More than half of hip fracture patients do not regain mobility in the first postoperative year. Issue 2 (21st June 2012)

• Record Type: Journal Article
• Authors: Vochteloo, Anne JH; Moerman, Sophie; Tuinebreijer, Wim E; Maier, Andrea B; de Vries, Mark R; Bloem, Rolf M; Nelissen, Rob GHH; Pilot, Peter
• Is Part Of: Geriatrics and gerontology international. Volume 13:Issue 2(2013)
• Page Start: 334
• Page End: 341
• Publication Date: 2012-06-21
• Subjects: Geriatrics -- Periodicals; Gerontology -- Periodicals; Geriatrics -- Japan -- Periodicals; Gerontology -- Japan -- Periodicals; 618.97
• DOI: 10.1111/j.1447-0594.2012.00904.x
• Languages: English
• ISSNs: 1444-1586

Abstract

<abstract abstract-type="main" xml:lang="en"> <title> <x xml:space="preserve">Abstract</x> </title> <p> <bold>Aim: </bold> To measure functional recovery and determine risk factors for failure to return to the prefracture level of mobility of hip fracture patients 1 year postoperatively.</p> <p> <bold>Methods: </bold> A prospective cohort follow‐up study of 390 hip fracture patients aged 65 years and older was carried out. Patients were stratified in categories based on prefracture mobility: mobile without aid, with aid in‐ and outdoors, or only mobile indoors. Immobile patients were excluded. Risk factors for not regaining prefracture mobility were identified.</p> <p> <bold>Results: </bold> Nearly half of all patients regained their prefracture level of mobility after 1 year. Mobile patients without an aid were less likely to return to their prefracture mobility level compared with patients who were mobile with aid or mobile indoors. After 1 year, 18.7% of all patients had become immobile. Most important independent risk factors for failure to return to the prefracture level of mobility were a limited prefracture level of activities of daily living and a delirium during admission.</p> <p> <bold>Conclusions: </bold> The risk not to regain prefracture mobility is highest in mobile patients without an aid. The risk of becoming immobile is higher in those having a lower prefracture mobility. Activities of daily living dependence and delirium were the main risk factors for not regaining mobility. <bold>Geriatr Gerontol Int 2013; 13: 334–341</bold>.</p> </abstract>