The effect of co-morbidity on the rehabilitation process in elderly patients after hip fracture.

作者: Yan Press , Yacov Grinshpun , Alex Berzak , Michael Friger , A. Mark Clarfield

DOI: 10.1016/J.ARCHGER.2007.01.059

关键词:

摘要: We conducted a prospective observational study involving patients older than 65 years admitted for rehabilitation to the Geriatric Department of university hospital after surgical treatment hip fracture.Weassessedfunctionalstatusbefore,duringandattheendofrehabilitationandasameasureof success we calculated Montebello Rating Factor Score (MRFS). In an attempt make this index more reflective changes in rehabilitative status revised it accordingly. measureddemographiccharacteristics,cognitivefunction,affectivestatusandco-morbidity.Datawere collected from 102 with average age 79.0 � 6.5 over period 12 months. uinvariantanalysis,cognitivestatus,lengthofstayinGeriatricDepartmentandco-morbiditywerefound as significant predictors success. linear regression only Severity Index (SI) CumulativeIllnessRatingScaleforGeriatrics(CIRS-G)wasfoundasastatisticallysignificantpredictor ofrehabilitationoutcome.Inourcontext,wefoundthatonlyco-morbidity(asmeasuredbyCIRS)isthe

参考文章(35)
Raphael J. Heruti, Ayala Lusky, Vita Barell, Abraham Ohry, Abraham Adunsky, Cognitive status at admission: does it affect the rehabilitation outcome of elderly patients with hip fracture? Archives of Physical Medicine and Rehabilitation. ,vol. 80, pp. 432- 436 ,(1999) , 10.1016/S0003-9993(99)90281-2
F. Di Libero, M. Fargnoli, S. Pittiglio, M. Mascio, S. Giaquinto, Comorbidity and rehabilitation Archives of Gerontology and Geriatrics. ,vol. 32, pp. 15- 22 ,(2001) , 10.1016/S0167-4943(00)00089-3
Louise Patrick, Frank Knoefel, Peter Gaskowski, Daniel Rexroth, Medical Comorbidity and Rehabilitation Efficiency in Geriatric Inpatients Journal of the American Geriatrics Society. ,vol. 49, pp. 1471- 1477 ,(2001) , 10.1046/J.1532-5415.2001.4911239.X
Linda Fried, Judith Bernardini, Beth Piraino, Charlson comorbidity index as a predictor of outcomes in incident peritoneal dialysis patients. American Journal of Kidney Diseases. ,vol. 37, pp. 337- 342 ,(2001) , 10.1053/AJKD.2001.21300
PAULA A. ROCHON, JEFFREY N. KATZ, LINDA A. MORROW, REGINA MCGLINCHEY-BERROTH, MARGARET M. AHLQUIST, MEDHI SARKARATI, KENNETH L. MINAKER, Comorbid Illness is Associated with Survival and Length of Hospital Stay in Patients with Chronic Disability A Prospective Comparison of Three Comorbidity Indices Medical Care. ,vol. 34, pp. 1093- 1101 ,(1996) , 10.1097/00005650-199611000-00004
Adelheid A. Jaeger, Mark A. Hlatky, Steven M. Paul, Susan R. Gortner, Functional capacity after cardiac surgery in elderly patients. Journal of the American College of Cardiology. ,vol. 24, pp. 104- 108 ,(1994) , 10.1016/0735-1097(94)90548-7
Devora Lieberman, Michael Friger, David Lieberman, Visual and hearing impairment in elderly patients hospitalized for rehabilitation following hip fracture. Journal of Rehabilitation Research and Development. ,vol. 41, pp. 669- ,(2004) , 10.1682/JRRD.2003.11.0168
Salvatore Giaquinto, Enzo Palma, Ilario Maiol, Importance and evaluation of comorbidity in rehabilitation Disability and Rehabilitation. ,vol. 23, pp. 296- 299 ,(2001) , 10.1080/096382801750143643
Sherwin Fs, Keith Ra, Granger Cv, Hamilton Bb, The functional independence measure : a new tool for rehabilitation Advances in clinical rehabilitation. ,vol. 1, pp. 6- 18 ,(1987)
Jerome A. Yesavage, T.L. Brink, Terence L. Rose, Owen Lum, Virginia Huang, Michael Adey, Von Otto Leirer, Development and validation of a geriatric depression screening scale: A preliminary report Journal of Psychiatric Research. ,vol. 17, pp. 37- 49 ,(1982) , 10.1016/0022-3956(82)90033-4