title: Early interdisciplinary hospital intervention for elderly patients with hip fractures : functional outcome and mortality.
abstract: OBJECTIVE
  Hip fractures are associated with high levels of co-morbidity and mortality. Orthogeriatric units have been shown to be effective with respect to functional recovery and mortality reduction. The aim of this study is to document the natural history of early multidisciplinary intervention in elderly patients with hip fractures and to establish the prognostic factors of mortality and walking ability after discharge.
  
  
  METHODS
  This observational, retrospective study was performed in an orthogeriatric care unit on patients aged >70 years with a diagnosis of hip fracture between 2004 and 2008. This study included 1363 patients with a mean age of 82.7 + 6.4 years.
  
  
  RESULTS
  On admission to the unit, the average Barthel score of these patients was 77.2 + 27.8 points, and the average Charlson index score was 2.14 + 2.05. The mean length of stay was 8.9 + 4.26 days, and the readmission rate was 2.3%. The in-hospital mortality rate was 4.7%, and the mortality rates at one, six, and 12 months after discharge were 8.7%, 16.9%, and 25.9%, respectively. The Cox proportional hazards model estimated that male sex, Barthel scale, heart failure, and cognitive impairment were associated with an increased risk of death. With regard to functionality, 63.7% of the patients were able to walk at the time of discharge, whereas 77.4% and 80.1% were able to walk at one month and six months post-discharge, respectively. The factors associated with a worse functional recovery included cognitive impairment, performance status, age, stroke, Charlson score, and delirium during the hospital stay.
  
  
  CONCLUSIONS
  Early multidisciplinary intervention appears to be effective for the management of hip fracture. Age, male sex, baseline function, cognitive impairment and previous comorbidities are associated with a higher mortality rate and worse functional recovery.
authors: Department of Geriatrics, Hospital Universitario de la Ribera, Valencia, Spain. fjtarazona@hospital-ribera.com
authors: Francisco José
authors: FJ
authors: Tarazona-Santabalbina
authors: Angel
authors: A
authors: Belenguer-Varea
authors: Eduardo
authors: E
authors: Rovira-Daudi
authors: Enmanuel
authors: E
authors: Salcedo-Mahiques
authors: David
authors: D
authors: Cuesta-Peredó
authors: Juan Ramón
authors: JR
authors: Doménech-Pascual
authors: María Isabel
authors: MI
authors: Salvador-Pérez
authors: Juan Antonio
authors: JA
authors: Avellana-Zaragoza
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D003072:Cognition Disorders / Q000503:physiopathology; D003693:Delirium / Q000503:physiopathology; D004812:Epidemiologic Methods; D005260:Female; D006620:Hip Fractures / Q000401:mortality* / Q000503:physiopathology / Q000534:rehabilitation; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D018802:Patient-Centered Care; D020127:Recovery of Function; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D013997:Time Factors; D016138:Walking / Q000502:physiology