Functional recovery and length of stay after hip fracture in patients with neurologic impairment.
OBJECTIVE
To evaluate the functional recovery and the length of stay after hip fracture in patients with neurologic impairment.


METHODS
A total of 577 inpatients with hip fracture consecutively admitted to our rehabilitation hospital were included in this retrospective study. A total of 71 of 577 were affected by neurologic impairment caused by stroke with hemiplegia (n = 37), Parkinson's disease (n = 25), or other diseases (n = 9).


RESULTS
Mean Barthel index was significantly lower in the patients with neurologic impairment than in the controls: 10.8 (95% confidence interval, 5.9-15.6; P < 0.001) at admission and 13.1 (95% confidence interval, 5.55-20.65; P < 0.001) at discharge. Multiple regression including eight confounding variables showed that neurologic impairment was negatively associated with the Barthel index. However, the mean increase in Barthel index through the course of rehabilitation was not affected by neurologic impairment. The length of stay was significantly higher in the patients with neurologic impairment, 3.84 days (95% confidence interval, 0.51-7.17; P < 0.05), and multiple regression showed that neurologic impairment was positively associated with the length of stay.


CONCLUSIONS
After hip fracture, the presence of neurologic impairment was associated with lower Barthel index and longer length of stay, but it did not affect the increase in Barthel index due to a course of rehabilitation.
Di Monaco
Marco
M
Osteoporosis Research Center, Presidio Sanitario San Camillo, Torino, Italy.
Vallero
Fulvia
F
Di Monaco
Roberto
R
Mautino
Fulvio
F
Cavanna
Alberto
A
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005260:Female; D006620:Hip Fractures / Q000150:complications* / Q000534:rehabilitation; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008297:Male; D009422:Nervous System Diseases / Q000150:complications* / Q000534:rehabilitation; D010351:Patient Discharge; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome