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Outcomes Following Hip Fracture Surgery: A 2-Year Prospective Study Alistair Burns, M.D., FRCP, FRCPsych, Jane Younger, MBBCh, RCPsych, Julie Morris, MSc, Robert Baldwin, D.M., FRCP, FRCPsych, Nicholas Tarrier, Ph.D., CPsychol, FBPsS, Neil Pendleton, MBChB, Paul Cohen, MRCPsych, Mike Horan, Ph.D., Sube Banerjee, M.D., FRCP, FRCPsych Objectives: To describe the health outcomes in older people following hip fracture surgery. Design, Setting, and Participants: A naturalistic prospective study of people who had undergone hip fracture surgery undertaken in three specialist inpatient orthopaedic units in Manchester, England, with follow-up for 2 years in primary care. One hundred forty-two people, age 60 and older who had undergone hip fracture surgery of whom 74 were interviewed at follow-up. Measurements: Assessment of mood (using the Geriatric Depression Scale and Hospital Anxiety and Depression Scale), cognitive function (Mini-Mental State Examination), pain (Wong-Baker and McGill scales), tests of function (Up and Go Test, Gait Test and Functional Reach), and Sickness Impact Profile. Results: Twenty-six percent of the original group had died by the time of the 2-year follow-up and associated with increasing age, poorer mobility, and higher levels of support. Sixteen percent of the group were found to be depressed, the only robust predictor of this being
American Journal of Geriatric Psychiatry – Wolters Kluwer Health
Published: Nov 1, 2012
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