$Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities$
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Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, ...

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Autores principales:	Horikawa A, Miyakoshi N, Shimada Y, Kodama H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	ADL Hip fracture dementia osteoporosis Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/7f8b3ce1165f4827a54ca0519b9848ba
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spelling	oai:doaj.org-article:7f8b3ce1165f4827a54ca0519b9848ba2021-12-02T06:31:51ZComparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities1178-1998https://doaj.org/article/7f8b3ce1165f4827a54ca0519b9848ba2014-10-01T00:00:00Zhttps://www.dovepress.com/comparison-of-activities-of-daily-living-after-osteoporotic-hip-fractu-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL) in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients’ walking ability) was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. Keywords: delirium, dementia, rehabilitation, elderlyHorikawa AMiyakoshi NShimada YKodama HDove Medical PressarticleADLHip fracturedementiaosteoporosisGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 1847-1851 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	ADL Hip fracture dementia osteoporosis Geriatrics RC952-954.6
spellingShingle	ADL Hip fracture dementia osteoporosis Geriatrics RC952-954.6 Horikawa A Miyakoshi N Shimada Y Kodama H Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
description	Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL) in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients’ walking ability) was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. Keywords: delirium, dementia, rehabilitation, elderly
format	article
author	Horikawa A Miyakoshi N Shimada Y Kodama H
author_facet	Horikawa A Miyakoshi N Shimada Y Kodama H
author_sort	Horikawa A
title	Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
title_short	Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
title_full	Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
title_fullStr	Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
title_full_unstemmed	Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
title_sort	comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/7f8b3ce1165f4827a54ca0519b9848ba
work_keys_str_mv	AT horikawaa comparisonofactivitiesofdailylivingafterosteoporotichipfracturesurgeryinpatientsadmittedfromhomeandfromgeriatrichealthservicefacilities AT miyakoshin comparisonofactivitiesofdailylivingafterosteoporotichipfracturesurgeryinpatientsadmittedfromhomeandfromgeriatrichealthservicefacilities AT shimaday comparisonofactivitiesofdailylivingafterosteoporotichipfracturesurgeryinpatientsadmittedfromhomeandfromgeriatrichealthservicefacilities AT kodamah comparisonofactivitiesofdailylivingafterosteoporotichipfracturesurgeryinpatientsadmittedfromhomeandfromgeriatrichealthservicefacilities
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Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

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