Andrés Gamboa-Arango1, Enric Duaso2, Vincenzo Malafarina3,4, Francesc Formiga5, Patrícia Marimón6, Montserrat Sandiumenge2, Maria-Teresa Salgado7, Enrique Escalante2, Célia Lumbreras2, Anna Tarrida2. 1. Acute Geriatric Unit, Geriatrics Service, Department of Geriatrics, Igualada Hospital, Avenida Cataluña, 11, 08700, Igualada, Barcelona, Spain. agamboa@csa.cat. 2. Acute Geriatric Unit, Geriatrics Service, Department of Geriatrics, Igualada Hospital, Avenida Cataluña, 11, 08700, Igualada, Barcelona, Spain. 3. Department of Geriatrics, Complejo Hospitalario de Navarra, Pamplona, Spain. 4. Department of Nutrition, Food Science and Physiology, School of Pharmacy, Universidad de Navarra, Pamplona, Spain. 5. Geriatrics Program, Internal Medicine, IDIBELL, University Bellvitge Hospital, L'Hospitalet de Llobregat, Spain. 6. Acute Geriatric Unit, Traumatology and Orthopedic Surgery, Igualada Hospital, Igualada, Spain. 7. Physiotherapy Service, St. Joseph Health Foundation of Igualada, Igualada, Spain.
Abstract
OBJECTIVES: Hip fracture is often associated with loss of physical function and institutionalization. The aim of this study is to describe the prognostic factors for discharge to home and residing there 12 months after a hip fracture. METHODS: A prospective study that includes patients aged ≥ 69 years that live at home before the fracture, admitted from June 1st, 2010, to May 31st, 2013. We registered the demographic data, presurgical function and cognitive assessment, surgical waiting time, type of fracture and complications during hospitalization. RESULTS: We included 273 patients (mean age 84.8 ± 6.1 years; 80% women), 130 (47.6%) were discharged directly to their own home. The predictors of discharge to home were a lower Geriatrics Dementia Scale score (OR 1.42; 95% CI 1.17-1.71; p < 0.001), a higher Barthel Index score at discharge (OR 1.07; 95% CI 1.05-1.10; p < 0.001) and a longer hospital stay (OR 1.14; 95% CI 1.02-1.27; p = 0.019). At 12 months, 169 (63.5%) were still residing at home. Predictors of residing at home 12 months after the hip fracture were age (OR 1.07; 95% CI 1.02-1.12; p = 0.010), the discharge Barthel Index score (OR 0.96; 95% CI 0.94-0.98; p < 0.001), the Geriatrics Dementia Scale score (OR 1.27; 95% CI 1.05-1.52; p = 0.013), the surgical waiting time (OR 3.42; 95% CI 1.077-10.89; p = 0.037) and Charlson comorbidity index (OR 1.27; 95% CI 1.05-1.55; p = 0.016). CONCLUSION: Prognostic factors for discharging to home and remaining there 12 months after a hip fracture are those that reflect a better health condition prior to the fracture and better functionality at the hospital discharge for hip fracture.
OBJECTIVES:Hip fracture is often associated with loss of physical function and institutionalization. The aim of this study is to describe the prognostic factors for discharge to home and residing there 12 months after a hip fracture. METHODS: A prospective study that includes patients aged ≥ 69 years that live at home before the fracture, admitted from June 1st, 2010, to May 31st, 2013. We registered the demographic data, presurgical function and cognitive assessment, surgical waiting time, type of fracture and complications during hospitalization. RESULTS: We included 273 patients (mean age 84.8 ± 6.1 years; 80% women), 130 (47.6%) were discharged directly to their own home. The predictors of discharge to home were a lower Geriatrics Dementia Scale score (OR 1.42; 95% CI 1.17-1.71; p < 0.001), a higher Barthel Index score at discharge (OR 1.07; 95% CI 1.05-1.10; p < 0.001) and a longer hospital stay (OR 1.14; 95% CI 1.02-1.27; p = 0.019). At 12 months, 169 (63.5%) were still residing at home. Predictors of residing at home 12 months after the hip fracture were age (OR 1.07; 95% CI 1.02-1.12; p = 0.010), the discharge Barthel Index score (OR 0.96; 95% CI 0.94-0.98; p < 0.001), the Geriatrics Dementia Scale score (OR 1.27; 95% CI 1.05-1.52; p = 0.013), the surgical waiting time (OR 3.42; 95% CI 1.077-10.89; p = 0.037) and Charlson comorbidity index (OR 1.27; 95% CI 1.05-1.55; p = 0.016). CONCLUSION: Prognostic factors for discharging to home and remaining there 12 months after a hip fracture are those that reflect a better health condition prior to the fracture and better functionality at the hospital discharge for hip fracture.
Entities:
Keywords:
Community-dwelling life; Elderly; Hip fracture; Prognostic factors
Authors: E K Osnes; C M Lofthus; H E Meyer; J A Falch; L Nordsletten; I Cappelen; I S Kristiansen Journal: Osteoporos Int Date: 2004-07 Impact factor: 4.507