Gender differences influence the outcome of geriatric rehabilitation following hip fracture

Zeev Arinzon, Shay Shabat, Alexander Peisakh, Reuven Gepstein, Yitshal N. Berner

Research output: Contribution to journalArticlepeer-review

Abstract

Hip fracture represents the most dramatic expression of the disease, in terms of morbidity, medical cost and mortality. The incidence of hip fracture increases substantially with age. The purpose of this study was to evaluate the association between gender and geriatric rehabilitation outcome after traumatic hip fracture. Ninety-nine community-dwelling elderly patients (older than 65 years), 64 women and 35 men, who were admitted to geriatric rehabilitation after operated hip fracture were studied. We assessed the patients' clinical and demographic data, preoperative risk (ASA), type of fracture and orthopedic repair, pain intensity (VAS), cognitive (MMSE), mood (Zung IDS), and functional status (FIM) on admission and at the end of geriatric rehabilitation. Men had higher mean number of comorbid conditions at the time of the fracture. Men recovered more from depressed mood in comparison with women during the rehabilitation. Significant improvement in FIM motor subscore on discharge was found in both groups. The FIM motor subscore gain was higher in men (24.47) in comparison with women (19.22, p = 0.036). Those differences were demonstrated in mean subscores of transfers (p = 0.004), and locomotion (p = 0.019). Women were more functionally dependent in locomotion, transfers and sphincter control. There were no differences between the groups by duration on rehabilitation stay. Recovery after hip fracture depends in large part on the pre-fracture health and functional ability of the patient. Gender differences in functional recovery may affect therapeutic and rehabilitative decision making. Functional recovery after traumatic hip fracture was better in men in comparison with women.

Original languageEnglish
Pages (from-to)86-91
Number of pages6
JournalArchives of Gerontology and Geriatrics
Volume50
Issue number1
DOIs
StatePublished - Jan 2010

Keywords

  • Functional status
  • Gender differences
  • Geriatric rehabilitation
  • Hip fracture in elderly

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