The association between Norton scale gain and functional outcome among older hip fracture patients

Eliyahu H. Mizrahi*, Emilia Lubart, Ilia Stambler, Abraham Adunsky

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Aim: This study examines interrelations between gains of Norton Scale Score (NSS) and functional outcome measured by Functional Independence Measurement (FIM) among older hip fracture patients. Design: Retrospective study. Methods: We examined 227 patients consecutively hospitalized in a geriatric postacute rehabilitation ward. The data were collected during 2012-2017. Data were analysed using Student's t test, chi-square test, Pearson's correlation coefficient and linear regression. Results: Patients with positive NSS gains demonstrated statistically significant higher total FIM, motor FIM and total FIM gain scores at hospital discharge, compared with patients showing no NSS gains or negative NSS. Multiple regression analysis indicated that positive NSS gains were independently predictive for higher total FIM and motor FIM scores at hospital discharge and higher motor FIM gains at discharge. Conclusion: Our results suggest that positive NSS gains are associated with higher FIM scores at hospital discharge and may assist in predicting the functional outcome of hospitalized older hip fracture patients.

Original languageEnglish
Pages (from-to)539-545
Number of pages7
JournalNursing Open
Issue number2
StatePublished - Mar 2021


  • Norton scale score
  • elderly
  • functional outcome
  • hip fracture
  • nurses
  • nursing
  • older people


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