Correlation of cardiovascular and respiratory comorbidities with motor functional independence in the elderly after hip fracture
2021
Introduction. The aim of the study was to evaluate the correlation between
different levels of examined comorbidities using the Cumulative Illness
Rating Scale for Geriatrics and motor Functional Independence Measure test
in the elderly after hip fracture. Material and Methods. The study included
203 geriatric patients, 65 years of age and older, who were referred to a
rehabilitation program at the Institute for Rehabilitation after hip
fracture. The following comorbidities were analyzed: cardiac, vascular, and
respiratory. The motor component of Functional Independence Measure was used
to assess functional recovery. The Cumulative Illness Rating Scale for
Geriatrics was used to calculate the comorbidity index. The patients were
assessed on 4 different occasions: on admission, on discharge, 3 months
after discharge, and 6 months after discharge. The short-term and long-term
efficiency of rehabilitation treatment was measured. Results. There is a
significant difference in motor Functional Independence Measure scores
between different levels of vascular (p = 0.010) and respiratory (p = 0.047)
comorbidities only on admission, while at other times of observation no
significant difference (p > 0.05) was found. The highest level of
correlation was found in level 3 comorbidity severity index for cardiac
comorbidity (discharge/3 months) (Pearson’s correlation - R = 0.938) and
vascular comorbidity (discharge/3 months) (R = 0.912), and level 2
comorbidity severity index for respiratory comorbidity (discharge/3 months)
(R = 0.941). Conclusion. Rehabilitation treatment of the elderly after hip
fracture plays a significant role both in short-term and long-term recovery,
particularly in the functional domains even in persons with significant
comorbidities. Early inclusion and an individually designed rehabilitation
program with continuous monitoring of the elderly after hip fractures
results in functional improvement and better quality of life.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
0
References
0
Citations
NaN
KQI