title: Patient resilience in the fracture orthopaedic rehabilitation geriatric environment.
abstract: OBJECTIVE
  To explore the relationship between resilience and rehabilitation outcomes in older orthopaedic patients.
  
  
  METHODS
  Geriatric rehabilitation patients admitted to a general metropolitan hospital following a fracture were interviewed face-to-face. Their resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC), and rehabilitation outcomes were assessed according to functional independence measure (FIM) gain, length of stay, discharge destination and mortality rate.
  
  
  RESULTS
  A total of 29 patient interviews were used in data analysis. Resilience scores varied from 49-92, with an average of 73, representing overall high resilience compared to general population samples. Resilience scores as measured by the CD-RISC did not correlate with functional improvements during rehabilitation postfracture.
  
  
  CONCLUSIONS
  Further studies, including patients with a broader range of resilience scores, particularly at the lower end of the spectrum, are required to explore the relationship between resilience and rehabilitation outcomes in greater depth.
authors.affiliation: Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Kohler
authors.affiliation: Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
authors.forename: Sze Ming
authors.initials: SM
authors.lastname: Loh
mesh_terms: D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D005260:Female; D017102:Fracture Healing; D050723:Fractures, Bone / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D006769:Hospitals, General; D006785:Hospitals, University; D006801:Humans; D007407:Interviews as Topic; D007902:Length of Stay; D008297:Male; D019637:Orthopedic Procedures; D010351:Patient Discharge; D010361:Patients / Q000523:psychology*; D020127:Recovery of Function; D055500:Resilience, Psychological; D016896:Treatment Outcome
keywords: functional outcome; geriatrics; orthopedics; rehabilitation; resilience