Patrocinio Ariza-Vega1, Mario Lozano-Lozano, Rocío Olmedo-Requena, Lydia Martín-Martín, José Juan Jiménez-Moleón. 1. From the Department of Rehabilitation and Traumatology, Virgen de las Nieves University Hospital (PA-V); Departments of Physical Therapy (PA-V, ML-L, LM-M) and Preventive Medicine and Public Health (RO-R, JJJ-M), University of Granada; CIBER of Epidemiology and Public Health, CIBEResp (JJJ-M); and Institute for Biomedical Research of Granada (ibs. GRANADA), Servicio Andaluz de Salud/University of Granada (JJJ-M), Granada, Spain.
Abstract
OBJECTIVE: The aims of this study were to study the mobility recovery in hip fracture patients and determine the influence of cognitive impairment on mobility within the first 3 months after surgery. DESIGN: This prospective cohort study was carried out in an acute public hospital in southern Spain and included 275 patients, 65 years or older, with a hip fracture. Mobility and Cognitive status were measured by Tinetti Performance-Oriented Mobility Assessment and Pfeiffers' Scale (Short Portable Mental State Questionnaire), respectively. Multiple linear regression was used to examine the influence of cognitive impairment on mobility. RESULTS: The median Performance-Oriented Mobility Assessment score changed from 4 (3-4) points at discharge to 17 (7-22) at 3 months. All degrees of cognitive impairment were negatively associated with gait and balance at 1 and 3 months after surgery (P < 0.01). Age, weight bearing, length of hospital stay, and postsurgical complications were also identified as independent predictors of mobility outcome at 3 months. CONCLUSIONS: Cognitive impairment is a negative prognostic factor for the recovery of mobility in elderly patients with a hip fracture. New treatment strategies are needed for hip fracture patients with cognitive impairment.
OBJECTIVE: The aims of this study were to study the mobility recovery in hip fracturepatients and determine the influence of cognitive impairment on mobility within the first 3 months after surgery. DESIGN: This prospective cohort study was carried out in an acute public hospital in southern Spain and included 275 patients, 65 years or older, with a hip fracture. Mobility and Cognitive status were measured by Tinetti Performance-Oriented Mobility Assessment and Pfeiffers' Scale (Short Portable Mental State Questionnaire), respectively. Multiple linear regression was used to examine the influence of cognitive impairment on mobility. RESULTS: The median Performance-Oriented Mobility Assessment score changed from 4 (3-4) points at discharge to 17 (7-22) at 3 months. All degrees of cognitive impairment were negatively associated with gait and balance at 1 and 3 months after surgery (P < 0.01). Age, weight bearing, length of hospital stay, and postsurgical complications were also identified as independent predictors of mobility outcome at 3 months. CONCLUSIONS:Cognitive impairment is a negative prognostic factor for the recovery of mobility in elderly patients with a hip fracture. New treatment strategies are needed for hip fracturepatients with cognitive impairment.
Authors: R M Y Wong; R W K Ng; W W Chau; W H Liu; S K H Chow; C Y Tso; N Tang; W-H Cheung Journal: Osteoporos Int Date: 2022-06-28 Impact factor: 5.071
Authors: Rafael Prieto-Moreno; Patrocinio Ariza-Vega; Mariana Ortiz-Piña; Maureen C Ashe; Dulce Romero-Ayuso; Morten Tange Kristensen Journal: Int J Environ Res Public Health Date: 2021-01-15 Impact factor: 3.390