Changes in Functional Status Attributable to Hip Fracture: A Comparison of Hip Fracture Patients to Community-dwelling Aged

Disability attributable to hip fracture regarding activities of daily living was evaluated by comparing 594 hip fracture patients entering eight hospitals in Baltimore, Maryland, in 1990–1991 with community-dwelling aged from the Established Populations for Epidemiologic Studies of the Elderly (EPES...

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Bibliographic Details
Published in:American journal of epidemiology 2003-06, Vol.157 (11), p.1023-1031
Main Authors: Magaziner, Jay, Fredman, Lisa, Hawkes, William, Hebel, J. Richard, Zimmerman, Sheryl, Orwig, Denise L., Wehren, Lois
Format: Article
Language:English
Subjects:
Activities of Daily Living
ADL
Aged
Aged, 80 and over
aging
Baltimore Hip Studies
BHS
Biological and medical sciences
Cohort Studies
Comorbidity
Disability Evaluation
disabled persons
EPESE
Established Populations for Epidemiologic Studies of the Elderly
Female
Hip Fractures
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Prospective Studies
Traumas. Diseases due to physical agents
Walking
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Summary:Disability attributable to hip fracture regarding activities of daily living was evaluated by comparing 594 hip fracture patients entering eight hospitals in Baltimore, Maryland, in 1990–1991 with community-dwelling aged from the Established Populations for Epidemiologic Studies of the Elderly (EPESE) cohort matched on age, sex, and walking ability. Subjects were assessed at baseline (prefracture report for patients), 12 months, and 24 months. At baseline, 26% of both groups had walking disability, 12–14% had transferring disability, and 6–8% evidenced grooming disability. At 12 and 24 months, about 50% of hip fracture patients were walking disabled compared with 21–29% of EPESE respondents after the authors controlled for age, sex, comorbidities, and functional status (excess disability attributable to hip fracture, i.e., attributable disability, of 26 additional cases of disability per 100 persons in the hip fracture cohort during follow-up). Likewise, hip fracture patients experienced more disability regarding transferring (38–39% vs. 10–18%; attributable disability, approximately 22 cases per 100 persons) and grooming (17–19% vs. 7–15%; attributable disability, approximately six cases per 100 persons). Thus, results showed that hip fracture patients had substantially more activities of daily living disability than that explained by aging over 24 months.
ISSN:0002-9262
1476-6256
0002-9262
DOI:10.1093/aje/kwg081