The majority of community-dwelling hip fracture patients return to independent living with minor increase in care needs: a prospective cohort study

Autor: Christina Frölich Frandsen, Maiken Stilling, Eva Natalia Glassou, Torben Bæk Hansen
Rok vydání: 2022
Předmět:
Zdroj: Frandsen, C F, Stilling, M, Glassou, E N & Hansen, T B 2023, ' The majority of community-dwelling hip fracture patients return to independent living with minor increase in care needs : a prospective cohort study ', Archives of Orthopaedic and Trauma Surgery, vol. 143, no. 5, pp. 2475-2484 . https://doi.org/10.1007/s00402-022-04472-8
ISSN: 1434-3916
DOI: 10.1007/s00402-022-04472-8
Popis: INTRODUCTION: Hip fracture patients are fragile, and the majority fail to fully recover to their pre-fracture functional level, resulting in an increase in institutionalization. We aimed to investigate risk factors for being dependent at discharge and for failure to return to independent living 12 months after a hip fracture.MATERIALS AND METHODS: From 2011 to 2017, all surgically treated hip fracture patients admitted from their own homes were included in this prospective cohort study. Patient characteristics were registered, including age, sex, lifestyle, comorbidities, pre-fracture New Mobility Score (NMS), biochemical measures, fracture type, and surgical method. Dependency was measured at discharge using a cumulated ambulatory score (CAS 20 s). At 12 months, patients were interviewed regarding residence, NMS, and care needs. Multivariable logistic regression was used, reporting odds ratio (OR) with 95% confidence intervals (CI).RESULTS: A total of 2006 patients were included in the study with data regarding their hospital stay and discharge. In all, 1342 patients underwent follow-up at 12 months. The risk factors found to be associated with dependency at discharge were mostly static. Modifiable variables associated with dependency at discharge (CAS CONCLUSIONS: Mobilizing patients to standing within 24 h from hip fracture surgery was vital in maximizing short-term functional recovery. Failure to return to independent living was seen in the frailest patients. However, the majority remained in their own home with little increase in care needs.
Databáze: OpenAIRE
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