Key result
Cognitive impairment levels in older adults with hip fracture were significantly associated with differences in comorbidities, complications, and pharmacological features (p < .05, R = .012-.475).
Why the study?
Does cognitive impairment level influence characteristics, comorbidities, complications, and pharmacological features in older adults with hip fracture?
Cross-Sectional (n=557)
Does cognitive impairment level influence characteristics, comorbidities, complications, and pharmacological features in older adults with hip fracture?
Cognitive impairment levels significantly influence the clinical profile, comorbidities, and complications of older adults with hip fracture, impacting rehabilitation nursing care.
Answers are grounded in this paper and cite their sources.
Cognitive impairment may guide assessment in hip fracture rehab; leaves open causal effects and intervention trials.
PURPOSE: The aim of the study was to determine the cognitive impairment level influence in descriptive characteristics, comorbidities, complications, and pharmacological features of older adults with hip fracture. DESIGN: Cross-sectional study. METHOD: Five hundred fifty-seven older adults with hip fracture were recruited and divided into cognitive impairment levels (severe/moderate, mild, no impairment). Descriptive characteristics, comorbidities, complications, and pharmacological data were collected. FINDINGS: Significant differences (p < .05, R = .012-.475) between cognitive impairment levels were shown. Shorter presurgery hospital length of stay and lower depression and Parkinson comorbidities; delirium complication; and antidepressants, antiparkinsonians, and neuroleptics use were shown for the no-impairment group. With regard to the cognitive impairment groups, lower presence of cardiopathy and hypertension; higher presence of dementia; antihypertensives, antiplatelets, and antidementia medication; infection/respiratory insufficiency complications; and lower constipation complications were shown. CONCLUSION: Cognitive impairment levels may determine the characteristics, comorbidities, pharmacology, and complications of older adults with hip fracture. CLINICAL RELEVANCE: Cognitive impairment level may impact rehabilitation nursing practice, education, and care coordination.
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Mola et al. (2018) conducted a cross-sectional in Hip fracture (n=557). Cognitive impairment vs. No cognitive impairment was evaluated on Differences in descriptive characteristics, comorbidities, complications, and pharmacological features (p=<.05). Cognitive impairment levels in older adults with hip fracture were significantly associated with differences in comorbidities, complications, and pharmacological features (p < .05, R = .012-.475).
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