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Войти в исследования Age and ageing · 2009
Gender differences and cognitive aspects on functional outcome after hip fracture--a 2 years' follow-up of 2,134 patients.
СтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Samuelsson Bodil, Hedström Margareta I, Ponzer Sari, Söderqvist Anita, Samnegård Eva, Thorngren Karl-Göran, Cederholm Tommy, Sääf Maria, Dalen Nils
Аннотация
BACKGROUND: hip fractures as well as cognitive dysfunction become increasingly prevalent in growing ageing populations. Hip fractures are approximately three times more common in elderly women.
OBJECTIVE: we analysed outcome after hip fracture with respect to gender and cognitive function.
DESIGN: population-based, prospective cohort study.
SETTING: four university hospitals in Stockholm, Sweden.
SUBJECTS: a total of 2,134 consecutive patients admitted with hip fracture during 2003.
METHODS: gender differences in residence, walking ability and activity of daily living (ADL) were analysed at baseline, after 4 and 24 months in patients with and without intact cognitive function.
RESULTS: women were older, more often living alone and had poorer walking ability (P < 0.001). Cognitive dysfunction was equally common by gender. Women were more often treated with a prosthesis (P < 0.001) and sent to rehabilitation (P < 0.001). In the cognitive dysfunction group, men had more co-morbidity (P < 0.001) and total loss of walking ability (P = 0.03), but more often resided in own homes (P = 0.03). There was no gender difference in ADL.
CONCLUSION: men had a higher risk for loss of walking ability and death only in patients with cognitive dysfunction. Cognitive function was the most important factor for returning to own home and regain pre-fracture function.
OBJECTIVE: we analysed outcome after hip fracture with respect to gender and cognitive function.
DESIGN: population-based, prospective cohort study.
SETTING: four university hospitals in Stockholm, Sweden.
SUBJECTS: a total of 2,134 consecutive patients admitted with hip fracture during 2003.
METHODS: gender differences in residence, walking ability and activity of daily living (ADL) were analysed at baseline, after 4 and 24 months in patients with and without intact cognitive function.
RESULTS: women were older, more often living alone and had poorer walking ability (P < 0.001). Cognitive dysfunction was equally common by gender. Women were more often treated with a prosthesis (P < 0.001) and sent to rehabilitation (P < 0.001). In the cognitive dysfunction group, men had more co-morbidity (P < 0.001) and total loss of walking ability (P = 0.03), but more often resided in own homes (P = 0.03). There was no gender difference in ADL.
CONCLUSION: men had a higher risk for loss of walking ability and death only in patients with cognitive dysfunction. Cognitive function was the most important factor for returning to own home and regain pre-fracture function.