Gender differences and cognitive aspects on functional outcome after hip fracture--a 2 years' follow-up of 2,134 patients
2009 (English)In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 38, no 6, 686-692 p.Article in journal (Refereed) Published
BACKGROUND: hip fractures as well as cognitive dysfunction become increasingly prevalent in growing ageing populations. Hip fractures are approximately three times more common in elderly women. 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.
Place, publisher, year, edition, pages
2009. Vol. 38, no 6, 686-692 p.
hip fracture, gender differences, cognitive function, living conditions, walking ability, elderly
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-122886DOI: 10.1093/ageing/afp169ISI: 000271106000009PubMedID: 19767316OAI: oai:DiVA.org:uu-122886DiVA: diva2:311285