Cognitive Impairment as the Principal Factor Correlated with the Activities of Daily Living Following Hip Fracture in Elderly People.
activities of daily living
cognitive impairment
dementia
hip fracture
Journal
Progress in rehabilitation medicine
ISSN: 2432-1354
Titre abrégé: Prog Rehabil Med
Pays: Japan
ID NLM: 101707740
Informations de publication
Date de publication:
2022
2022
Historique:
received:
27
08
2021
accepted:
25
03
2022
entrez:
31
5
2022
pubmed:
1
6
2022
medline:
1
6
2022
Statut:
epublish
Résumé
Hip fracture is a common injury occurring in elderly people and often impairs their activities of daily living (ADL). This study aimed to identify and analyze factors associated with ADL following hip fracture treatment. A total of 371 consecutive patients with hip fractures who were surgically treated in our hospital were enrolled. Among these, 103 patients who underwent acute- to recovery-phase postoperative rehabilitation at our hospital and whose motor scale of the functional independence measure (mFIM) score was ≥70 before the fracture were finally included in this study. Single and multiple regression analyses were performed to identify the factors correlated with ADL. The mFIM at hospital discharge was set as the outcome variable, and various clinical factors, such as fracture type, surgical technique, serum and biological data, mini-mental state examination (MMSE) score, and serial mFIM scores, were used as explanatory variables. Only MMSE and preinjury mFIM scores were significantly correlated with mFIM at discharge, and MMSE had the larger effect on the outcome. Receiver operating characteristic curve analysis revealed an MMSE cutoff value of 20/21. Patients with an MMSE score of ≤20 showed a relatively poor recovery of mFIM from 2-3 weeks postoperatively compared with those with an MMSE score of ≥21. Cognitive impairment and the preinjury ADL level were correlated with short-term ADL outcomes following hip fracture. Cognitive impairment was the most important factor affecting ADL; treatment and postoperative rehabilitation should be carefully considered for cognitively disturbed patients from the acute phase after hip fracture.
Identifiants
pubmed: 35633759
doi: 10.2490/prm.20220026
pii: 20220026
pmc: PMC9110876
doi:
Types de publication
Journal Article
Langues
eng
Pagination
20220026Informations de copyright
2022 The Japanese Association of Rehabilitation Medicine.
Déclaration de conflit d'intérêts
CONFLICTS OF INTEREST: The authors declare that there are no conflicts of interest.
Références
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Eur J Phys Rehabil Med. 2015 Dec;51(6):815-23
pubmed: 25998064
Am J Geriatr Psychiatry. 2006 Feb;14(2):139-44
pubmed: 16473978
J Rehabil Med. 2006 Jul;38(4):237-42
pubmed: 16801206
Am J Phys Med Rehabil. 2017 Feb;96(2):109-115
pubmed: 27196384
Acta Orthop. 2009 Oct;80(5):520-4
pubmed: 19916682
Age Ageing. 2012 May;41(3):299-308
pubmed: 22374645
Dement Geriatr Cogn Disord. 2015;40(1-2):33-43
pubmed: 25896170
J Orthop Sci. 2016 Jul;21(4):481-486
pubmed: 27075586
Stroke. 1994 Jan;25(1):128-34
pubmed: 8266360
J Gerontol A Biol Sci Med Sci. 2003 Jun;58(6):542-7
pubmed: 12807926
J Am Geriatr Soc. 1992 Sep;40(9):922-35
pubmed: 1512391
Psychol Med. 1982 May;12(2):397-408
pubmed: 7100362
Aging Clin Exp Res. 2007 Apr;19(2):119-24
pubmed: 17446722
Bone. 2014 Jun;63:81-6
pubmed: 24607943
Stroke. 2004 Apr;35(4):918-23
pubmed: 14976324
JAMA. 2019 Oct 22;322(16):1589-1599
pubmed: 31638686
Am J Phys Med Rehabil. 1995 Nov-Dec;74(6):432-8
pubmed: 8534387
JAMA Intern Med. 2014 Aug;174(8):1273-80
pubmed: 25055155
Injury. 2018 Aug;49(8):1458-1460
pubmed: 29699731
J Geriatr Phys Ther. 2009;32(1):24-32
pubmed: 19856633
Arch Gerontol Geriatr. 2006 Jul-Aug;43(1):45-52
pubmed: 16256217
Lancet. 2020 Aug 8;396(10248):413-446
pubmed: 32738937
Bone Marrow Transplant. 2013 Mar;48(3):452-8
pubmed: 23208313
J Am Med Dir Assoc. 2015 Mar;16(3):215-20
pubmed: 25441099
BMC Geriatr. 2018 Mar 12;18(1):71
pubmed: 29530014
PM R. 2014 Jun;6(6):493-7
pubmed: 24389348