$Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures$
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Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures

Ehud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we inv...

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Autores principales:	Halperin E, Engel T, Sherman S, Justo D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Falls Hip fracture Norton scale Rehabilitation. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9cf6cf73f44f4e09b16a1f6be0ef7fd0
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spelling	oai:doaj.org-article:9cf6cf73f44f4e09b16a1f6be0ef7fd02021-12-02T05:25:28ZLow admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures1178-1998https://doaj.org/article/9cf6cf73f44f4e09b16a1f6be0ef7fd02012-10-01T00:00:00Zhttps://www.dovepress.com/low-admission-norton-scale-scores-are-associated-with-falls-long-after-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ehud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we investigated if low admission Norton scale scores (ANSS) are associated with falls, fractures, hospitalizations, and death, after rehabilitation in the elderly with hip fractures.Methods: This prospective historical study followed consecutive elderly patients (≥65 years) who were admitted for rehabilitation following hip fracture surgery during 2009 and followed up in January or February 2012. The incidence of falls, number of falls, incidence of fractures, number of hospitalizations, and death rates were compared between patients with low (≤14) and high (≥15) ANSS.Results: The final cohort included 174 patients of mean age 83.6 ± 6.2 years, with 133 (76.4%) being women. Fifty-seven (27.0%) patients died during follow-up. Of the remaining 127 patients, 44 (34.6%) fell at least once and 15 (11.8%) suffered fractures. Overall, 81 (46.6%) patients had a low ANSS. Relative to patients with a high ANSS, they had a higher incidence of falls (odds ratio 3.3, 95% confidence interval 1.5–7.1; P = 0.002) and fell more times (1.2 ± 1.8 versus 0.6 ± 1.7; P = 0.002). Regression analysis showed that ANSS (as a parametric variable) as well as a low ANSS (as a nonparametric variable) were independently associated with falls (P = 0.002 and P = 0.009, respectively). There were no differences between patients with low and high ANSS in terms of incidence of fractures, number of hospitalizations, and death rates.Conclusion: The Norton scoring system may be used for predicting falls long after rehabilitation in the elderly with hip fractures.Keywords: falls, hip fracture, Norton scale, rehabilitationHalperin EEngel TSherman SJusto DDove Medical PressarticleFallsHip fractureNorton scaleRehabilitation.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 431-436 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Falls Hip fracture Norton scale Rehabilitation. Geriatrics RC952-954.6
spellingShingle	Falls Hip fracture Norton scale Rehabilitation. Geriatrics RC952-954.6 Halperin E Engel T Sherman S Justo D Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
description	Ehud Halperin,1 Tal Engel,2 Shany Sherman,2 Dan Justo2,31Department of Internal Medicine D, Sourasky Medical Center, Tel-Aviv, 2Department of Internal Medicine E, Sheba Medical Center, Tel-Hashomer, 3Department of Geriatrics, Sourasky Medical Center, Tel-Aviv, IsraelBackground: In this study, we investigated if low admission Norton scale scores (ANSS) are associated with falls, fractures, hospitalizations, and death, after rehabilitation in the elderly with hip fractures.Methods: This prospective historical study followed consecutive elderly patients (≥65 years) who were admitted for rehabilitation following hip fracture surgery during 2009 and followed up in January or February 2012. The incidence of falls, number of falls, incidence of fractures, number of hospitalizations, and death rates were compared between patients with low (≤14) and high (≥15) ANSS.Results: The final cohort included 174 patients of mean age 83.6 ± 6.2 years, with 133 (76.4%) being women. Fifty-seven (27.0%) patients died during follow-up. Of the remaining 127 patients, 44 (34.6%) fell at least once and 15 (11.8%) suffered fractures. Overall, 81 (46.6%) patients had a low ANSS. Relative to patients with a high ANSS, they had a higher incidence of falls (odds ratio 3.3, 95% confidence interval 1.5–7.1; P = 0.002) and fell more times (1.2 ± 1.8 versus 0.6 ± 1.7; P = 0.002). Regression analysis showed that ANSS (as a parametric variable) as well as a low ANSS (as a nonparametric variable) were independently associated with falls (P = 0.002 and P = 0.009, respectively). There were no differences between patients with low and high ANSS in terms of incidence of fractures, number of hospitalizations, and death rates.Conclusion: The Norton scoring system may be used for predicting falls long after rehabilitation in the elderly with hip fractures.Keywords: falls, hip fracture, Norton scale, rehabilitation
format	article
author	Halperin E Engel T Sherman S Justo D
author_facet	Halperin E Engel T Sherman S Justo D
author_sort	Halperin E
title	Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
title_short	Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
title_full	Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
title_fullStr	Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
title_full_unstemmed	Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
title_sort	low admission norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/9cf6cf73f44f4e09b16a1f6be0ef7fd0
work_keys_str_mv	AT halperine lowadmissionnortonscalescoresareassociatedwithfallslongafterrehabilitationintheelderlywithhipfractures AT engelt lowadmissionnortonscalescoresareassociatedwithfallslongafterrehabilitationintheelderlywithhipfractures AT shermans lowadmissionnortonscalescoresareassociatedwithfallslongafterrehabilitationintheelderlywithhipfractures AT justod lowadmissionnortonscalescoresareassociatedwithfallslongafterrehabilitationintheelderlywithhipfractures
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Low admission Norton scale scores are associated with falls long after rehabilitation in the elderly with hip fractures

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