Centre for Policy on Ageing



Cognitive impairment in hip fracture patients — timing of detection and longitudinal follow-up
Author(s)	Ann L Gruber-Baldini, Sheryl Zimmerman, R Sean Morrison
Journal title	Journal of the American Geriatrics Society, vol 51, no 9, September 2003
Pages	pp 1227-1236
Keywords	Cognitive impairment ; Symptoms ; Fractures ; Self care capacity ; Mobility ; Longitudinal surveys ; United States of America.
Annotation	Participants were 674 hip fracture patients aged 65+ living in the community before fracture at 8 hospitals in Baltimore, MD. Mini-Mental State Examination scores indicate that 28% had pre-fracture dementia or MMSE impairment, 8% had cognitive impairment first detected pre-surgery, 14% had impairment first detected post-surgery, and 50% were not impaired before or during their time in hospital. Incident cognitive impairment was more likely in patients who were older, male, and less educated, and had more pre-fracture physical activities of daily living (PADL) impairment, inter-trochanteric fractures, and higher anaesthesia risk ratings. Pre-fracture cognitive impairment and incident cognitive impairments while in hospital are risk factors for poor functional outcomes. Many incident cognitive problems persisted over 2-12 months, and persistence predicted late functional and social impairment. (RH).
Accession Number	CPA-031106209 A
Classmark	E4: CT: CUF: CA: C4: 3J: 7T
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.