title: Diabetes and health outcomes among older Taiwanese with hip fracture.
abstract: OBJECTIVE
  Hip fracture tremendously impacts functional abilities for the elderly with high morbidity and mortality; recovery is compromised by co-morbidities. Diabetes mellitus is a common co-morbidity for the aging population, but little is known about the influence of diabetes on outcomes of the Asian elderly with hip fracture.
  
  
  METHODS
  This study was a secondary analysis of data on 242 community-dwelling elders with hip fracture from three previous longitudinal studies. Sixty-one cases (25.2%) had diabetes. Outcomes were measured by the Chinese Barthel Index, Medical Outcomes Study Short Form-36 Taiwan version, and analyzed by the generalized estimating equation approach to examine how diabetes influenced hip-fractured elders' mortality, service utilization, mobility, daily activities, and health-related quality of life during the first 12 months after postsurgical discharge in Taiwan.
  
  
  RESULTS
  Hip-fractured elderly with diabetes had a significantly higher mortality rate (22.6% vs. 10.3%, p=0.03) during the first year following discharge, and significantly higher readmission rate (10.0% vs. 2.5%, p=0.04) from the first to third month following discharge than those without diabetes. After controlling for covariates, elderly participants without diabetes had an overall 2.2 times (confidence interval [CI]=1.15-4.21) greater odds of recovery in walking ability and better reported general health (β=9.33; p=0.01) and physical functioning (β=7.26; p=0.02) than those with diabetes during the first year after discharge.
  
  
  CONCLUSIONS
  Diabetes negatively influenced outcomes of elderly patients with hip fracture. The results may provide a reference for developing interventions for hip-fractured elders with diabetes.
authors.affiliation: School of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
authors.forename: Yueh-Fang
authors.initials: YF
authors.lastname: Huang
authors.forename: Yea-Ing L
authors.initials: YI
authors.lastname: Shyu
authors.forename: Jersey
authors.initials: J
authors.lastname: Liang
authors.forename: Min-Chi
authors.initials: MC
authors.lastname: Chen
authors.forename: Huey-Shinn
authors.initials: HS
authors.lastname: Cheng
authors.forename: Chi-Chuan
authors.initials: CC
authors.lastname: Wu
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000401:mortality / Q000503:physiopathology*; D005260:Female; D006620:Hip Fractures / Q000150:complications / Q000401:mortality / Q000503:physiopathology*; D006801:Humans; D008297:Male; D011788:Quality of Life; D020127:Recovery of Function; D013624:Taiwan