Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Dec;38(6):827-35.
doi: 10.5535/arm.2014.38.6.827. Epub 2014 Dec 24.

Prognostic Factors Predicting Early Recovery of Pre-fracture Functional Mobility in Elderly Patients With Hip Fracture

Daegu Lee  1 , Jae Yong Jo  1 , Ji Sun Jung  1 , Sang Jun Kim  1
Affiliations

Prognostic Factors Predicting Early Recovery of Pre-fracture Functional Mobility in Elderly Patients With Hip Fracture

Daegu Lee et al. Ann Rehabil Med. 2014 Dec.

Abstract

Objective: To investigate the prognostic factors predicting the recovery of pre-fracture functional mobility, we evaluated this by the use of ambulatory assistive devices in short-term follow-up.

Methods: Five hundred and fifty-three elderly patients who had undergone hip fracture operations from January 2006 to June 2013 were enrolled in this retrospective study. Clinical characteristics and predicted factors affecting functional recovery, such as the delay of rehabilitation after the operation, were reviewed. The functional status of the gait was classified as either a bedridden state, wheelchair-bound state, walker gait, single cane gait, and self-gait without any ambulatory assistance device. When this functional grade in patients who recovered after the surgery was compared to before the surgery, this state was considered 'functional recovery'.

Results: One hundred and ninety-two patients (34.7%) showed recovery of preoperative mobility in the first month after their operation. Multiple logistic regression analysis identified that the following four factors were significantly associated with a deterioration of functional recovery: old age (odds ratio [OR], 0.95; 95% confidence interval [CI], 0.92-0.97), delays in rehabilitation after operation (OR, 0.94; 95% CI, 0.89-0.98), the presence of cognitive dysfunction (OR, 0.36; 95% CI, 0.18-0.71), and trochanteric fracturing (OR, 0.58; 95% CI, 0.36-0.94).

Conclusion: We found that old age, cognitive dysfunction, trochanteric fracture type, and delay of rehabilitation were associated with the deterioration of functional recovery after a hip fracture operation in the short-term. Therefore, early rehabilitation was required to acquire functional recovery after a hip fracture operation in the short-term.

Keywords: Hip fractures; Prognosis; Recovery of function; Rehabilitation.

PubMed Disclaimer

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

References

    1. Deandrea S, Bravi F, Turati F, Lucenteforte E, La Vecchia C, Negri E. Risk factors for falls in older people in nursing homes and hospitals: a systematic review and meta-analysis. Arch Gerontol Geriatr. 2013;56:407–415. - PubMed
    1. Lim JY, Park WB, Oh MK, Kang EK, Paik NJ. Falls in a proportional region population in Korean elderly: incidence, consequences, and risk factors. J Korean Geriatr Soc. 2010;14:8–17.
    1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007;22:465–475. - PubMed
    1. Cooper C. The crippling consequences of fractures and their impact on quality of life. Am J Med. 1997;103:12S–19S. - PubMed
    1. Dubljanin-Raspopovic E, Markovic Denic L, Marinkovic J, Grajic M, Tomanovic Vujadinovic S, Bumbasirevic M. Use of early indicators in rehabilitation process to predict one-year mortality in elderly hip fracture patients. Hip Int. 2012;22:661–667. - PubMed

LinkOut - more resources