Severity of cognitive impairment as a prognostic factor for mortality and functional recovery of geriatric patients with hip fracture

Aim To identify how the severity of dementia influences functional recovery and mortality in elderly patients hospitalized for hip fracture. Methods An observational retrospective study of 1258 patients aged older than 69 years and diagnosed with hip fracture who received care within an orthogeriatr...

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Published in:Geriatrics & gerontology international 2015-03, Vol.15 (3), p.289-295
Main Authors: Tarazona-Santabalbina, Francisco José, Belenguer-Varea, Ángel, Rovira Daudi, Eduardo, Salcedo Mahiques, Enmanuel, Cuesta Peredó, David, Doménech-Pascual, Juan Ramón, Gac Espínola, Homero, Avellana Zaragoza, Juan Antonio
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
Cognition Disorders - physiopathology
cognitive impairment
Comorbidity - trends
comprehensive geriatric assessment
Dementia
Female
Follow-Up Studies
Fractures
functional recovery
Geriatric Assessment - methods
hip fractures
Hip Fractures - mortality
Hip Fractures - physiopathology
Hip joint
Humans
Male
Mortality
Older people
Prognosis
Recovery of Function
Retrospective Studies
Severity of Illness Index
Spain - epidemiology
Survival Rate - trends
Time Factors
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Summary:Aim To identify how the severity of dementia influences functional recovery and mortality in elderly patients hospitalized for hip fracture. Methods An observational retrospective study of 1258 patients aged older than 69 years and diagnosed with hip fracture who received care within an orthogeriatrics unit from 2004 to 2008 was carried out. During a 12‐month follow‐up period, functional recovery and mortality outcomes were measured. Results Dementia was present in 383 (28.1%) patients: it was mild in 183 (48%), moderate in 102 (26.5%) and severe in 98 (25.5%). Compared with patients with preserved cognitive status, patients with dementia had the following statistically significant differences (means [standard deviation] or percentage): older age (preserved, 82.29 years [6.5 years]; mild, 83.63 years [6.1 years]; moderate, 83.47 years [5.9 years]; severe, 84.46 years [6.1 years]; P 
ISSN:1444-1586
1447-0594
DOI:10.1111/ggi.12271