Proximal femur fracture in older patients--rehabilitation and clinical outcome.
BACKGROUND
hip fracture is a major cause of morbidity and mortality in older people; optimal post-surgical treatment is a matter of controversy.


OBJECTIVE
to examine the effects of rehabilitation on the clinical outcome following surgical treatment of hip fracture.


METHODS
prospective longitudinal study in three groups of patients with different post-surgical care.


METHODS
initial screening of 283 elderly patients with proximal femur fracture; documentation of medical and social history and clinical data; geriatric assessments (Activities of Daily Living and Instrumental Activities of Daily Living) during hospital stay and follow-up for 12 months. One hundred and forty-five patients (>or=65 years) of normal mental status were eligible for the study. Successful follow-up could be monitored in 120 and 117 patients for 6 and 12 months, respectively. Sixty-nine and 39 patients underwent supervised inpatient rehabilitation in an orthopaedic or geriatric hospital, respectively (intervention groups A and B, respectively) whereas 34 patients received no special rehabilitation as they were directly discharged home (control group C).


RESULTS
initially a fall-/surgical-induced reduction (P<0.001) of the main outcome measure (Activities of Daily Living) was observed in all patients. Within 6 months of rehabilitation there was an improvement (P<0.01) in Activities of Daily Living; however the pre-fracture scores were not reached. The same time pattern was seen in group C. Therefore no significant differences between the three groups of patients in approaching the baseline status was visible. Moreover, the one-year total mortality in the studied population with normal mental status averaged 11.7% and did not differ between the three groups.


CONCLUSIONS
based on our measured outcome variables institutional rehabilitation after surgical treatment of hip fracture apparently had no significant impact on mortality and morbidity in older patients of normal mental status.
Röder
Frank
F
Department of Geriatric Rehabilitation, Dr Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany.
Schwab
Matthias
M
Aleker
Thomas
T
Mörike
Klaus
K
Thon
Klaus-Peter
KP
Klotz
Ulrich
U
D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006620:Hip Fractures / Q000401:mortality / Q000534:rehabilitation*; D017052:Hospital Mortality; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011183:Postoperative Complications / Q000401:mortality / Q000534:rehabilitation; D011446:Prospective Studies; D011788:Quality of Life; D012047:Rehabilitation Centers; D015996:Survival Rate; D016896:Treatment Outcome