Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study

Article Abstract:

More than 220,000 persons over the age of 65 fracture their hip each year in the United States. Many patients die or do not fully recover their walking ability and previous levels of independent living within a year after the fracture. The importance of psychosocial factors in the recovery process was assessed. The physical activities of daily living (PADLs) and instrumental activities of daily living (IADLs) were evaluated as predictors of recovery in walking ability one year after hospital discharge for hip fracture. The PADLs include eating, dressing, grooming, walking, transferring, bathing and toileting. IADLs included taking medications, using the telephone, getting to places out of walking distance, shopping, preparing meals, doing housework, and handling money. The study involved 536 patients aged 65 years and older who were admitted to the hospital between 1984 and 1986 for hip fracture. Many patients did not regain the same levels of PADLs and IADLs as they had before the hip fracture. Most of the recovery that did occur in walking ability and ability to perform PADLs and IADLs occurred within six months of the fracture. Contact with one's social network after discharge from the hospital contributed to a faster recovery. The results show that psychosocial factors are important in the recovery of walking ability and activities of daily living after hip fracture in the elderly. (Consumer Summary produced by Reliance Medical Information, Inc.)

Injuries, Demographic aspects, Disability evaluation

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Mobility after hip fracture predicts health outcomes

Article Abstract:

Problems with balance and gait are predictors of poor outcome in hip fracture patients. Researchers tested balance and gait in 306 patients treated for hip fracture and followed them for 2 years. For each unit decrease in balance score and summary score, mortality increased 17% and 10%, respectively. Poor balance increased the risk of hospitalization and poor balance and gait increased the risk of nursing home placement.

Health aspects, Prognosis, Health risk assessment, Gait disorders

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Serum and urine markers of bone metabolism during the year after hip fracture

Article Abstract:

Data is presented on serum osteocalcin, bone-specific alkaline phosphatase, procollagen type 1 carboxy-terminal extension peptide, and urinary deoxypyridinoline cross-links for bone density measurements taken at 3 to 365 days after hip fracture. Subjects were white women 65 years of age and older. Implications for the research and understanding of bone cell activity in fractures is also discussed.

United States, Statistical Data Included, Bones, Growth, Bone cells, Bone development

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