PMID- 29880226
OWN - NLM
STAT- MEDLINE
DCOM- 20191111
LR  - 20191111
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 49
IP  - 7
DP  - 2018 Jul
TI  - Stability of extracapsular hip fracture: Does it affect rehabilitation outcome of 
      post-acute patients?
PG  - 1313-1318
LID - S0020-1383(18)30265-1 [pii]
LID - 10.1016/j.injury.2018.05.023 [doi]
AB  - BACKGROUND: Various factors have been shown to affect rehabilitation outcome of 
      hip fractured patients. The degree of extracapsular fracture stability may also 
      affect functional recovery. The aim of our study was to assess the relationship 
      between extracapsular hip fracture stability and rehabilitation outcome in a 
      post-acute setting. METHODS: A retrospective cohort study of 144 hip fractured 
      patients was carried out in a post-acute geriatric rehabilitation center from 
      1/2014 to 6/2015. The main outcome measures were the Functional Independence 
      Measure (FIM) instrument, motor FIM (mFIM), Montebello Rehabilitation Factor 
      Score (MRFS) on the mFIM and length of stay (LOS). The associations between 
      patients with stable vs. unstable and clinical, demographic and comorbidity 
      variables, were assessed by the Mann-Whitney U and chi-square tests. A multiple 
      linear regression model was used to estimate the association between fracture 
      stability and LOS score after controlling for sociodemographic characteristics 
      and chronic diseases. RESULTS: Rehabilitation outcomes (FIM and mFIM score 
      changes, mFIM MRFS) were found independent of extracapsular hip fracture 
      stability. Patients with an unstable fracture presented with a significantly 
      longer LOS compared with a stable fracture (p = .008). Multiple linear regression 
      analysis showed that fracture stability was significantly associated with LOS 
      after adjustment for confounding demographic, clinical and functional variables 
      (p = .009). CONCLUSION: Patients with unstable extracapsular hip fractures may 
      require a prolonged rehabilitation period in order to achieve the same functional 
      gain as patients with stable fractures.
CI  - Copyright (c) 2018 Elsevier Ltd. All rights reserved.
FAU - Hershkovitz, Avital
AU  - Hershkovitz A
AD  - Department of Geriatrics, 'Beit Rivka' Geriatric Rehabilitation Center, Petach 
      Tikva, Israel; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel. 
      Electronic address: avitalhe@clalit.org.il.
FAU - Brill, Shai
AU  - Brill S
AD  - Department of Geriatrics, 'Beit Rivka' Geriatric Rehabilitation Center, Petach 
      Tikva, Israel; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
FAU - Sulam, Lior Neuhaus
AU  - Sulam LN
AD  - Department of Geriatrics, 'Beit Rivka' Geriatric Rehabilitation Center, Petach 
      Tikva, Israel.
FAU - Luria, Tal
AU  - Luria T
AD  - Department of Orthopedic Surgery, Rabin Medical Center, Petach Tikva, Israel; 
      Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
FAU - Heller, Snir
AU  - Heller S
AD  - Department of Orthopedic Surgery, Rabin Medical Center, Petach Tikva, Israel; 
      Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
LA  - eng
PT  - Journal Article
DEP - 20180524
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Disability Evaluation
MH  - Female
MH  - *Geriatric Assessment
MH  - Hip Fractures/physiopathology/*rehabilitation
MH  - Humans
MH  - Joint Instability/physiopathology/*rehabilitation
MH  - Male
MH  - Recovery of Function/*physiology
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Hip fracture
OT  - Older people
OT  - Rehabilitation outcomes
OT  - Stability
EDAT- 2018/06/09 06:00
MHDA- 2019/11/12 06:00
CRDT- 2018/06/09 06:00
PHST- 2018/01/28 00:00 [received]
PHST- 2018/04/13 00:00 [revised]
PHST- 2018/05/24 00:00 [accepted]
PHST- 2018/06/09 06:00 [pubmed]
PHST- 2019/11/12 06:00 [medline]
PHST- 2018/06/09 06:00 [entrez]
AID - S0020-1383(18)30265-1 [pii]
AID - 10.1016/j.injury.2018.05.023 [doi]
PST - ppublish
SO  - Injury. 2018 Jul;49(7):1313-1318. doi: 10.1016/j.injury.2018.05.023. Epub 2018 
      May 24.