TY  - JOUR
PY  - 2005//
TI  - A short comprehensive assessment to predict outcome of elderly patients after hip fracture
JO  - Aging clinical and experimental research
A1  - Pautex, Sophie
A1  - Jacques, Marie-Claire
A1  - Sant, Aditya
A1  - Herrmann, Francois
A1  - Chevalley, Thierry
SP  - 116
EP  - 120
VL  - 17
IS  - 2
N2  - BACKGROUND AND AIMS: Hip fractures result in significant functional impairment and a high rate of institutionalization. The aim of our study was to evaluate in patients with a recent hip fracture the contribution of a short (15-min) comprehensive assessment to predict the length of stay and the risk of discharge to a nursing home. METHODS: Prospective clinical study conducted in a rehabilitation ward of the Geriatric Hospital. Functional assessment included basic activities of daily living (BADL), cognitive status (MMSE) and a 4-item geriatric depression scale (Mini-GDS). Information on demographic data, living situation, diagnosis and illness burden was also collected. RESULTS: The mean age of the 86 patients (67W/19M) was 84.2 +/- 6.8 years. In a multiple regression analysis, the length of stay in a geriatric hospital was significantly associated with both marital status (living alone) (p = 0.035) and the intervention of a caregiver on a regular basis (p = 0.036), but not with Charlson's comorbidity score. In a logistic regression model, adjusted for age, gender, marital status, intervention of a caregiver on a regular basis, BADL, Mini-GDS and Charlson's comorbidity score, the only independent predictor of nursing home admission was a MMSE < 24, which increased by 10.7-fold (2.2-50.9) the risk of being admitted to a nursing home (p = 0.003). CONCLUSIONS: A short comprehensive assessment completed a few days after a hip fracture is useful in predicting length of stay and risk of nursing home admission.<p /> <p>Language: en</p>
LA  - en
SN  - 1594-0667
UR  - http://dx.doi.org/
ID  - ref1
ER  -