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Hip Fracture

Hip Fracture Survival & Functional Outcomes After Hip Fracture Original Investigation Research Invited Commentary A Trigger for Palliative Care in Vulnerable Older Adults Fred C. Ko, MD, MS; R. Sean Morrison, MD Hip fracture most commonly affects older adults and causes cal literature. Results from the current study strongly demon- devastating consequences including pain, immobilization, strate that mortality and functional dependence, particularly functional decline, delirium, and death. Among those in the among the very old and those with advanced comorbidity and Medicare population who cognitive impairment, are exceedingly common among nurs- sustain hip fractures, 13% die ing home residents after hip fracture. These extreme rates of Related article page 1273 within 3 months and 24% die mortality and functional disability place palliative care, front within 12 months. Of those who survive to 6 months, only 50% and center, in the clinical management of hip fracture in vul- recover prefracture ability to perform activities of daily living. nerable older adults. Although long-term nursing home residents are much more Palliative care is a new interdisciplinary specialty that fo- likely than community-dwelling older adults to sustain hip frac- cuses on improving quality of life for patients and families by ture and have poorer functional http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2014.999
pmid
24958027
Publisher site
See Article on Publisher Site

Abstract

Survival & Functional Outcomes After Hip Fracture Original Investigation Research Invited Commentary A Trigger for Palliative Care in Vulnerable Older Adults Fred C. Ko, MD, MS; R. Sean Morrison, MD Hip fracture most commonly affects older adults and causes cal literature. Results from the current study strongly demon- devastating consequences including pain, immobilization, strate that mortality and functional dependence, particularly functional decline, delirium, and death. Among those in the among the very old and those with advanced comorbidity and Medicare population who cognitive impairment, are exceedingly common among nurs- sustain hip fractures, 13% die ing home residents after hip fracture. These extreme rates of Related article page 1273 within 3 months and 24% die mortality and functional disability place palliative care, front within 12 months. Of those who survive to 6 months, only 50% and center, in the clinical management of hip fracture in vul- recover prefracture ability to perform activities of daily living. nerable older adults. Although long-term nursing home residents are much more Palliative care is a new interdisciplinary specialty that fo- likely than community-dwelling older adults to sustain hip frac- cuses on improving quality of life for patients and families by ture and have poorer functional

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Aug 1, 2014

References