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Centre for Policy on Ageing | |
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Development and validation of a clinical prediction rule for prolonged nursing home residence after hip fracture | Author(s) | John F Steiner, Andrew M Kramer, Theresa B Eilertsen |
Journal title | Journal of the American Geriatrics Society, vol 45, no 12, December 1997 |
Pages | pp 1510-1514 |
Keywords | Fractures ; Admission [nursing homes] ; United States of America. |
Annotation | The aim of this US study was to develop and validate a clinical prediction rule for nursing home residence 6 months after a hip fracture. The study was divided into a development study (DS), which included hip fracture patients admitted to 92 rehabilitation units or skilled nursing facilities, and a validation study (VS), which included hip fracture patients from 11 integrated healthcare systems. Results revealed that 18.7% of patients in the DS resided in nursing homes 6 months after hip fracture. The four independent risk factors for institutionalisation were: being unmarried, incontinence, dependence in ambulation, and cognitive impairment. Of patients with all four risk factors, 73.2% were institutionalised at 6 months, compared with 0% of patients with no risk factors. In the VS, 6.1% of patients resided in nursing homes after 6 months, with a range from 50% of patients with four risk factors to 0% of those with no risk factors. (AKM). |
Accession Number | CPA-980316408 A |
Classmark | CUF: LHB:QKH: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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