Cognitive impairment is a negative short-term and long-term prognostic factor in elderly patients with hip fracture (original) (raw)

European journal of physical and rehabilitation medicine, 2015

Abstract

BACKGROUND Subjects with severe cognitive impairment (CI) have a high-risk of hip fractures with increased rate of adverse postoperative functional outcomes and mortality. AIM To evaluate the impact of different degrees of CI on functional recovery and mortality after hip fracture. DESIGN Prospective observational study. SETTING Two orthopedic surgery units. POPULATION Two hundred twenty-eight consecutive patients after a hip surgery. METHODS Patients were assessed at baseline through the Short Portable Mental Status Questionnaire (SPMSQ), an instrument that allows to categorize subjects as follows: cognitively intact (SPMSQ≥8) or with mild (SPMSQ=6-7), moderate (SPMSQ=3-5) and severe CI (SPMSQ<3). Barthel Index (BI) was used to assess functional disability. All patients underwent rehabilitation from the day after surgery to discharge (mean length of stay =10.2±3.4). Outcome measures were: (1) overall mortality up to 12 months after surgery; (2) motor ability achieved at discharg...

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