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Gender differences and cognitive aspects on functional outcome after hip fracture-a 2 years' follow-up of 2,134 patients

Samuelsson, Bodil; Hedstrom, Margareta I.; Ponzer, Sari; Soderqvist, Anita; Samnegard, Eva; Thorngren, Karl-Göran LU ; Cederholm, Tommy; Saaf, Maria and Dalen, Nils (2009) In Age and Ageing 38(6). p.686-692
Abstract
Objective: we analysed outcome after hip fracture with respect to gender and cognitive function. Design: population-based, prospective cohort study. Setting: four university hospitals in Stockholm, Sweden. Subjects: a total of 2,134 consecutive patients admitted with hip fracture during 2003. Methods: gender differences in residence, walking ability and activity of daily living (ADL) were analysed at baseline, after 4 and 24 months in patients with and without intact cognitive function. Results: women were older, more often living alone and had poorer walking ability (P < 0.001). Cognitive dysfunction was equally common by gender. Women were more often treated with a prosthesis (P < 0.001) and sent to rehabilitation (P < 0.001).... (More)
Objective: we analysed outcome after hip fracture with respect to gender and cognitive function. Design: population-based, prospective cohort study. Setting: four university hospitals in Stockholm, Sweden. Subjects: a total of 2,134 consecutive patients admitted with hip fracture during 2003. Methods: gender differences in residence, walking ability and activity of daily living (ADL) were analysed at baseline, after 4 and 24 months in patients with and without intact cognitive function. Results: women were older, more often living alone and had poorer walking ability (P < 0.001). Cognitive dysfunction was equally common by gender. Women were more often treated with a prosthesis (P < 0.001) and sent to rehabilitation (P < 0.001). In the cognitive dysfunction group, men had more co-morbidity (P < 0.001) and total loss of walking ability (P = 0.03), but more often resided in own homes (P = 0.03). There was no gender difference in ADL. Conclusion: men had a higher risk for loss of walking ability and death only in patients with cognitive dysfunction. Cognitive function was the most important factor for returning to own home and regain pre-fracture function. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
conditions, living, cognitive function, hip fracture, gender differences, walking ability, elderly
in
Age and Ageing
volume
38
issue
6
pages
686 - 692
publisher
Oxford University Press
external identifiers
  • wos:000271106000009
  • scopus:70350690744
ISSN
1468-2834
DOI
10.1093/ageing/afp169
language
English
LU publication?
yes
id
ef0fab29-efe3-43dc-8783-81048ba14545 (old id 1505936)
date added to LUP
2009-11-24 10:00:01
date last changed
2017-11-05 03:27:29
@article{ef0fab29-efe3-43dc-8783-81048ba14545,
  abstract     = {Objective: we analysed outcome after hip fracture with respect to gender and cognitive function. Design: population-based, prospective cohort study. Setting: four university hospitals in Stockholm, Sweden. Subjects: a total of 2,134 consecutive patients admitted with hip fracture during 2003. Methods: gender differences in residence, walking ability and activity of daily living (ADL) were analysed at baseline, after 4 and 24 months in patients with and without intact cognitive function. Results: women were older, more often living alone and had poorer walking ability (P &lt; 0.001). Cognitive dysfunction was equally common by gender. Women were more often treated with a prosthesis (P &lt; 0.001) and sent to rehabilitation (P &lt; 0.001). In the cognitive dysfunction group, men had more co-morbidity (P &lt; 0.001) and total loss of walking ability (P = 0.03), but more often resided in own homes (P = 0.03). There was no gender difference in ADL. Conclusion: men had a higher risk for loss of walking ability and death only in patients with cognitive dysfunction. Cognitive function was the most important factor for returning to own home and regain pre-fracture function.},
  author       = {Samuelsson, Bodil and Hedstrom, Margareta I. and Ponzer, Sari and Soderqvist, Anita and Samnegard, Eva and Thorngren, Karl-Göran and Cederholm, Tommy and Saaf, Maria and Dalen, Nils},
  issn         = {1468-2834},
  keyword      = {conditions,living,cognitive function,hip fracture,gender differences,walking ability,elderly},
  language     = {eng},
  number       = {6},
  pages        = {686--692},
  publisher    = {Oxford University Press},
  series       = {Age and Ageing},
  title        = {Gender differences and cognitive aspects on functional outcome after hip fracture-a 2 years' follow-up of 2,134 patients},
  url          = {http://dx.doi.org/10.1093/ageing/afp169},
  volume       = {38},
  year         = {2009},
}