ArticleBMC geriatrics2021
Influence of comorbidities on functional outcomes in patients with surgically treated fragility hip fractures: a retrospective cohort study.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 44 citations in OpenAlex.
- An audit of the fracture liaison service at Helen Joseph Tertiary Hospital, Johannesburg, South Africa.Archives of osteoporosis · 2026Article
- Explainable Machine Learning Models for Predicting Functional and Pain Recovery After Fragility Fracture Surgery.Diagnostics (Basel, Switzerland) · 2026Article
- Article
- Predictive scoring system for independent walking disability after fragility hip fracture surgery: a multicenter study.Scientific reports · 2026Observational
- The Etiology and Treatment of Failed Back Surgery Syndrome in Patients with Primary Lumbar Fixation.Journal of orthopaedic case reports · 2026Article
- Association of depressive symptoms with longitudinal changes in activities of daily living among middle-aged and older Chinese adults with hip fracture: an Andersen Behavioral Model perspective.Journal of health, population, and nutrition · 2026Article
- Determinants of Length of Hospital Stay in Older Adult Hip Fracture Patients in a Northern Peruvian Hospital.Journal of clinical medicine · 2025Article
- Prevalence and risk factors for major arterial bleeding in fragility pelvic fractures in the aging population.Scientific reports · 2025Article
- Emerging Roles of the Gut Microbiome in Musculoskeletal Injury and Repair.Microorganisms · 2025Review
- Patient and Caregiver Experiences with Surgical Decision-Making in the Context of Dementia.Annals of surgery · 2025Article
- Impact of prior fragility fracture on patient's mortality, outcomes, and complications after hip fracture surgery.BMC musculoskeletal disorders · 2025Article
- Biomimetic Three-Dimensional (3D) Scaffolds from Sustainable Biomaterials: Innovative Green Medicine Approach to Bone Regeneration.Journal of functional biomaterials · 2025Review
- Fragility hip fractures among Nigerian older adults: a retrospective study of epidemiology, mobility and mortality outcomes at 3 and 12 months post-hospital discharge.Archives of osteoporosis · 2025Article
- Impact of Comorbidities on the Prevalence and Recovery Outcomes in Elderly Patients With Neck of Femur Fractures.Cureus · 2025Article
- Cardiopulmonary collapse in frail patients treated with cemented and uncemented hemiarthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Factors Associated with Mortality and Short-Term Patient Outcomes for Hip Fracture Repair in the Elderly Based on Preoperative Anticoagulation Status.Geriatrics (Basel, Switzerland) · 2025Article
- Does a high body mass index remain a protective factor in hip fracture patients with hypertension and diabetes?Aging clinical and experimental research · 2025Article
- Effect of Nationwide Postoperative Rehabilitation at Home Program after Lower Extremity Surgeries in Older and Younger People.Annals of geriatric medicine and research · 2025Article
- Short-term air pollution and fracture admissions in Beijing.Frontiers in public health · 2025Article
- Donor Sex and Passage Conditions Influence MSC Osteogenic Response in Mineralized Collagen Scaffolds.Advanced healthcare materials · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence and number of fragility hip fractures are gradually increasing, resulting in a wide consumption of medical resources. Various factors affecting functional recovery in patients with fragility hip fractures are known, and comorbid diseases are one of them. The purpose of this study is to determine the effect of comorbidities on functional outcomes in patients surgically treated for fragility hip fractures, thereby contributing to the efficient distribution of medical resources.
methodsThis was a retrospective cohort study performed in the three tertiary rehabilitation facilities. A total of 211 patients (50 men and 161 women; average age 81.6 ± 6.7 years) who had undergone surgery for fragility hip fractures were followed up from immediately after transfer to the Department of Rehabilitation Medicine to 6 months postoperatively. Comorbidities referred to a summary of the following conditions: hypertension, diabetes mellitus, chronic liver disease, dementia, cerebrovascular accident, and osteoporosis. Functional outcomes included Koval's grade, Functional Ambulatory Category (FAC), Functional Independence Measure (FIM)-locomotion, Modified Rivermead Mobility Index, Berg Balance Scale (BBS), 4-Meter Walking speed Test (4MWT), the Korean version of the Mini-Mental State Examination(K-MMSE), Geriatric Depression Scale (GDS), EuroQol Five-Dimension (EQ-5D) questionnaire, the Korean version of the Modified Barthel Index (K-MBI), the Korean version of the Instrumental Activities of Daily Living (K-IADL), and Korean version of Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight scale (K-FRAIL). For all tests, each patient was assessed immediately after transfer and 6 months post-surgery.
resultsMultivariate linear regression analyses adjusted for age, sex, the initial variable of the functional outcomes, and comorbidities revealed that dementia had a significant negative impact on Koval's grade and K-FRAIL 6 months postoperatively. Diabetes mellitus had a significant negative impact on the FAC, GDS, EQ-5D, K-IADL, and K-FRAIL 6 months postoperatively. Patients with osteoporosis showed a significant negative outcome of FIM-locomotion 6 months postoperatively. A cerebrovascular accident revealed a significant negative impact on the BBS 6 months postoperatively. In addition, hypertension led to significantly less favorable outcomes of the K-FRAIL 6 months postoperatively.
conclusionsThis study confirmed that comorbidities, particularly dementia and diabetes mellitus, significantly influence functional outcomes 6 months after fragility hip fracture surgeries.
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