The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients
Introduction The number of patents with dementia increases among hip fracture patients. Cognitive dysfunction is defined as a premorbid state which is potentionally negatively related to short-term functional outcome. Objective To assess the relationship between cognitive status on admission and fun...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2010-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006319D.pdf |
| _version_ | 1818886781222780928 |
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| author | Dubljanin-Raspopović Emilija Matanović Dragana Bumbaširević Marko |
| author_facet | Dubljanin-Raspopović Emilija Matanović Dragana Bumbaširević Marko |
| author_sort | Dubljanin-Raspopović Emilija |
| collection | DOAJ |
| description | Introduction The number of patents with dementia increases among hip fracture patients. Cognitive dysfunction is defined as a premorbid state which is potentionally negatively related to short-term functional outcome. Objective To assess the relationship between cognitive status on admission and functional gain during an early rehabilitation period in elderly hip fracture patients. Methods Forty-five elderly patients with surgically treated hip fracture were examined. Cognitive status was assessed by the Mini Mental State Examination (MMSE) at admission; functional status was assessed by the motor subscale of Functional Independence Measure (FIM) at admission and before discharge, while absolute functional gain was determined by the motor FIM gain (FIM discharge - FIM admission). Absolute functional gain was analyzed in respect to cognitive status. Results Both cognitively impaired and cognitively intact hip fracture patients exhibited overall FIM motor improvements, as well as functional gains in specific FIM motor areas (p<0.01). Absolute functional gain, however, was higher in 1) cognitively intact compared to cognitively impaired patients (p<0.01), and 2) cognitively moderately impaired patients compared to severely cognitively impaired patients (p<0.01). No difference in functional gain was detected between the patients with moderately cognitively impaired compared to the cognitive intact patients (p>0.05). Conclusion The systematic use of MMSE identifies cognitively impaired hip fracture patients, and effectively predicts their short-term functional outcome. A higher admission cognitive status is related to a more favorable short term rehabilitation outcome. In spite of cognitive impairment, elderly patients with hip fracture can benefit from participation in rehabilitation programmes. The systematic identification of cognitively impaired hip fracture patients at admission facilitates optimal treatment and rehabilitation, and thus enables the best achievable outcome to be reached. |
| first_indexed | 2024-12-19T16:26:47Z |
| format | Article |
| id | doaj.art-78ac177c8c0d442cb06f9bcbaea1fdfe |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-19T16:26:47Z |
| publishDate | 2010-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-78ac177c8c0d442cb06f9bcbaea1fdfe2022-12-21T20:14:19ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792010-01-011385-631932210.2298/SARH1006319DThe impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patientsDubljanin-Raspopović EmilijaMatanović DraganaBumbaširević MarkoIntroduction The number of patents with dementia increases among hip fracture patients. Cognitive dysfunction is defined as a premorbid state which is potentionally negatively related to short-term functional outcome. Objective To assess the relationship between cognitive status on admission and functional gain during an early rehabilitation period in elderly hip fracture patients. Methods Forty-five elderly patients with surgically treated hip fracture were examined. Cognitive status was assessed by the Mini Mental State Examination (MMSE) at admission; functional status was assessed by the motor subscale of Functional Independence Measure (FIM) at admission and before discharge, while absolute functional gain was determined by the motor FIM gain (FIM discharge - FIM admission). Absolute functional gain was analyzed in respect to cognitive status. Results Both cognitively impaired and cognitively intact hip fracture patients exhibited overall FIM motor improvements, as well as functional gains in specific FIM motor areas (p<0.01). Absolute functional gain, however, was higher in 1) cognitively intact compared to cognitively impaired patients (p<0.01), and 2) cognitively moderately impaired patients compared to severely cognitively impaired patients (p<0.01). No difference in functional gain was detected between the patients with moderately cognitively impaired compared to the cognitive intact patients (p>0.05). Conclusion The systematic use of MMSE identifies cognitively impaired hip fracture patients, and effectively predicts their short-term functional outcome. A higher admission cognitive status is related to a more favorable short term rehabilitation outcome. In spite of cognitive impairment, elderly patients with hip fracture can benefit from participation in rehabilitation programmes. The systematic identification of cognitively impaired hip fracture patients at admission facilitates optimal treatment and rehabilitation, and thus enables the best achievable outcome to be reached.http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006319D.pdffemoral neck fracturescognitive disordersdementiarehabilitation |
| spellingShingle | Dubljanin-Raspopović Emilija Matanović Dragana Bumbaširević Marko The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients Srpski Arhiv za Celokupno Lekarstvo femoral neck fractures cognitive disorders dementia rehabilitation |
| title | The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients |
| title_full | The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients |
| title_fullStr | The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients |
| title_full_unstemmed | The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients |
| title_short | The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients |
| title_sort | impact of cognitive impairment at admission on short term functional outcome of elderly hip fracture patients |
| topic | femoral neck fractures cognitive disorders dementia rehabilitation |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2010/0370-81791006319D.pdf |
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