Femur bone mineral density is independently associated with functional recovery after hip fracture in elderly women.
OBJECTIVE: To evaluate the association between femur bone mineral density (BMD) and functional recovery after hip fracture. DESIGN: Cross-sectional study. SETTING: Rehabilitation hospital in Italy. PARTICIPANTS: A total of 233 of 263 white women with hip fracture consecutively admitted to a rehabili...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 83; no. 12; pp. 1715 - 1721 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
2002 Dec
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106833126&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106833126 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: 2002 Dec vid: 83 iid: 12 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 106833126 106833126 2003066739 NLM12474175 106833126 ppf: 1715 ppct: 6 formats: tig: atl: Femur bone mineral density is independently associated with functional recovery after hip fracture in elderly women. aug: au: Di Monaco M Di Monaco R Mautino F Cavanna A affil: Osteoporosis Research Centre, Presidio Sanitario San Camillo, Strada Santa Margherita 136, 10131 Torino, Italy; Medici@h-sancamillo.to.it sug: subj: Bone Density Hip Fractures Rehabilitation Femur Absorptiometry, Photon Barthel Index Clinical Assessment Tools Data Analysis Software Descriptive Statistics Female Human Female ab: OBJECTIVE: To evaluate the association between femur bone mineral density (BMD) and functional recovery after hip fracture. DESIGN: Cross-sectional study. SETTING: Rehabilitation hospital in Italy. PARTICIPANTS: A total of 233 of 263 white women with hip fracture consecutively admitted to a rehabilitation hospital. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Patients underwent BMD assessment by dual-energy x-ray absorptiometry (DXA) at the proximal femur (5 sites) on admission. Functional recovery was evaluated by using Barthel Index scores. RESULTS: A positive correlation was found between BMD and Barthel Index scores assessed on both admission and discharge (r range,.16-.24, depending on the site of BMD measurement). Linear multiple regression showed that the association between BMD and Barthel Index score was independent of 10 confounding variables: age, body mass index, fracture type, pressure ulcers, cognitive impairment, neurologic diseases, total lymphocyte count as a nutritional index, time between fracture occurrence and DXA assessment, comorbidity, and surgical procedure. Conversely, no significant associations were found between BMD and the change in Barthel Index score attributable to rehabilitation. CONCLUSIONS: In the study population, femur BMD was an independent predictor of the functional recovery assessed by Barthel Index score after hip fracture, but not of the change in the functional score resulting from rehabilitation. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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