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Mortality and institutionalization following hip fracture
Author(s)Marilyn Cree, Colin L Soskolne, Elaine Belseck
Journal titleJournal of the American Geriatrics Society, vol 48, no 3, March 2000
Pagespp 283-288
KeywordsFractures ; Osteoporosis ; In-patients ; Death rate [statistics] ; Institutional accommodation ; Canada.
AnnotationThe study comprised hip fracture patients who were residents of Edmonton, Alberta, Canada aged over 64 (excluding those with a history of fracture in the same hip in the previous 5 years or with some pathological condition of hip fracture), admitted to one of two acute care centres between July 1996 and August 1997. Among 610 patients eligible for inclusion, 558 contributed some baseline information and were included in mortality analysis. Institutionalisation analysis was restricted to 338 who lived in the community before fracture, survived the 3 months post-fracture and completed a 3-month follow-up interview. Low mental status in hospital was found to increase chances of mortality and institutionalisation; for men, there was a 4-fold increase in mortality. Each additional 10 years of age increased the risk of institutionalisation approximately 2.5 times. Those with lower post-fracture physical functions had at least five times the risk of institutionalisation compared to those with high post-fracture physical function. Cognitive impairment, older age and gender were associated with increased risk of poor outcome following hip fracture. (RH).
Accession NumberCPA-000824202 A
ClassmarkCUF: CLO: LF7: S5: KV: 7S

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