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A study on the restoration of older people after hip fracture

May 11, 2017 15:35

10/26/2016 20:25

after hip fracture recoveryAccording to a new study majority of older people with hip fracture are never returned to their previous level of independence and physical activity, according to Dr. Victoria Tang, author of the study.

The chances of recovery in patients older than 85 years with dementia or other health problems even lower.

"Based on the real likelihood of recovery, we can plan and prepare the patient care", - added Tang. The US Centers for Disease Control and Prevention report that each year due to hip fracture are hospitalized more than 300,000 people aged 65 years and older.

The researchers examined data on 730 adults 65 years and older (mean age 85 years) who underwent hip fracture, and assessed the health and physical abilities of each patient before and after the injury.

Scientists have found that the likelihood of a full recovery is available to less than 50 percent of the subjects regardless of their previous level of ability.

About one in three has returned to the level of the previous daily functioning. Just over a third were able to move as before, and only four of the 10 restored are still able to climb stairs. The study authors found that about a third of patients return to independent living without assistance. Patients who do not return to an independent life, need more support from home.

The findings suggest that a lower reduction rate as compared with previous studies, experts say. Dr. Maria Torroella Carney called the study important because it is an opportunity to talk to patients and their families about the possible outcomes of hip fracture in the elderly.

"It is important to understand the long-term goal of patient care, and if he could have surgery - Carney said -. Patients are faced with an intense process of rehabilitation, which is associated with an increase in pain and possible complications."

Older people are at greater risk of hip fracture due to abnormal gait, muscle weakness and bone loss. Bone mass decreases with age, which causes the development of osteoporosis. More than 95 percent of hip fractures occur due to falls, and three out of four patients - women.

In order to prevent fractures, elderly people should consult a physician or medical professional to assess the risk of falling and learn about preventive measures (vitamin D). Doctors suggest exercises to strengthen his legs and improve balance as well as security measures at home (the guard rail in the toilet and the shower, handrails on both sides of the ladder, etc.).

Based on materials medicalxpress.com

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