Abstract

BAZTAN, J. J.; FERNANDEZ-ALONSO, M.; AGUADO, R.  and  SOCORRO, A.. Outcomes after a year of rehabilitation of proximal femur fracture in older than 84 years. An. Med. Interna (Madrid) [online]. 2004, vol.21, n.9, pp.25-32. ISSN 0212-7199.

Objective: To evaluate rehabilitation outcomes at discharge and at year patients older 85 years admitted to functional treatment after hip fracture. Method: A prospective study of inpatients admitted after hip fracture to medium-stay geriatric unit between May 2000 and September 2002. Baseline, clinical variables (location of fracture, serum albumin and Charlson comorbidity index), functional status assessed by Barthel Index, mobility by Physical Red Cross Scale and cognitive status by Pfeiffer questionnaire. Functional status, mobility, institutionalization and death was evaluated at discharge and by phone interview at years after discharge. Results: 116 patients were studied (42% with 85 years and older, 85% women). After multivariable logistict analysis, age older than 84 years did not appear as a factor related to functional dependence or instituzionalitation at discharge or one year after. Indeed, oldest old age was not related with death or institutionalization and mobility dependence one year after. In the other hand, the presence of cognitive impairment at admission and functional impairment before hip fracture were independently variable associated to the presence of poor outcome at discharge and one year after. Conclusions: Oldest old age does not appear as a independent risk factor of poor outcomes after rehabilitation ofhip fracture when other relatd clnical, functonal and mental factors are considered.

Keywords : Hip fractures; Frail elderly; Rehabilitation outcome; Hospital; Disability; Mortality.

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