Journal article

The Aftermath of Hip Fracture: Discharge Placement, Functional Status Change, and Mortality

activities of daily living
hip fractures
mobility limitation
mortality
patient discharge

The authors prospectively explored the consequences of hip fracture with regard to discharge placement, functional status, and mortality using the Survey on Assets and Health Dynamics Among the Oldest Old (AHEAD). Data from baseline (1993) AHEAD interviews and biennial follow-up interviews were linked to Medicare claims data from 1993–2005. There were 495 postbaseline hip fractures among 5,511 respondents aged ≥69 years. Mean age at hip fracture was 85 years; 73% of fracture patients were white women, 45% had pertrochanteric fractures, and 55% underwent surgical pinning. Most patients (58%) were discharged to a nursing facility, with 14% being discharged to their homes. In-hospital, 6-month, and 1-year mortality were 2.7%, 19%, and 26%, respectively. Declines in functional-status-scale scores ranged from 29% on the fine motor skills scale to 56% on the mobility index. Mean scale score declines were 1.9 for activities of daily living, 1.7 for instrumental activities of daily living, and 2.2 for depressive symptoms; scores on mobility, large muscle, gross motor, and cognitive status scales worsened by 2.3, 1.6, 2.2, and 2.5 points, respectively. Hip fracture characteristics, socioeconomic status, and year of fracture were significantly associated with discharge placement. Sex, age, dementia, and frailty were significantly associated with mortality. This is one of the few studies to prospectively capture these declines in functional status after hip fracture.

Related by autor

26 publications found

2024
Analytical article

Health in Ukraine: Prioritise Health Care Reform Across the Ukraine Health System for Recovery and Stable Peace

Publisher: Imperial Institute of Global Health Innovation

Authors: O'Brien Niki, Khanyk Nataliia, Pavlenko Dmytro, Obrizan Maksym, Abbara Aula, Sullivan Richard

2024
Analytical article

Reframing the Relationship Between the Economy and Health

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Ritu Sadana, Serife Genc Illeri, Alberto Huitron, Devika Dutt, Roberto Duran-Fernandez

2023
Journal article

Gender Gap in Urban Job Market During the Pandemic: The Case of Ukraine

Publisher: Comparative Economic Studies

Authors: Obrizan Maksym, Brik Tymofii

2023
Journal article

Health Consequences of the War in Eastern Ukraine: Comparing 2015-16 to 2012-13

Publisher: Journal of Comparative Economics

Authors: Obrizan Maksym, Partyshev Pavlo

2019
Working paper

Violent Conflict and Unhappiness: Evidence From the 2016 ‘Life in Transition’ III Survey

Publisher: Economics Bulletin

Authors: Obrizan Maksym

2024
Analytical article

Violence and Socio-Economic Outcomes of Ukrainians in Poland and Ukraine

Publisher: VOX Ukraine

Authors: Obrizan Maksym, Jan Fidrmuc, Piotr Stanek

2024
Analytical article

A Taxonomy for the Financing of Health for All

Publisher: Bulletin of the World Health Organization

Authors: Obrizan Maksym, Vanessa Huang, Juan Jardon-Pina

2009
Journal article

A 12-Year Prospective Study of Stroke Risk in Older Medicare Beneficiaries

Publisher: BMC Geriatrics

Authors: Fredric D Wolinsky, Suzanne Bentler, Elizabeth A Cook, Elizabeth A Chrischilles, Li Liu, Kara B Wright, John F Geweke, Obrizan Maksym, Claire E Pavlik, Robert L Ohsfeldt, Michael P Jones, Robert B Wallace , Gary E Rosenthal

2016
Working paper

Evidence from Sloviansk and Kramatorsk

Publisher: Kyiv School of Economics

Authors: Obrizan Maksym, Tom Coupe

2010
Journal article

Prior Hospitalization and the Risk of Heart Attack in Older Adults: A 12-Year Prospective Study of Medicare Beneficiaries

Publisher: The Journals of Gerontology

Authors: Fredric D Wolinsky, Suzanne Bentler, Li Liu, Michael P Jones, Brian Kaskie, Jason Hockenberry, Elizabeth A Chrischilles, Kara B Wright, John F Geweke, Obrizan Maksym, Robert L Ohsfeldt, Gary E Rosenthal, Robert B Wallace