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Centre for Policy on Ageing | |
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| Mobility after hip fracture predicts health outcomes | | Author(s) | Kathleen M Fox, William G Hawkes, J Richard Hebel |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 2, February 1998 |
| Pages | pp 169-173 |
| Keywords | Mobility ; Fractures ; Rehabilitation ; Evaluation ; United States of America. |
| Annotation | Balance and gait, the components of mobility, are essential to everyday physical functioning and performing activities of daily living (ADLs). This US study of 306 patients with hip fracture, aged 65 and older, aimed to determine the predictive value of a balance and gait test (2 months post-fracture) on mortality, morbidity, and healthcare usage in the next 2 years. After adjusting for age, sex, race, and comorbidity, the balance score and the summary mobility score predicted mortality. A 17% increase in the risk of mortality was demonstrated for each unit decrease in the balance score (range 0-17), and a 10% increase was demonstrated for each decrease in the summary score (range 0-26). Unsteady balance during immediate standing, turning, sitting down, and rising from a chair were associated significantly with increased mortality. Poor balance, but not poor gait, was associated with an increase in hospitalisations up to 24 months post-fracture. Both poor balance and poor gait were associated with nursing home placement, with 20% and 17% increased odds, respectively. Mobility did not predict future doctor visits or falls. Balance and gait are thus predictive of future health outcomes for older hip fracture patients. (RH). |
| Accession Number | CPA-981117007 A |
| Classmark | C4: CUF: LM: 4C: 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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