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Pre-discharge prognostic factors of physical function among older adults with hip fracture surgery: a systematic review.

dc.contributor.author Lim, KK
dc.contributor.author Matchar, DB
dc.contributor.author Chong, JL
dc.contributor.author Yeo, W
dc.contributor.author Howe, TS
dc.contributor.author Koh, JSB
dc.date.accessioned 2021-05-05T06:27:47Z
dc.date.available 2021-05-05T06:27:47Z
dc.date.issued 2019-05
dc.identifier 10.1007/s00198-018-04831-5
dc.identifier.issn 0937-941X
dc.identifier.issn 1433-2965
dc.identifier.uri https://hdl.handle.net/10161/22783
dc.description.abstract <h4>Introduction</h4>To identify, organize, and assess the evidence level of pre-discharge prognostic factors of physical function beyond discharge after hip fracture surgery.<h4>Methods</h4>We performed a systematic search of four databases (PubMed, Embase, CINAHL, PsycINFO) for longitudinal studies of prognostic factors of physical function at ≥ 1 month among older adults ≥ 50 years old with surgically treated hip fracture, complemented with hand-searching. Two reviewers independently screened papers for inclusion and assessed the quality of all the included papers using the Quality in Prognosis Studies (QUIPS) tool. We assigned the evidence level for each prognostic factor based on consistency in findings and study quality.<h4>Results</h4>From 98 papers that met our inclusion criteria, we identified 107 pre-discharge prognostic factors and organized them into the following seven categories: demographic, physical, cognitive, psychosocial, socioeconomic, injury-related, and process of care. Potentially modifiable factors with strong or moderate evidence of an association included total length of stay, physical function at discharge, and grip strength. Factors with strong or moderate evidence of no association included gender, fracture type, and time to surgery. Factors with limited, conflicting, or inconclusive evidence included body-mass index, psychological resilience, depression, and anxiety.<h4>Conclusions</h4>Our findings highlight potentially modifiable prognostic factors that could be targeted and non-modifiable prognostic factors that could be used to identify patients who may benefit from more intensive intervention or to advise patients on their expectations on recovery. Examining the efficacies of existing interventions targeting these prognostic factors would inform future studies and whether any of such interventions could be incorporated into clinical practice.
dc.language eng
dc.publisher Springer Science and Business Media LLC
dc.relation.ispartof Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
dc.relation.isversionof 10.1007/s00198-018-04831-5
dc.subject Humans
dc.subject Hip Fractures
dc.subject Prognosis
dc.subject Length of Stay
dc.subject Patient Discharge
dc.subject Fracture Fixation
dc.subject Evidence-Based Medicine
dc.subject Recovery of Function
dc.subject Aged
dc.title Pre-discharge prognostic factors of physical function among older adults with hip fracture surgery: a systematic review.
dc.type Journal article
duke.contributor.id Matchar, DB|0063297
dc.date.updated 2021-05-05T06:27:45Z
pubs.begin-page 929
pubs.end-page 938
pubs.issue 5
pubs.organisational-group School of Medicine
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Duke Global Health Institute
pubs.organisational-group Pathology
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Duke
pubs.organisational-group Institutes and Centers
pubs.organisational-group University Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Medicine
pubs.publication-status Published
pubs.volume 30
duke.contributor.orcid Matchar, DB|0000-0003-3020-2108


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