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A Short Battery for Predicting Rehabilitation Success After Hip Fracture Surgery in the Elderly

Katz, Maayam PhD; Maaravi, Yoram MD; Kandel, Leonid MD; Toybenshlak, Michael MD; Katz, Noomi PhD

Topics in Geriatric Rehabilitation: April/June 2016 - Volume 32 - Issue 2 - p 144–148
doi: 10.1097/TGR.0000000000000101
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The study aimed to develop a short evaluation battery predicting successful rehabilitation after hip fracture surgery in elderly patients. One hundred one subjects aged 65 and older sustaining a hip fracture were examined at 3 points: during orthopedic acute care (T1), 3 months (T2), and 6 months postsurgery (T3). Multiple variables were evaluated including medical, demographics, affective, cognitive and daily functions. Significant correlations were found between cognitive and executive functions at T1 and activities of daily living/instrumental activities of daily living functions/occupations at T3. The best predictors for rehabilitation success were instrumental activities of daily living and cognition. A short battery is proposed that will enable prediction of rehabilitation success in orthopedic departments.

Hebrew University Jerusalem and Occupational Therapy National Service, Ministry of Health, Jerusalem, Israel (Dr M. Katz); Department of Geriatrics and Rehabilitation, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (Dr Maaravi); Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel (Dr Kandel); Department of Orthopedic Surgery, Shaare Zedek Medical Center, Jerusalem, Israel (Dr Toybenshlak); and Research Institute for Health and Medical Professions, Ono Academic College, Kiryat Ono, Israel (Dr N. Katz).

Correspondence: Noomi Katz, PhD, Research Institute for Health and Medical Professions, Ono Academic College, 104 Zahal St, Kiryat Ono 55000, Israel (Noomi.katz@ono.ac.il).

This project was funded by the Israeli Ministry of Senior Citizens. The authors thank the collaboration of the staff of the orthopedic wards and all the participants.

M. Katz and Y. Maaravi contributed to conception. M. Katz and M. Toybenshlak contributed to data acquisition and approval of final version. M. Katz, Y. Maaravi, L. Kandel, and N. Katz contributed to design, data analysis and interpretation, drafting and revision of article, and approval of final version.

The sponsors had no role in conception, design, analyses, interpretation of data, or in the drafting, review, or approval of the manuscript.

The authors declare that they have no conflicts of interest related to the manuscript.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.