Factors associated to institutionalization and mortality over three years, in elderly people with a hip fracture—An observational study
| Autor: | Francisco Uriz-Otano, Jorge Pla-Vidal, Vincenzo Malafarina, Gregorio Tiberio-López |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Institutionalisation medicine.medical_treatment 030209 endocrinology & metabolism Comorbidity General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Odds Ratio Humans Medicine Hospital Mortality Prospective Studies 030212 general & internal medicine Prospective cohort study Aged Aged 80 and over Hip fracture Rehabilitation Mini–Mental State Examination medicine.diagnostic_test Hip Fractures business.industry Institutionalization Obstetrics and Gynecology Odds ratio Length of Stay medicine.disease Nursing Homes Hospitalization Physical therapy Female Observational study business |
| Zdroj: | Maturitas. 89:9-15 |
| ISSN: | 0378-5122 |
| DOI: | 10.1016/j.maturitas.2016.04.005 |
| Popis: | Objective To identify the factors associated to institutionalization and mortality in elderly patients with hip fractures (HF). Design Thirty-six months observational study. Setting A post-acute rehabilitation ward. Participants subjects living in the community or in nursing-home, above the age of 65, with HF. Measurements The following were registered: comorbidity, intra-hospital complications, Barthel index, walking ability and Mini Mental State Examination, as well as blood samples upon admission and discharge. Destination upon discharge was recorded as well as mortality during hospital stay and over the three-year follow up. Results a total of 430 subjects were included in the study. Twenty-three patients (5.3%) died during their stay in hospital and 152 (35.3%) during follow up after discharge. Forty-five patients (10.5%) were institutionalized upon discharge. In adjusted analysis, the factors that predict intra-hospital mortality are higher comorbidity (OR, 1.46; 95%CI, 1.06–2.01), and the number of complications (OR, 1.71; 95%CI, 1.16–2.64). Factors that predict mortality in the long term are age (HR 1.04; 95%CI, 1.01–1.06), comorbidity (HR 1.19, 95% CI, 1.09–1.30), the number of complications (HR 1.17, 95%CI, 1.05–1.31). The factors that predicted new institutionalization were age (OR 1.04, 95%CI, 0.98–1.09), living alone (OR 3.95, 95%CI, 1.38–11.3), and length of hospital stay (OR 1.02 95%CI, 1.00–1.03). Conclusions Mortality 3 years after a hip fracture and institutionalization are associated to age, the loss of autonomy in walking, a worse cognitive status and living alone before the fracture. Identification of and, when possible, intervention upon these factors can improve care of elderly people with hip fractures. |
| Databáze: | OpenAIRE |
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