Open AccessAdmission Cognitive Performance and Functional Gain Following Inpatient Rehabilitation in Geriatric Patients with Hip Fractures
Author(s) -
Ho Yin Lai,
Antonia Ka Wai Soo,
Simon Kam Man Wong,
Bien Shuk Yin Lau,
Alex Chow
Publication year - 2003
Publication title -
hong kong journal of occupational therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.301
H-Index - 13
eISSN - 1876-4398
pISSN - 1569-1861
DOI - 10.1016/s1569-1861(09)70020-8
Subject(s) - functional independence measure , rehabilitation , medicine , cognition , activities of daily living , physical therapy , geriatric rehabilitation , functional training , effects of sleep deprivation on cognitive performance , physical medicine and rehabilitation , psychiatry
ObjectiveThe purpose of this study was to investigate the importance of cognitive performance in determining functional gain in geriatric patients with hip fractures following rehabilitation.MethodsFrom April 2002 to March 2003, we retrospectively studied 218 geriatric patients (age > 65 years) with hip fractures. Cognitive performance was assessed using the Mini-Mental State Examination (MMSE). All admitted patients were given training in activities of daily living (ADL), which was the core component during rehabilitation. The Functional Independence Measure (FIM) was used to assess patients' functional performance both on admission and discharge, and functional gain was determined by the change in FIM score between admission and discharge.ResultsFunctional gain after rehabilitation differed significantly from the baseline (p < 0.01). Significant correlation was noted between patients' cognitive performance as measured by the MMSE and discharge functional performance as measured by the FIM (r = 0.85, p < 0.01).ConclusionThis study showed positive association between cognitive status at admission and functional gain after rehabilitation. While all patients had functional improvement during rehabilitation, impaired mental function at admission inevitably affected patients' potential to learn, making functional training more difficult. Cognitively intact patients had better functional outcomes than cognitively impaired patients. Patients with intact mental function benefit most from intensive rehabilitation training