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Clinical Orthopaedics and Related Research®

Published in:

01-08-2013 | Clinical Research

Does Early Functional Outcome Predict 1-year Mortality in Elderly Patients With Hip Fracture?

Authors: Emilija Dubljanin-Raspopović, MD, PhD, Ljiljana Marković-Denić, MD, PhD, Jelena Marinković, MD, PhD, Una Nedeljković, MD, Marko Bumbaširević, MD, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 8/2013

Abstract

Background

Hip fractures in the elderly are followed by considerable risk of functional decline and mortality.

Questions/purposes

The purposes of this study were to (1) explore predictive factors of functional level at discharge, (2) evaluate 1-year mortality after hip fracture compared with that of the general population, and (3) evaluate the affect of early functional outcome on 1-year mortality in patients operated on for hip fractures.

Methods

A total of 228 consecutive patients (average age, 77.6 ± 7.4 years) with hip fractures who met the inclusion criteria were enrolled in an open, prospective, observational cohort study. Functional level at discharge was measured with the motor Functional Independence Measure (FIM) score, which is the most widely accepted functional assessment measure in use in the rehabilitation community. Mortality rates in the study population were calculated in absolute numbers and as the standardized mortality ratio. Multivariate regression analysis was used to explore predictive factors for motor FIM score at discharge and for 1-year mortality adjusted for important baseline variables.

Results

Conclusions

Functional level at discharge is the main determinant of long-term mortality in patients with hip fracture. Motor FIM score at discharge is a reliable predictor of mortality and can be recommended for clinical use.

Level of Evidence

Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

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Title: Does Early Functional Outcome Predict 1-year Mortality in Elderly Patients With Hip Fracture?
Authors: Emilija Dubljanin-Raspopović, MD, PhD
Ljiljana Marković-Denić, MD, PhD
Jelena Marinković, MD, PhD
Una Nedeljković, MD
Marko Bumbaširević, MD, PhD
Publication date: 01-08-2013
Publisher: Springer US
Published in: Clinical Orthopaedics and Related Research® / Issue 8/2013
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-013-2955-1

At a glance: The STEP trials

Springer Medicine

Does Early Functional Outcome Predict 1-year Mortality in Elderly Patients With Hip Fracture?

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

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