title: The impact of previous strokes on the rehabilitation of elderly patients sustaining a hip fracture.
abstract: OBJECTIVE
  To evaluate whether a previous stroke may affect the functional outcome gain of elderly patients undergoing rehabilitation for a hip fracture.
  
  
  METHODS
  A retrospective cohort study.
  
  
  METHODS
  The division of geriatric medicine with rehabilitation wards at a university-affiliated referral hospital.
  
  
  METHODS
  Patients with hip fractures (N=460) undergoing a standard rehabilitation course.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  The functional outcome of previous stroke- and nonprevious stroke (NPS)-affected patients assessed by the FIM instrument at admission and discharge from the rehabilitation facility. Data were analyzed by t tests, Pearson correlation, chi-square tests, and linear regression analysis.
  
  
  RESULTS
  Both admission and discharge total FIM scores were significantly higher in NPS compared with previous stroke patients (63.53+/-19.89 vs 52.19+/-19.37, P<.001) and (84.23+/-24.93 vs 71.37+/-25.03, P=.001), respectively. However, changes in total FIM (20.70+/-11.68 vs 19.17+/-13.32, P=.38) and in motor FIM (19.84+/-10.63 vs 17.96+/-11.21, P=.23) at discharge were not statistically significant between the 2 groups. A linear regression analysis showed that a previous stroke was not predictive of a worse total FIM gain at discharge (P=.58).
  
  
  CONCLUSIONS
  NPS hip fracture elderly patients show higher admission and discharge FIM scores compared with previous stroke patients. Nevertheless, both groups achieve similar FIM gains during rehabilitation period. A previous stroke should not be considered as adversely affecting the rehabilitation of such patients.
authors.affiliation: Department of Geriatric Rehabilitation, Sheba Medical Center, Tel-Hashomer, Israel. exm42@sheba.health.gov.il
authors.forename: Eliyahu H
authors.initials: EH
authors.lastname: Mizrahi
authors.forename: Yehudit
authors.initials: Y
authors.lastname: Fleissig
authors.forename: Marina
authors.initials: M
authors.lastname: Arad
authors.forename: Abraham
authors.initials: A
authors.lastname: Adunsky
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D010343:Patient Admission / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data; D015995:Prevalence; D012189:Retrospective Studies; D020521:Stroke / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology