora LiebermanDavid Lieberman
Jul 3, 2007·Archives of Physical Medicine and Rehabilitation·Avital HershkovitzShai Brill
Jan 10, 2009·Stroke; a Journal of Cerebral Circulation·Terence J QuinnKennedy R Lees
Aug 9, 2011·BMC Geriatrics·Esmeralda CastronuovoGabriella Guasticchi
Apr 23, 2014·Nature Reviews. Endocrinology·Jane A CauleyGhada El-Hajj Fuleihan
Nov 28, 2015·Journal of the American Medical Directors Association·Barbara ResnickJay Magaziner
Jun 29, 2016·Journal of the American Geriatrics Society·Katherine S McGiltonAileen M Davis
Sep 4, 2016·BMC Geriatrics·Suzanne M DyerUNKNOWN Fragility Fracture Network (FFN) Rehabilitation Research Special Interest Group
Sep 9, 2016·Journal of General Internal Medicine·Victoria L TangKenneth Covinsky
Sep 9, 2016·Annals of Rehabilitation Medicine·Jae Lim KimSang Jun Kim
Aug 15, 2017·Aging Clinical and Experimental Research·Bernardo GialanellaLaura Comini
Aug 25, 2017·Health Technology Assessment : HTA·Nefyn H WilliamsJo Rycroft-Malone
Aug 31, 2017·Archives of Osteoporosis·Emmanuelle MagnyJacques Boddaert
Sep 4, 2017·Journal of the American Medical Directors Association·Lauren Jan GleasonHouman Javedan
Sep 21, 2017·American Journal of Physical Medicine & Rehabilitation·Shogo ToyamaToshikazu Kubo
Sep 28, 2017·Acta Orthopaedica·Morten T Kristensen, Henrik Kehlet
Citations
May 23, 2020·Orthopaedic Nursing·Minh Ha Nguyen, Siew Kwaon Lui
Nov 26, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Kristopher B DeatrickJay Menaker
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Kristopher B DeatrickJay Menaker
Apr 3, 2019·Journal of Physical Therapy Science·Atsunori ItagakiAkira Ishikawa
Aug 28, 2020·Journal of Neurology·Francesca CecchiIrene Aprile
Jul 19, 2020·International Journal of Legal Medicine·Francesca IngravalloGloria Luigia Castellani
Jan 27, 2021·European Journal of Physical and Rehabilitation Medicine·Francesca CecchiIrene Aprile
Jan 24, 2021·BMC Musculoskeletal Disorders·Chih-Mai ChangCheng-En Hsu
Mar 2, 2021·Health Services Insights·Davide GolinelliMaria Pia Fantini
Aug 20, 2021·Disability and Rehabilitation·Shuntaro TamuraHiroki Iwamoto
Jun 7, 2021·American Journal of Physical Medicine & Rehabilitation·Francesca Cecchi