Related Experiment Video
Updated: Sep 14, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Hip Fractures in Older Patients: Trajectories of Disability after Surgery
J J Aarden1, M van der Esch, R H H Engelbert
1J.J. Aarden, Amsterdam University of Applied Sciences Amsterdam School of Physiotherapy, Tafelbergweg 51, 1105 BD, Amsterdam, the Netherlands, Email: j.j.aarden@hva.nl, Phone:+31 621158578.
Background:
Hip fracture in older patients often lead to permanent disabilities and can result in mortality.
Objective:
To identify distinct disability trajectories from admission to one-year post-discharge in acutely hospitalized older patients after hip fracture.
Design:
Prospective cohort study, with assessments at admission, three-months and one-year post-discharge.
Setting And Participants:
Patients ≥ 65 years admitted to a 1024-bed tertiary teaching hospital in the Netherlands.
Methods:
Disability was the primary outcome and measured with the modified Katz ADL-index score. A secondary outcome was mortality. Latent class growth analysis was performed to detect distinct disability trajectories from admission and Cox regression was used to analyze the effect of the deceased patients to one-year after discharge.
Results:
The mean (SD) age of the 267 patients was 84.0 (6.9) years. We identified 3 disability trajectories based on the Katz ADL-index score from admission to one-year post-discharge: 'mild'- (n=54 (20.2%)), 'moderate'- (n=110 (41.2%)) and 'severe' disability (n=103 (38.6%)). Patients in all three trajectories showed an increase of disabilities at three months, in relation to baseline and 80% did not return to baseline one-year post-discharge. Seventy-three patients (27.3%) deceased within one-year post-discharge, particularly in the 'moderate'- (n=22 (8.2%)) and 'severe' disability trajectory (n=47 (17.6%)).
Conclusions:
Three disability trajectories were identified from hospital admission until one-year follow-up in acutely hospitalized older patients after hip fracture. Most patients had substantial functional decline and 27% of the patient's deceased one-year post-discharge, mainly patients in the 'moderate'- 'and severe' disability trajectories.
More Related Videos
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:29Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...