Proximal femur fracture in older patients – rehabilitation and clinical outcome
Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal...
Gespeichert in:
| Veröffentlicht in: | Age and ageing 2003-01, Vol.32 (1), p.74-80 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 80 |
|---|---|
| container_issue | 1 |
| container_start_page | 74 |
| container_title | Age and ageing |
| container_volume | 32 |
| creator | Röder, Frank Schwab, Matthias Aleker, Thomas Mörike, Klaus Thon, Klaus‐Peter Klotz, Ulrich |
| description | Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P |
| doi_str_mv | 10.1093/ageing/32.1.74 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_72966969</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A97823587</galeid><sourcerecordid>A97823587</sourcerecordid><originalsourceid>FETCH-LOGICAL-c464t-75e61e7338cf2c0be1b59035f1ebb795fce9e5b00a4981ac70ced2351147e40a3</originalsourceid><addsrcrecordid>eNqFkb1uFDEUhS0EIptAS4lGFFSZjf89LqMVEMRKAQQEpbE83juLg9fe2DNS6HgH3pAnwWhWINFQWdf-7r3n-CD0hOAlwZqd2S34uD1jdEmWit9DC8Jl19KO8ftogTGmLVZUH6HjUm5qSQShD9ERoYJjJugCvXub053f2dAMsJtyM2TrxilD42OTwgZys7ejhziW5uf3H02GL7b3wY_1MsXGxk3jgo_e1QFpGl3awSP0YLChwOPDeYI-vnzxYXXRri9fvV6dr1vHJR9bJUASUIx1bqAO90B6oaumgUDfKy0GBxpEj7HluiPWKexgQ5kghCvg2LIT9Hyeu8_pdoIymp0vDkKwEdJUTLUtpZb6v6BQShIicQWf_QPepCnHasJQwgmjRMsKnc7Q1gYwProUR7irzkOALZhqcXVpzrXqqtZOVXw54y6nUjIMZp_rd-dvhmDzO0EzJ2gYNcQoXhueHkRM_Q42f_FDZBVoZ8CXuvjPu81fjVRMCXPx-dqsrz69uXq_ujac_QJdSKcm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>214132196</pqid></control><display><type>article</type><title>Proximal femur fracture in older patients – rehabilitation and clinical outcome</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Röder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich</creator><creatorcontrib>Röder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich</creatorcontrib><description>Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/32.1.74</identifier><identifier>PMID: 12540352</identifier><identifier>CODEN: AANGAH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Accidental Falls - prevention & control ; Aged ; Aged, 80 and over ; Aging ; Aging (Biology) ; clinical outcome ; Clinical outcomes ; Combined Modality Therapy ; Comorbidity ; Elderly ; Elderly people ; Evaluation ; falls ; Female ; Follow-Up Studies ; Fractured hips ; Germany ; Health aspects ; hip fracture ; Hip fractures ; Hip Fractures - mortality ; Hip Fractures - rehabilitation ; Hospital Mortality ; Humans ; Longitudinal Studies ; Male ; older patients ; Physical therapy ; Postoperative Complications - mortality ; Postoperative Complications - rehabilitation ; Prospective Studies ; Quality of Life ; Rehabilitation ; Rehabilitation Centers ; Surgery ; Survival Rate ; Therapeutics, Physiological ; Treatment Outcome</subject><ispartof>Age and ageing, 2003-01, Vol.32 (1), p.74-80</ispartof><rights>Copyright Oxford University Press(England) Jan 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-75e61e7338cf2c0be1b59035f1ebb795fce9e5b00a4981ac70ced2351147e40a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,30998,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12540352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Röder, Frank</creatorcontrib><creatorcontrib>Schwab, Matthias</creatorcontrib><creatorcontrib>Aleker, Thomas</creatorcontrib><creatorcontrib>Mörike, Klaus</creatorcontrib><creatorcontrib>Thon, Klaus‐Peter</creatorcontrib><creatorcontrib>Klotz, Ulrich</creatorcontrib><title>Proximal femur fracture in older patients – rehabilitation and clinical outcome</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.</description><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging (Biology)</subject><subject>clinical outcome</subject><subject>Clinical outcomes</subject><subject>Combined Modality Therapy</subject><subject>Comorbidity</subject><subject>Elderly</subject><subject>Elderly people</subject><subject>Evaluation</subject><subject>falls</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractured hips</subject><subject>Germany</subject><subject>Health aspects</subject><subject>hip fracture</subject><subject>Hip fractures</subject><subject>Hip Fractures - mortality</subject><subject>Hip Fractures - rehabilitation</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>older patients</subject><subject>Physical therapy</subject><subject>Postoperative Complications - mortality</subject><subject>Postoperative Complications - rehabilitation</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Surgery</subject><subject>Survival Rate</subject><subject>Therapeutics, Physiological</subject><subject>Treatment Outcome</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkb1uFDEUhS0EIptAS4lGFFSZjf89LqMVEMRKAQQEpbE83juLg9fe2DNS6HgH3pAnwWhWINFQWdf-7r3n-CD0hOAlwZqd2S34uD1jdEmWit9DC8Jl19KO8ftogTGmLVZUH6HjUm5qSQShD9ERoYJjJugCvXub053f2dAMsJtyM2TrxilD42OTwgZys7ejhziW5uf3H02GL7b3wY_1MsXGxk3jgo_e1QFpGl3awSP0YLChwOPDeYI-vnzxYXXRri9fvV6dr1vHJR9bJUASUIx1bqAO90B6oaumgUDfKy0GBxpEj7HluiPWKexgQ5kghCvg2LIT9Hyeu8_pdoIymp0vDkKwEdJUTLUtpZb6v6BQShIicQWf_QPepCnHasJQwgmjRMsKnc7Q1gYwProUR7irzkOALZhqcXVpzrXqqtZOVXw54y6nUjIMZp_rd-dvhmDzO0EzJ2gYNcQoXhueHkRM_Q42f_FDZBVoZ8CXuvjPu81fjVRMCXPx-dqsrz69uXq_ujac_QJdSKcm</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Röder, Frank</creator><creator>Schwab, Matthias</creator><creator>Aleker, Thomas</creator><creator>Mörike, Klaus</creator><creator>Thon, Klaus‐Peter</creator><creator>Klotz, Ulrich</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>Proximal femur fracture in older patients – rehabilitation and clinical outcome</title><author>Röder, Frank ; Schwab, Matthias ; Aleker, Thomas ; Mörike, Klaus ; Thon, Klaus‐Peter ; Klotz, Ulrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-75e61e7338cf2c0be1b59035f1ebb795fce9e5b00a4981ac70ced2351147e40a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging (Biology)</topic><topic>clinical outcome</topic><topic>Clinical outcomes</topic><topic>Combined Modality Therapy</topic><topic>Comorbidity</topic><topic>Elderly</topic><topic>Elderly people</topic><topic>Evaluation</topic><topic>falls</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractured hips</topic><topic>Germany</topic><topic>Health aspects</topic><topic>hip fracture</topic><topic>Hip fractures</topic><topic>Hip Fractures - mortality</topic><topic>Hip Fractures - rehabilitation</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>older patients</topic><topic>Physical therapy</topic><topic>Postoperative Complications - mortality</topic><topic>Postoperative Complications - rehabilitation</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Surgery</topic><topic>Survival Rate</topic><topic>Therapeutics, Physiological</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Röder, Frank</creatorcontrib><creatorcontrib>Schwab, Matthias</creatorcontrib><creatorcontrib>Aleker, Thomas</creatorcontrib><creatorcontrib>Mörike, Klaus</creatorcontrib><creatorcontrib>Thon, Klaus‐Peter</creatorcontrib><creatorcontrib>Klotz, Ulrich</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Röder, Frank</au><au>Schwab, Matthias</au><au>Aleker, Thomas</au><au>Mörike, Klaus</au><au>Thon, Klaus‐Peter</au><au>Klotz, Ulrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proximal femur fracture in older patients – rehabilitation and clinical outcome</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2003-01</date><risdate>2003</risdate><volume>32</volume><issue>1</issue><spage>74</spage><epage>80</epage><pages>74-80</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><coden>AANGAH</coden><abstract>Background: hip fracture is a major cause of morbidity and mortality in older people; optimal post‐surgical treatment is a matter of controversy. Objective: to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture. Design: prospective longitudinal study in three groups of patients with different post‐surgical care. Methods: initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow‐up for 12 months. One hundred and forty‐five patients (≥65 years) of normal mental status were eligible for the study. Successful follow‐up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty‐nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C). Results: initially a fall‐/surgical‐induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre‐fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one‐year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups. Conclusion: based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>12540352</pmid><doi>10.1093/ageing/32.1.74</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-0729 |
| ispartof | Age and ageing, 2003-01, Vol.32 (1), p.74-80 |
| issn | 0002-0729 1468-2834 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72966969 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current) |
| subjects | Accidental Falls - prevention & control Aged Aged, 80 and over Aging Aging (Biology) clinical outcome Clinical outcomes Combined Modality Therapy Comorbidity Elderly Elderly people Evaluation falls Female Follow-Up Studies Fractured hips Germany Health aspects hip fracture Hip fractures Hip Fractures - mortality Hip Fractures - rehabilitation Hospital Mortality Humans Longitudinal Studies Male older patients Physical therapy Postoperative Complications - mortality Postoperative Complications - rehabilitation Prospective Studies Quality of Life Rehabilitation Rehabilitation Centers Surgery Survival Rate Therapeutics, Physiological Treatment Outcome |
| title | Proximal femur fracture in older patients – rehabilitation and clinical outcome |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T10%3A54%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Proximal%20femur%20fracture%20in%20older%20patients%20%E2%80%93%20rehabilitation%20and%20clinical%20outcome&rft.jtitle=Age%20and%20ageing&rft.au=Ro%CC%88der,%20Frank&rft.date=2003-01&rft.volume=32&rft.issue=1&rft.spage=74&rft.epage=80&rft.pages=74-80&rft.issn=0002-0729&rft.eissn=1468-2834&rft.coden=AANGAH&rft_id=info:doi/10.1093/ageing/32.1.74&rft_dat=%3Cgale_proqu%3EA97823587%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=214132196&rft_id=info:pmid/12540352&rft_galeid=A97823587&rfr_iscdi=true |