| Title: |
Effect of Preexisting Cognitive Impairment on In-Patient Treatment and Discharge Management among Elderly Patients with Hip Fractures |
| Authors: |
Bliemel, Christopher; Lechler, Philipp; Oberkircher, Ludwig; Colcuc, Christian; Balzer-Geldsetzer, Monika; Dodel, Richard; Ruchholtz, Steffen; Buecking, Benjamin |
| Source: |
Dementia and Geriatric Cognitive Disorders ; volume 40, issue 1-2, page 33-43 ; ISSN 1420-8008 1421-9824 |
| Publisher Information: |
S. Karger AG |
| Publication Year: |
2015 |
| Description: |
Objective: To examine the influence of cognitive impairment on the functional outcomes and complication rates of patients with hip fracture during in-patient treatment. Methods: A total of 402 patients who were surgically treated for hip fractures were consecutively enrolled at a single trauma center. The patients were grouped according to their results on the Mini-Mental State Examination (MMSE), i.e., ≥20 points (group I) and ≤19 points (group II). Complication and in-hospital mortality rates as well as postoperative functional outcomes according to the Barthel Index (BI) were compared between the groups. A multivariate regression analysis was performed to control for additional factors. Results: 33% of the patients had MMSE scores ≤19 points. The complication rates were similar between the groups (p > 0.05). Likewise, the overall in-hospital mortality rates were similar between the patients in group I (4.5%) and those in group II (9.8%; β = 0.218, p < 0.740). Functional outcomes, as assessed by the BI, were lower in group II (β = -0.266, p < 0.001). The patients in group II were transferred to a rehabilitation clinic less frequently (52.3 vs. 76.0%, p < 0.001). Conclusions: Patients with lower MMSE scores are at a higher risk for poorer functional outcomes. Perioperative care should focus on the preservation of functional abilities to protect these patients from an additional loss of independence and disadvantageous clinical course. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1159/000381334 |
| Availability: |
https://doi.org/10.1159/000381334; https://www.karger.com/Article/Pdf/381334 |
| Rights: |
https://www.karger.com/Services/SiteLicenses ; https://www.karger.com/Services/SiteLicenses |
| Accession Number: |
edsbas.41510EE4 |
| Database: |
BASE |