PMID- 27670283
OWN - NLM
STAT- MEDLINE
DCOM- 20180920
LR  - 20181015
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 39
IP  - 22
DP  - 2017 Nov
TI  - Place orientation and visual construction subdomains of the Mini Mental State 
      Examination test as predictors of rehabilitation outcome of post-acute 
      hip-fractured patients.
PG  - 2339-2345
LID - 10.1080/09638288.2016.1225230 [doi]
AB  - PURPOSE: The study aimed at assessing the relationship between various Mini 
      Mental State Examination (MMSE) subdomains and rehabilitation achievements in 
      post-acute hip-fractured patients. METHOD: Six hundred and five hip-fractured 
      patients admitted during 2010-2013 to a post-acute geriatric rehabilitation 
      center were included in the study. Main outcome measures were the Functional 
      Independence Measure (FIM) instrument, the motor FIM (mFIM), the Montebello 
      Rehabilitation Factor Score (MRFS) on the mFIM and length of stay (LOS). A 
      logistic regression analysis tested the predictive value of MMSE subdomains for 
      achieving a satisfactory functional gain (mFIM MRFS >30%) on operated patients 
      admitted from community. RESULTS: Of all the six MMSE subdomains, place 
      orientation and visual construction demonstrated significant predictive values 
      for rehabilitation outcome. Patients who did not err on place orientation and 
      visual construction MMSE domains had better probabilities [(OR 1.28, 95%CI, 
      1.05-1.58; p = 0.017); (OR 2.15, 95%CI, 1.28-3.59; p = 0.004), respectively] of 
      achieving better rehabilitation achievements. Similar results were obtained for 
      cognitively impaired patient groups [(OR 1.40 95%CI, 1.11-1.77; p = 0.005); (OR 
      2.47, 95%CI, 1.15-5.30; p = 0.021), respectively]. For the cognitively intact 
      patient group, the variables with significant predictive value were time 
      orientation and visual construction MMSE subdomains [(OR 2.26, 95%CI, 1.18-4.33; 
      p = 0.014); (OR 2.87, 95%CI, 1.16-7.09; p = 0.022), respectively]. CONCLUSIONS: 
      Post-acute hip-fractured patients scoring normally on place orientation and 
      visual construction MMSE subdomains have a better chance of achieving favorable 
      rehabilitation outcome. Implications for Rehabilitation Post-acute hip-fractured 
      patients have a better chance to achieve a favorable rehabilitation outcome when 
      scoring normally on place orientation and visual construction MMSE subdomains. 
      Patients having difficulties in orientation and visual construction may need more 
      rehabilitation time as they lack planning and organizational capacity to follow 
      instructions. Assessing MMSE subdomains may reveal subtle cognitive impairment in 
      patients scored within the normal range on the MMSE test. Identifying subtle 
      cognitive impairment may assist in coordinating the patients and their 
      caregivers' expectations, efficiently allocating resources and help in advanced 
      care planning.
FAU - Hershkovitz, Avital
AU  - Hershkovitz A
AD  - a Beit Rivka Geriatric Rehabilitation Center , Petach Tikva , Israel.
AD  - b Sackler School of Medicine, Tel-Aviv University , Tel Aviv , Israel.
FAU - Kornyukov, Natalia
AU  - Kornyukov N
AD  - a Beit Rivka Geriatric Rehabilitation Center , Petach Tikva , Israel.
FAU - Brill, Shai
AU  - Brill S
AD  - a Beit Rivka Geriatric Rehabilitation Center , Petach Tikva , Israel.
AD  - b Sackler School of Medicine, Tel-Aviv University , Tel Aviv , Israel.
LA  - eng
PT  - Journal Article
DEP - 20160927
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hip Fractures/*rehabilitation/surgery
MH  - Humans
MH  - Male
MH  - *Mental Status and Dementia Tests
MH  - *Orientation
MH  - Predictive Value of Tests
MH  - Retrospective Studies
MH  - *Visual Perception
OTO - NOTNLM
OT  - Cognitive
OT  - Mini Mental State Examination
OT  - elderly
OT  - hip fracture
OT  - outcome
EDAT- 2016/09/28 06:00
MHDA- 2018/09/21 06:00
CRDT- 2016/09/28 06:00
PHST- 2016/09/28 06:00 [pubmed]
PHST- 2018/09/21 06:00 [medline]
PHST- 2016/09/28 06:00 [entrez]
AID - 10.1080/09638288.2016.1225230 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2017 Nov;39(22):2339-2345. doi: 10.1080/09638288.2016.1225230. 
      Epub 2016 Sep 27.