Recovery of function after hip fracture. The role of social supports.
Previous studies have found that social support may reduce mortality after myocardial infarction and reduce overall mortality among the elderly. To determine whether social support also influences the recovery of function among patients who have had hip fractures and to describe other potential predictors of recovery after hip fracture, 111 patients with hip fractures were interviewed and examined before discharge from the hospital. The functional status of surviving patients was assessed again 6 months later. Patients who had a greater number of social supports had more complete recovery of their prefracture level of function (r = .21; P = .04). This association was strongest for patients over 60 years old (r = .31; P = .006); among these patients, this association remained statistically significant after adjustment for other significant (P less than .05) predictors of recovery: arm strength, mental status, and serum albumin. Additional studies should be done to test whether interventions to increase social supports can improve the recovery of function among elderly patients with hip fractures and other illnesses. In the meantime, health professionals should counsel elderly patients about the potential rehabilitative and preventive benefits of social supports.
Cummings
S R
SR
Department of Medicine, University of California, San Francisco 94143-0320.
Phillips
S L
SL
Wheat
M E
ME
Black
D
D
Goosby
E
E
Wlodarczyk
D
D
Trafton
P
P
Jergesen
H
H
Winograd
C H
CH
Hulley
S B
SB
D000203:Activities of Daily Living; D000368:Aged; D000428:Alcohol Drinking; D003863:Depression / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000534:rehabilitation*; D006801:Humans; D007182:Income; D007398:Interpersonal Relations; D008124:Locomotion; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D005082:Physical Exertion; D011446:Prospective Studies; D012931:Social Environment; D012944:Social Support