PURPOSE: The aim of this investigation was to assess resilience within an elderly population during postacute rehabilitation for orthopedic surgery and to identify the role of resilience on rehabilitation outcomes by comparing hip fracture and elective patients (total knee and hip arthroplasty). DESIGN: We conducted a prospective study in an orthopedic rehabilitation department. METHODS: On admission and on discharge, 80 patients aged over 60 years underwent a multidimensional evaluation with the Resilience Scale, the Functional Independence Measure (FIM), the Multidimensional Prognostic Index, and the World Health Organization Quality of Life-BREF. FINDINGS: Hip-fractured patients had a lower level of resilience. High-resilient fracture patients achieved higher FIM scores. For elective patients, no differences on FIM score occurred for different resilience levels. CONCLUSIONS AND CLINICAL RELEVANCE: Resilience plays a significant role in reaching optimal functional recovery in hip-fractured elderly people. Results suggest the introduction of early routine assessment of resilience in future outcome studies in rehabilitation.
PURPOSE: The aim of this investigation was to assess resilience within an elderly population during postacute rehabilitation for orthopedic surgery and to identify the role of resilience on rehabilitation outcomes by comparing hip fracture and elective patients (total knee and hip arthroplasty). DESIGN: We conducted a prospective study in an orthopedic rehabilitation department. METHODS: On admission and on discharge, 80 patients aged over 60 years underwent a multidimensional evaluation with the Resilience Scale, the Functional Independence Measure (FIM), the Multidimensional Prognostic Index, and the World Health Organization Quality of Life-BREF. FINDINGS:Hip-fracturedpatients had a lower level of resilience. High-resilient fracturepatients achieved higher FIM scores. For elective patients, no differences on FIM score occurred for different resilience levels. CONCLUSIONS AND CLINICAL RELEVANCE: Resilience plays a significant role in reaching optimal functional recovery in hip-fractured elderly people. Results suggest the introduction of early routine assessment of resilience in future outcome studies in rehabilitation.
Authors: Alberto Pilotto; Carlo Custodero; Stefania Maggi; Maria Cristina Polidori; Nicola Veronese; Luigi Ferrucci Journal: Ageing Res Rev Date: 2020-03-21 Impact factor: 10.895
Authors: Alfonso J Cruz-Jentoft; Julia Daragjati; Laura Fratiglioni; Stefania Maggi; Arduino A Mangoni; Francesco Mattace-Raso; Marc Paccalin; Maria Cristina Polidori; Eva Topinkova; Luigi Ferrucci; Alberto Pilotto Journal: Aging Clin Exp Res Date: 2020-03-16 Impact factor: 3.636
Authors: Vesta C Nwankwo; William A Jiranek; Cynthia L Green; Kelli D Allen; Steven Z George; Janet Prvu Bettger Journal: Health Qual Life Outcomes Date: 2021-05-01 Impact factor: 3.077