@article{ref1,
title="Influence of cognitive impairment on mobility recovery of patients with hip fracture",
journal="American journal of physical medicine and rehabilitation",
year="2016",
author="Ariza-Vega, Patrocinio and Lozano-Lozano, Mario and Olmedo-Requena, Rocío and Martín-Martín, Lydia and Jimenez-Moleon, Jose Juan",
volume="96",
number="2",
pages="109-115",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0894-9115",
doi="10.1097/PHM.0000000000000550",
url="http://dx.doi.org/10.1097/PHM.0000000000000550"
}