1. Factors Related to the Recovery of Functional Autonomy of the Elderly Following Hip Fractures.
- Author
-
Gkirni, Kiriaki, Iakovidis, Paris, Theofanidis, Dimitris, and Kasimis, Konstantinos
- Subjects
BONE fractures -- Prognosis ,REHABILITATION centers ,PROBLEM solving ,CONVALESCENCE ,FUNCTIONAL status ,AGE distribution ,ACTIVITIES of daily living ,GERIATRIC assessment ,PSYCHOLOGY of movement ,RISK assessment ,BATHS ,STAIR climbing ,HIP joint injuries ,PHYSICAL mobility ,INTERPERSONAL relations ,DESCRIPTIVE statistics ,COGNITIVE testing ,DATA analysis software ,STATISTICAL correlation ,BONE fractures ,MOTOR ability ,LONGITUDINAL method ,HEALTH self-care ,CLOTHING & dress ,OLD age - Abstract
Background: Hip fracture in the elderly population is a common global public health problem which may lead to loss of functionality and autonomy in daily life activities. Early mobilization and early onset of walking has been reported to significantly reduce post-operative complications and increase autonomy level. However, the literature does not identify specifically which factors are associated with the reduction of mobility and the recovery of autonomy of patients post-operatively. Objective: The main aim of this study is to identify key factors associated with speedy recovery and functional autonomy of the elderly following hip fractures after 6 weeks in a rehabilitation center. Methodology: This was prospective cohort study. 102 patients over the age of 65 with hip fractures (intertrochanteric or hypocephalic) were recruited at the 'HARMONIA' rehabilitation center, Thessaloniki, Northern Greece. The validified Greek version of Functional Independence Measurement (FIM) tool was used as measurement tool to assess the factors contributing to the recovery of functional autonomy.in its validified Greek version. Results: The average overall scores of functional independence after 6 weeks of hospitalization at the rehabilitation center were 77.26 with an average age of 81.25 years. The lowest averages of the Functional Independence Measurement (FIM) were observed in the motor domain i.e. in bathing (self-care) with an average FIM of 3.61, lower body clothing of 3.7, bladder control of 3.7, bath (mobility) of 3.89 and stairs of 3.8. With regards to the cognitive domain, problem solving scored 4.09 and social interaction 4.3. Conclusions: The risk factors associated with the poor recovery in functional autonomy of the elderly with hip fractures are older age and low levels of motor and cognitive ability. [ABSTRACT FROM AUTHOR]
- Published
- 2021