Strasser DC, Roberts VJ, Goldstein FC.
AHSR FHSR Annu Meet Abstr Book. 1995; 12: 67.
School of Medicine, Emory University, Atlanta, GA 30329, USA.
PROBLEMS AND OBJECTIVES. This research explores the relationship of cognitive status on outcomes of elderly hip fracture patients. Two hypotheses are studied: 1) Elderly demented individuals make significant functional gains following inpatient rehabilitation, and 2) functional recovery correlates with specific cognitive attributes. DATA AND METHODS. Elderly hip fracture patients admitted to an inpatient geriatric rehabilitation service underwent indepth neuropsychological assessment. The outcomes of functional status (Functional Independence Measure, FIM), discharge destination and health status (Health Status Questionnaire, HSQ) were analyzed in relationship to cognitive status. RESULTS AND CONCLUSIONS. In the initial pilot work, demented patients made comparable functional status gains as nondemented patients in mobility, ambulation, self-care and toileting (ANOVA, p>.05). Functional status at discharge correlated with three subscales of the Mattis Dementia Rating Scale, namely initiation/preservation (.39), conceptualization (.39) and memory (.29). Correlations with subscales of attention and construction were not significant. To date 72 patients have been enrolled in the ongoing prospective study. Motor discharge FIM scores correlate with discharge to the community (p<.005). Patients discharged to the community were less cognitively impaired. Significant correlations (p<.05) exist between staff assessed motor functioning (FIM) and patient reported functional status (HSQ) at follow-up (HSQ). IMPLICATIONS FOR AUDIENCE. Findings suggest that patients with moderately severe dementia can make meaningful functional recovery. Refined methods of assessing cognition may help in the establishment of more effective intervention strategies and the identification of individuals likely to benefit from rehabilitation interventions.
Publication Types:
Keywords:
- Activities of Daily Living
- Aged
- Cognition
- Cognition Disorders
- Dementia
- Geriatric Assessment
- Hip Fractures
- Humans
- Patient Discharge
- Prospective Studies
- Recovery of Function
- Self Care
- rehabilitation
- hsrmtgs
Other ID:
UI: 102215531
From Meeting Abstracts