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Rehabilitation After Urgent or Elective Orthopedic Surgery

The Role of Resilience in Elderly Patients

Sciumè, Luciana MD1,2; Rebagliati, Giulia Angela Antonella MD3; Iannello, Paola PhD4; Mottini, Anna MD4; Alessandro, Antonietti PhD4; Caserta, Antonello Valerio MD, ORTH1; Gattoronchieri, Valeria MD, PRM1; Panella, Lorenzo MD, PRM1

doi: 10.1097/rnj.0000000000000038

Purpose The aim of this investigation was to assess resilience within an elderly population during postacute rehabilitation for orthopedic surgery and to identify the role of resilience on rehabilitation outcomes by comparing hip fracture and elective patients (total knee and hip arthroplasty).

Design We conducted a prospective study in an orthopedic rehabilitation department.

Methods On admission and on discharge, 80 patients aged over 60 years underwent a multidimensional evaluation with the Resilience Scale, the Functional Independence Measure (FIM), the Multidimensional Prognostic Index, and the World Health Organization Quality of Life-BREF.

Findings Hip-fractured patients had a lower level of resilience. High-resilient fracture patients achieved higher FIM scores. For elective patients, no differences on FIM score occurred for different resilience levels.

Conclusions and Clinical Relevance Resilience plays a significant role in reaching optimal functional recovery in hip-fractured elderly people. Results suggest the introduction of early routine assessment of resilience in future outcome studies in rehabilitation.

1 Department of Physical and Rehabilitation Medicine, Istituto Ortopedico Gaetano Pini, Milan, Italy.

2 Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.

3 School of Specialization in Physical and Rehabilitation Medicine, Università degli Studi di Milano, Milan, Italy.

4 Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

Correspondence: Luciana Sciumé, MD, Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, via Giuseppe Dezza, 48-20144 Milan, Italy. E-mail:

All authors have no conflict of interest to declare.

Cite this article as: Sciumè, L., Rebagliati, G. A., Iannello, P., Mottini, A., Alessandro, A., Caserta, A. V., Gattoronchieri, V.,& Panella, L. (2018). Rehabilitation after urgent or elective orthopedic surgery: The role of resilience in elderly patients. Rehabilitation Nursing, 43(5), 267–274. doi: 10.1097/rnj.0000000000000038

© 2018 Association of Rehabilitation Nurses.
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