OBJECTIVES: To investigate the association between baseline cognitive function and the achievement of walking independence and its maintenance at 1 year in a population of older adults who underwent post-hip fracture (HF) surgery rehabilitation. DESIGN: Prospective cohort study. SETTING: Department of rehabilitation and aged care. PARTICIPANTS: Three hundred six older adults admitted for post-HF surgery rehabilitation. MEASUREMENTS: All participants aged 65 and older who were completely unable to walk on admission but able to walk before fracture were stratified according to Mini-Mental State Examination score (0-15=moderately severe or severe cognitive impairment (CI), 16-23=mild to moderate CI, ≥24=no CI). Walking ability was defined according to the corresponding Barthel Index subitem, with walking independence at discharge being defined as a score of 12 or more out of 15. Walking ability 1 year after discharge was ascertained by telephone interviews with participants or proxies. RESULTS: At discharge, 29.6% of participants with moderately severe or severe CI (n=24), 51.9% with mild to moderate CI (n=56) and 78.6% of participants without CI (n=92) were able to walk independently. Among those who achieved walking independence and were alive at 1 year, 12 participants with moderately severe or severe CI (57.1%), 31 with mild to moderate CI (57.7%) and 73 without CI (78.9%) were still capable of walking independently. CONCLUSION: Although less frequently than in individuals with better cognitive function, walking independence is achievable after HF surgery rehabilitation, and can be maintained at 1 year also in those with moderately severe or severe CI.
OBJECTIVES: To investigate the association between baseline cognitive function and the achievement of walking independence and its maintenance at 1 year in a population of older adults who underwent post-hip fracture (HF) surgery rehabilitation. DESIGN: Prospective cohort study. SETTING: Department of rehabilitation and aged care. PARTICIPANTS: Three hundred six older adults admitted for post-HF surgery rehabilitation. MEASUREMENTS: All participants aged 65 and older who were completely unable to walk on admission but able to walk before fracture were stratified according to Mini-Mental State Examination score (0-15=moderately severe or severe cognitive impairment (CI), 16-23=mild to moderate CI, ≥24=no CI). Walking ability was defined according to the corresponding Barthel Index subitem, with walking independence at discharge being defined as a score of 12 or more out of 15. Walking ability 1 year after discharge was ascertained by telephone interviews with participants or proxies. RESULTS: At discharge, 29.6% of participants with moderately severe or severe CI (n=24), 51.9% with mild to moderate CI (n=56) and 78.6% of participants without CI (n=92) were able to walk independently. Among those who achieved walking independence and were alive at 1 year, 12 participants with moderately severe or severe CI (57.1%), 31 with mild to moderate CI (57.7%) and 73 without CI (78.9%) were still capable of walking independently. CONCLUSION: Although less frequently than in individuals with better cognitive function, walking independence is achievable after HF surgery rehabilitation, and can be maintained at 1 year also in those with moderately severe or severe CI.
Authors: R Mitchell; B Draper; H Brodaty; J Close; H P Ting; R Lystad; I Harris; L Harvey; C Sherrington; I D Cameron; J Braithwaite Journal: Osteoporos Int Date: 2020-01-02 Impact factor: 4.507
Authors: Katharina Pils; Walter Müller; Rudolf Likar; Markus Gosch; Bernhard Iglseder; Ernst J Müller; Heinrich Thaler; Inge Gerstorfer; Michaela Zmaritz; Monique Weissenberger-Leduc; Peter Mikosch; Georg Pinter Journal: Wien Med Wochenschr Date: 2013-10-24
Authors: Alessandro Morandi; Daniel Davis; Donna M Fick; Renato Turco; Malaz Boustani; Elena Lucchi; Fabio Guerini; Sara Morghen; Tiziana Torpilliesi; Simona Gentile; Alasdair M MacLullich; Marco Trabucchi; Giuseppe Bellelli Journal: J Am Med Dir Assoc Date: 2014-02-22 Impact factor: 4.669
Authors: G Pioli; F Lauretani; F Pellicciotti; P Pignedoli; C Bendini; M L Davoli; E Martini; A Zagatti; A Giordano; A Nardelli; A Zurlo; D Bianchini; E Sabetta; A Ferrari; C Tedeschi; M L Lunardelli Journal: Osteoporos Int Date: 2016-01-20 Impact factor: 4.507
Authors: A Calle; G Onder; A Morandi; G Bellelli; E Ortolani; L M Pérez; M Mesas; A Sanniti; P Mazzanti; C N Platto; S Gentile; N Martinez; M Roquè; M Inzitari Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075
Authors: Lauren A Beaupre; Ellen F Binder; Ian D Cameron; C Allyson Jones; Denise Orwig; Cathie Sherrington; Jay Magaziner Journal: Best Pract Res Clin Rheumatol Date: 2013-12 Impact factor: 4.098