title: Recovery of Walking Ability and Return to Community Living within 60 Days of Hip Fracture Does Not Differ Between Male and Female Survivors.
abstract: OBJECTIVE
  To compare risk-adjusted differences between men and women 30 and 60 days after hip fracture surgery in not walking, ability to return home in a community-dwelling subset, not walking in a nursing home resident subset, and mortality within 60 days.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Data were from a randomized clinical trial that compared two blood transfusion protocols after hip fracture.
  
  
  METHODS
  Individuals with hip fracture (N = 2,016; 489 (24%) male).
  
  
  METHODS
  Walking, dwelling, and mortality were determined in telephone follow-up 30 and 60 days after randomization, which occurred within 3 days of surgery. Sex differences for each outcome were compared using univariate and multivariate regression adjusting for potential confounders.
  
  
  RESULTS
  Men were younger (P < .001) and more likely to have comorbidity (P = .003) than women at the time of hip fracture and to die within 60 days, even after risk adjustment (odds ratio (OR) = 1.76, 95% confidence interval (CI) = 1.15-2.69). After risk adjustment, male survivors were as likely as female survivors not to walk (OR = 1.03, 95% CI = 0.78-1.34) and no less likely to return home (OR = 0.90, 95% CI = 0.69-1.17) 60 days after hip fracture. No differences were noted between male and female nursing home residents in not walking within 60 days (OR = 0.95, 95% CI = 0.32-2.86).
  
  
  CONCLUSIONS
  Although men experience higher mortality, male survivors can expect recovery of walking ability similar to that of female survivors and are as likely to return to community living.
authors.affiliation: Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Lauren A
authors.initials: LA
authors.lastname: Beaupre
authors.affiliation: Rutgers Biomedical Health Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.|Division of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Carson
authors.affiliation: Division of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: Helaine
authors.initials: H
authors.lastname: Noveck
authors.affiliation: Department of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, Maryland.
authors.forename: Jay
authors.initials: J
authors.lastname: Magaziner
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment / Q000379:methods*; D006620:Hip Fractures / Q000401:mortality / Q000503:physiopathology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000706:statistics & numerical data*; D011379:Prognosis; D020127:Recovery of Function; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D016138:Walking / Q000502:physiology*
keywords: functional recovery; hip fracture; sex differences