Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
Ehud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we inv...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2012-10-01
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| Series: | Clinical Interventions in Aging |
| Subjects: | |
| Online Access: | https://www.dovepress.com/low-admission-norton-scale-scores-are-associated-with-falls-long-after-peer-reviewed-article-CIA |
| _version_ | 1819015919051997184 |
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| author | Halperin E Engel T Sherman S Justo D |
| author_facet | Halperin E Engel T Sherman S Justo D |
| author_sort | Halperin E |
| collection | DOAJ |
| description | Ehud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we investigated if low admission Norton scale scores (ANSS) are associated with falls, fractures, hospitalizations, and death, after rehabilitation in the elderly with hip fractures.Methods: This prospective historical study followed consecutive elderly patients (≥65 years) who were admitted for rehabilitation following hip fracture surgery during 2009 and followed up in January or February 2012. The incidence of falls, number of falls, incidence of fractures, number of hospitalizations, and death rates were compared between patients with low (≤14) and high (≥15) ANSS.Results: The final cohort included 174 patients of mean age 83.6 ± 6.2 years, with 133 (76.4%) being women. Fifty-seven (27.0%) patients died during follow-up. Of the remaining 127 patients, 44 (34.6%) fell at least once and 15 (11.8%) suffered fractures. Overall, 81 (46.6%) patients had a low ANSS. Relative to patients with a high ANSS, they had a higher incidence of falls (odds ratio 3.3, 95% confidence interval 1.5–7.1; P = 0.002) and fell more times (1.2 ± 1.8 versus 0.6 ± 1.7; P = 0.002). Regression analysis showed that ANSS (as a parametric variable) as well as a low ANSS (as a nonparametric variable) were independently associated with falls (P = 0.002 and P = 0.009, respectively). There were no differences between patients with low and high ANSS in terms of incidence of fractures, number of hospitalizations, and death rates.Conclusion: The Norton scoring system may be used for predicting falls long after rehabilitation in the elderly with hip fractures.Keywords: falls, hip fracture, Norton scale, rehabilitation |
| first_indexed | 2024-12-21T02:39:23Z |
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| id | doaj.art-9cf6cf73f44f4e09b16a1f6be0ef7fd0 |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-21T02:39:23Z |
| publishDate | 2012-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-9cf6cf73f44f4e09b16a1f6be0ef7fd02022-12-21T19:18:42ZengDove Medical PressClinical Interventions in Aging1178-19982012-10-01Volume 743143611304Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fracturesHalperin EEngel TSherman SJusto DEhud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we investigated if low admission Norton scale scores (ANSS) are associated with falls, fractures, hospitalizations, and death, after rehabilitation in the elderly with hip fractures.Methods: This prospective historical study followed consecutive elderly patients (≥65 years) who were admitted for rehabilitation following hip fracture surgery during 2009 and followed up in January or February 2012. The incidence of falls, number of falls, incidence of fractures, number of hospitalizations, and death rates were compared between patients with low (≤14) and high (≥15) ANSS.Results: The final cohort included 174 patients of mean age 83.6 ± 6.2 years, with 133 (76.4%) being women. Fifty-seven (27.0%) patients died during follow-up. Of the remaining 127 patients, 44 (34.6%) fell at least once and 15 (11.8%) suffered fractures. Overall, 81 (46.6%) patients had a low ANSS. Relative to patients with a high ANSS, they had a higher incidence of falls (odds ratio 3.3, 95% confidence interval 1.5–7.1; P = 0.002) and fell more times (1.2 ± 1.8 versus 0.6 ± 1.7; P = 0.002). Regression analysis showed that ANSS (as a parametric variable) as well as a low ANSS (as a nonparametric variable) were independently associated with falls (P = 0.002 and P = 0.009, respectively). There were no differences between patients with low and high ANSS in terms of incidence of fractures, number of hospitalizations, and death rates.Conclusion: The Norton scoring system may be used for predicting falls long after rehabilitation in the elderly with hip fractures.Keywords: falls, hip fracture, Norton scale, rehabilitationhttps://www.dovepress.com/low-admission-norton-scale-scores-are-associated-with-falls-long-after-peer-reviewed-article-CIAFallsHip fractureNorton scaleRehabilitation. |
| spellingShingle | Halperin E Engel T Sherman S Justo D Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures Clinical Interventions in Aging Falls Hip fracture Norton scale Rehabilitation. |
| title | Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| title_full | Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| title_fullStr | Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| title_full_unstemmed | Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| title_short | Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| title_sort | low admission norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures |
| topic | Falls Hip fracture Norton scale Rehabilitation. |
| url | https://www.dovepress.com/low-admission-norton-scale-scores-are-associated-with-falls-long-after-peer-reviewed-article-CIA |
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