Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Procedure
2.2. Statistical Analysis
2.3. Ethics and Registration
3. Results
4. Discussion
Implications for Practice
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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At Discharge (n = 235) | At 6 Months (n = 59) | |
---|---|---|
Gender | ||
Female | 178 (76%) | 48 (81%) |
Male | 57 (24%) | 11 (19%) |
Age-years | 85 (83–87) | 82 (75–88) |
Fracture type | ||
Medial | 121 (51%) | 33 (56%) |
Pertrochanteric and subtrochanteric | 114 (99%) | 26 (44%) |
Comorbidity | ||
Yes | 178 (76%) | 49 (83%) |
No | 57 (24%) | 10 (17%) |
Length of stay-days (LOS) | 7.0 (5.0–8.7) | 7.8 (6.1–9.3) |
Time to surgery | ||
<24 h | 131 (56%) | 31 (53%) |
>24 h | 104 (44%) | 28 (47%) |
Pre-fracture function (PFF) | ||
Independent | 213 (91%) | 56 (95%) |
Not independent | 22 (9%) | 3 (5%) |
Dementia | ||
Yes | 43(18%) | 6(10%) |
No | 192 (82%) | 53 (90%) |
Pre-fracture residence (PFR) | ||
Own home | 156 (66%) | 43 (74%) |
Institutional care | 79 (34%) | 15 (26%) |
Discharge destination (DD) | ||
Own home | - | 33 (56%) |
Institutional care | 26 (44%) | |
Residence at 3 months (RES-3) | ||
Own home | - | 44 (75%) |
Institutional care | 15 (25%) | |
Place of rehabilitation * | ||
Own home | - | 21 (36%) |
Rehabilitation facility | 37 (64%) | |
Rehabilitation setting * | ||
Individual | - | 46 (79%) |
Group | 12 (21%) |
Regained | Not Regained | p-Value | |
---|---|---|---|
Getting in/Out of Bed | |||
Gender | |||
Female | 78 (44%) | 100 (56%) | |
Male | 28 (49%) | 29 (51%) | 0.542 |
Age-years | 82 (75–88) | 87 (81–91) | <0.001 |
Fracture type | |||
Medial | 61 (50%) | 60 (50%) | |
Pertrochanteric and subtrochanteric | 45 (39%) | 69 (61%) | 0.115 |
Comorbidity | |||
Yes | 75 (42%) | 103 (58%) | |
No | 31 (54%) | 26 (46%) | 0.127 |
Length of stay, days (LOS) | 7.1 (5.6–9.0) | 7.0 (4.8–8.3) | 0.094 |
Time to surgery | |||
<24 h | 61 (47%) | 70 (53%) | |
>24 h | 45 (43%) | 59 (57%) | 0.692 |
Pre-fracture function (PFF) | |||
Independent | 88 (41%) | 125 (59%) | |
Not independent | 18 (82%) | 4 (18%) | <0.001 |
Dementia | |||
Yes | 6 (14%) | 37 (86%) | |
No | 100 (52%) | 92 (48%) | <0.001 |
Pre-fracture residence (PFR) | |||
Own home | 86 (55%) | 70 (44%) | |
Institutional care | 20 (25%) | 59 (75%) | <0.001 |
Rise from a chair | |||
Gender | |||
Female | 100 (56%) | 78 (44%) | |
Male | 32 (56%) | 25 (44%) | 0.558 |
Age, years | 83 (75–89) | 87 (81–91) | 0.003 |
Fracture type | |||
Medial | 72 (60%) | 49 (40%) | |
Pertrochanteric and subtrochanteric | 60 (53%) | 54 (47%) | 0.296 |
Comorbidity | |||
Yes | 86 (48%) | 92 (52%) | |
No | 46 (81%) | 11 (19%) | <0.001 |
Length of stay-days (LOS) | 7.5 (5.9–9.0) | 6.1 (4.0–8.0) | <0.001 |
Time to surgery | |||
<24 h | 74 (56%) | 57 (44%) | |
>24 h | 58 (56%) | 46 (44%) | 1.000 |
Pre-fracture function (PFF) | |||
Independent | 117 (55%) | 96 (45%) | |
Not independent | 15 (68%) | 7 (32%) | 0.266 |
Dementia | |||
Yes | 7 (16%) | 36 (84%) | |
No | 125 (65%) | 67 (35%) | <0.001 |
Pre-fracture residence (PFR) | |||
Own home | 106 (68%) | 50 (32%) | |
Institutional care | 26 (33%) | 53 (67%) | <0.001 |
Walking | |||
Gender | |||
Female | 83 (47%) | 95 (53%) | |
Male | 29 (51%) | 28 (49%) | 0.648 |
Age-years | 82 (75–88) | 88 (82–92) | <0.001 |
Fracture type | |||
Medial | 63 (52%) | 58 (48%) | |
Pertrochanteric and subtrochanteric | 49 (43%) | 65 (57%) | 0.192 |
Comorbidity | |||
Yes | 73 (41%) | 105 (59%) | |
No | 39 (68%) | 18 (32%) | <0.001 |
Length of stay, days (LOS) | 7.2 (5.8–9.1) | 6.7 (4.2–8.1) | 0.006 |
Time to surgery | |||
<24 h | 65 (50%) | 66 (50%) | |
>24 h | 47 (45%) | 57 (55%) | 0.514 |
Pre-fracture function (PFF) | |||
Independent | 103 (48%) | 110 (52%) | |
Not independent | 9 (41%) | 13 (59%) | 0.655 |
Dementia | |||
Yes | 5 (12%) | 38 (88%) | |
No | 107 (56%) | 85 (44%) | <0.001 |
Pre-fracture residence (PFR) | |||
Own home | 94 (60%) | 62 (40%) | |
Institutional care | 18 (23%) | 61 (77%) | <0.001 |
Regained | Not Regained | p-Value | |
---|---|---|---|
Getting in/Out of Bed | |||
Gender | |||
Female | 44 (92%) | 4 (8%) | |
Male | 9 (82%) | 2 (8%) | 0.310 |
Age-years | 81 (75–88) | 85 (70–92) | 0.720 |
Fracture type | |||
Medial | 30 (91%) | 3 (9%) | |
Pertrochanteric and subtrochanteric | 23 (88%) | 3 (12%) | 1.000 |
Comorbidity | |||
Yes | 43 (88%) | 6 (12%) | |
No | 10 (100%) | 0 (0%) | 0.577 |
Length of stay-days (LOS) | 7.8 (6.1–9.2) | 7.6 (3.3–11.2) | 0.880 |
Time to surgery | |||
<24 h | 30 (97%) | 1 (3%) | |
>24 h | 23 (82%) | 5 (18%) | 0.092 |
Pre-fracture function (PFF) | |||
Independent | 51 (91%) | 5 (9%) | |
Not independent | 2 (67%) | 1 (33%) | 0.279 |
Dementia | |||
Yes | 5 (83%) | 1 (17%) | |
No | 48 (91%) | 5 (9%) | 0.490 |
Pre-fracture residence (PFR) | |||
Own home | 41 (93%) | 3 (7%) | |
Institutional care | 12 (80%) | 3 (20%) | 0.172 |
Discharge destination (DD) | |||
Own home | 31 (94%) | 2 (6%) | |
Institutional care | 22 (85%) | 4 (15%) | 0.390 |
Residence at 3 months (RES-3) | |||
Own home | 42 (95%) | 2 (5%) | |
Institutional care | 11 (73%) | 4 (27%) | 0.032 |
Place of rehabilitation * | |||
Own home | 17 (81%) | 4 (19%) | |
Rehabilitation facility | 36 (97%) | 1 (3%) | 0.053 |
Rehabilitation setting * | |||
Individual | 42 (91%) | 4 (9%) | |
Group | 11 (92%) | 1 (8%) | 1.000 |
Rise from a chair | |||
Gender | |||
Female | 45 (94%) | 3 (6%) | |
Male | 9 (82%) | 2 (18%) | 0.230 |
Age-years | 82 (75–88) | 83 (75–88) | 0.913 |
Fracture type | |||
Medial | 31 (94%) | 2 (6%) | |
Pertrochanteric and subtrochanteric | 23 (88%) | 3 (12%) | 0.646 |
Comorbidity | |||
Yes | 44 (90%) | 5 (10%) | |
No | 10 (100%) | 0 (0%) | 0.577 |
Length of stay-days (LOS) | 7.8 (6.1–9.3) | 7.0 (3.2–9.2) | 0.355 |
Time to surgery | |||
<24 h | 30 (97%) | 1 (3%) | |
>24 h | 24 (86%) | 4 (14%) | 0.180 |
Pre-fracture function (PFF) | |||
Independent | 52 (93%) | 4 (7%) | |
Not independent | 2 (67%) | 1 (33%) | 0.237 |
Dementia | |||
Yes | 5 (83%) | 1 (17%) | |
No | 49 (92%) | 4 (8%) | 0.427 |
Pre-fracture residence (PFR) | |||
Own home | 41 (93%) | 3 (7%) | |
Institutional care | 13 (87%) | 2 (13%) | 0.596 |
Discharge destination (DD) | |||
Own home | 33 (100%) | 0 (0%) | |
Institutional care | 21 (81%) | 5 (19%) | 0.013 |
Residence at 3 months (RES-3) | |||
Own home | 43 (98%) | 1 (2%) | |
Not own home | 11 (73%) | 4 (27%) | 0.013 |
Place of rehabilitation * | |||
Own home | 19 (90%) | 2 (10%) | |
Rehabilitation facility | 35 (95%) | 2 (5%) | 0.615 |
Rehabilitation setting * | |||
Individual | 42 (91%) | 4 (9%) | |
Group | 12 (100%) | 0 (0%) | 0.571 |
Walking | |||
Gender | |||
Female | 45 (94%) | 3 (6%) | |
Male | 8 (73%) | 3 (27%) | 0.072 |
Age-years | 81 (75–88) | 85 (70–88) | 0.930 |
Fracture type | |||
Medial | 30 (91%) | 3 (9%) | |
Pertrochanteric and subtrochanteric | 23 (88%) | 3 (12%) | 1.000 |
Comorbidity | |||
Yes | 43 (88%) | 6 (12%) | |
No | 10 (100%) | 0 (0%) | 0.577 |
Length of stay-days (LOS) | 7.8 (6.1–9.2) | 7.6 (5.4–10.9) | 0.960 |
Time to surgery | |||
<24 h | 30 (97%) | 1 (3%) | |
>24 h | 23 (82%) | 5 (18%) | 0.092 |
Pre-fracture function (PFF) | |||
Independent | 52 (93%) | 4 (7%) | |
Not independent | 1 (33%) | 2 (67%) | 0.025 |
Dementia | |||
Yes | 5 (83%) | 1 (17%) | |
No | 49 (92%) | 4 (8%) | 0.490 |
Pre-fracture residence (PFR) | |||
Own home | 42 (95%) | 2 (5%) | |
Institutional care | 11 (73%) | 4 (27%) | 0.034 |
Discharge destination (DD) | |||
Own home | 32 (97%) | 1 (3%) | |
Institutional care | 21 (81%) | 5 (19%) | 0.078 |
Residence at 3 months (RES-3) | |||
Own home | 43 (98%) | 1 (2%) | |
Institutional care | 10 (67%) | 5 (33%) | 0.003 |
Place of rehabilitation * | |||
Own home | 18 (86%) | 3 (14%) | |
Rehabilitation facility | 35 (95%) | 2 (5%) | 0.341 |
Rehabilitation setting * | |||
Individual | 41 (89%) | 5 (11%) | |
Group | 12 (100%) | 0 (0%) | 0.573 |
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Hansen, C.; Melgaard, D. Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study. Geriatrics 2019, 4, 21. https://doi.org/10.3390/geriatrics4010021
Hansen C, Melgaard D. Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study. Geriatrics. 2019; 4(1):21. https://doi.org/10.3390/geriatrics4010021
Chicago/Turabian StyleHansen, Caspar, and Dorte Melgaard. 2019. "Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study" Geriatrics 4, no. 1: 21. https://doi.org/10.3390/geriatrics4010021
APA StyleHansen, C., & Melgaard, D. (2019). Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study. Geriatrics, 4(1), 21. https://doi.org/10.3390/geriatrics4010021