Citation

Ariza-Vega P, Lozano-Lozano M, Olmedo-Requena R, Martín-Martín L, Jimenez-Moleon JJ. Am. J. Phys. Med. Rehabil. 2016; 96(2): 109-115.

Affiliation

From the Department of Rehabilitation and Traumatology, Virgen de las Nieves University Hospital (PA-V); Departments of Physical Therapy (PA-V, ML-L, LM-M) and Preventive Medicine and Public Health (RO-R, JJJ-M), University of Granada; CIBER of Epidemiology and Public Health, CIBEResp (JJJ-M); and Institute for Biomedical Research of Granada (ibs. GRANADA), Servicio Andaluz de Salud/University of Granada (JJJ-M), Granada, Spain.

Copyright

(Copyright © 2016, Lippincott Williams and Wilkins)

DOI

10.1097/PHM.0000000000000550

PMID

27196384

Abstract

OBJECTIVE: The aims of this study were to study the mobility recovery in hip fracture patients and determine the influence of cognitive impairment on mobility within the first 3 months after surgery.

DESIGN: This prospective cohort study was carried out in an acute public hospital in southern Spain and included 275 patients, 65 years or older, with a hip fracture. Mobility and Cognitive status were measured by Tinetti Performance-Oriented Mobility Assessment and Pfeiffers' Scale (Short Portable Mental State Questionnaire), respectively. Multiple linear regression was used to examine the influence of cognitive impairment on mobility.

RESULTS: The median Performance-Oriented Mobility Assessment score changed from 4 (3-4) points at discharge to 17 (7-22) at 3 months. All degrees of cognitive impairment were negatively associated with gait and balance at 1 and 3 months after surgery (P < 0.01). Age, weight bearing, length of hospital stay, and postsurgical complications were also identified as independent predictors of mobility outcome at 3 months.

CONCLUSIONS: Cognitive impairment is a negative prognostic factor for the recovery of mobility in elderly patients with a hip fracture. New treatment strategies are needed for hip fracture patients with cognitive impairment.

Language: en