title: COMORBIDITY IMPACT ON SOCIAL FUNCTIONING AFTER HIP FRACTURE: THE ROLE OF REHABILITATION.
abstract: OBJECTIVE
  To analyze the impact of rehabilitation treatment on social functioning in elderly patients after hip fracture during a rehabilitation program.
  
  
  METHODS
  This study included 203 patients with hip fracture. Four groups were analyzed on rehabilitation: Group 1, at admission, Group 2, at discharge, Group 3, three months after discharge and Group 4, six months after discharge. The analyzed parameters included: musculoskeletal, neurological and cognitive impairments. Impairment severity was graded by cumulative index rating scale for geriatrics (CIRS-G). Evaluation of social functioning was completed by social functioning component (SFC) from quality of life (SF-36) questionnaire.
  
  
  RESULTS
  There was a significant improvement in SF-36 SFC values for observed impairments from admission to six months after discharge for each severity degree (p<0.01), except for CIRS-G severity degree 4 for cognitive impairment, where significance was p<0.05. For the group of patients with musculoskeletal impairment, there was a significant difference between the values of SF-36 SFC concerning different severity degrees of CIRS-G only at six months after discharge (p<0.05). Patients with neurological or cognitive impairments have shown significant differences between the values of SF-36 SFC in regard to severity degrees of CIRS-G in all observational groups.
  
  
  CONCLUSIONS
  Different degrees of observed impairments influence the degree of social functioning recovery in the elderly after hip fracture.Level of Evidence II, Prognostic Studies.
authors.affiliation: . Institute for Rehabilitation, Belgrade, Serbia.; . University of Belgrade, Faculty of Medicine, Belgrade, Serbia.
authors.forename: Natasa
authors.initials: N
authors.lastname: Radosavljevic
authors.affiliation: . University of Belgrade, Faculty of Medicine, Belgrade, Serbia. ; . University Children's Hospital, Physical Medicine and Rehabilitation Department, Belgrade, Serbia.
authors.forename: Dejan
authors.initials: D
authors.lastname: Nikolic
authors.affiliation: . Institute for Rehabilitation, Belgrade, Serbia.; . University of Belgrade, Faculty of Medicine, Belgrade, Serbia.
authors.forename: Milica
authors.initials: M
authors.lastname: Lazovic
authors.affiliation: . Institute for Rehabilitation, Belgrade, Serbia.
authors.forename: Marija
authors.initials: M
authors.lastname: Hrkovic
authors.affiliation: . Institute for Rehabilitation, Belgrade, Serbia.; . University of Belgrade, Faculty of Medicine, Belgrade, Serbia.
authors.forename: Olivera
authors.initials: O
authors.lastname: Ilic-Stojanovic
keywords: Elderly; Follow-up studies; Hip fracture; Rehabilitation