Survival and Functional Outcomes after Hip Fracture among Nursing Home Residents

Journal of Korean Medical Science
Hong Man ChoMi Joung Yoo

Abstract

Following the implementation of a long-term care insurance system for the elderly in Korea, many nursing homes have been established and many more patients than ever before have been living at nursing homes. Despite the fact that this is a high-risk group vulnerable to hip fractures, no study has yet been conducted in Korea on hip fracture incidence rates and prognoses among patients residing at nursing homes. We recently studied 46 cases of hip fracture in nursing homes; more specifically, we investigated the most common conditions under which fractures occur, and examined the degree of recovery of ambulatory ability and the mortality within 1 yr. Among those who had survived after 1 yr, the number of non-functional ambulators increased from 8 hips before hip fracture to 19 hips at final post-fracture follow-up. These individuals showed poor recovery of ambulatory ability, and the number who died within one year was 11 (23.9%), a rate not significantly different from that among community-dwelling individuals. It was evident that hip-joint-fracture nursing home residents survived for similar periods of time as did those dwelling in the community, though under much more uncomfortable conditions. The main highlight of this report...Continue Reading

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Citations

Jul 17, 2018·The Journal of Physiology·Chris McGloryStuart M Phillips
Dec 27, 2018·Journal of Nursing Management·Michael BauerDeirdre Fetherstonhaugh
Feb 13, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·E M C LauC S Shin
Jun 4, 2019·Journal of Orthopaedic Surgery·Youngji KoYong-Chan Ha

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