TY - JOUR
T1 - Female hip fracture patients had poorer performance-based functioning than community-dwelling peers over 2-year follow-up period
AU - Fredman, Lisa
AU - Magaziner, Jay
AU - Hawkes, William
AU - Hebel, J. Richard
AU - Fried, Linda P.
AU - Kasper, Judith
AU - Guralnik, Jack
PY - 2005/12/1
Y1 - 2005/12/1
N2 - Background and Objectives: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. Methods and Setting: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. Results: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. Conclusion: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
AB - Background and Objectives: Compare performance-based functioning over 2 years among elderly women hip fracture patients vs. community-dwelling older women. Methods and Setting: 268 hip fracture patients from eight hospitals in Baltimore, MD, in 1990-1991, and 486 respondents from the Women's Health and Aging Study I (WHAS I) were assessed prospectively at 6-month intervals for 2 years. Usual and rapid walking speeds, and chair rise time, were calculated and standardized to the baseline distribution of the WHAS subsample. Results: At baseline, all respondents were aged 65+ years, White, cognitively intact, and could walk across a room independently. Hip fracture patients had significantly poorer functioning than WHAS respondents at each follow-up interview through 24 months postfracture. The difference was greatest at 6 months: mean walking speed for hip fracture patients was approximately one standard deviation lower than for WHAS respondents for usual pace (adjusted difference = -1.06, 95% confidence interval (CI) = -1.22, -0.89) and rapid pace (adjusted difference = -0.95, 95% CI = -1.13, -0.79). These differences were most pronounced among respondents who were aged 80+ years or had comorbid conditions. Conclusion: Elderly women had poorer performance-based functioning over 2 years following hip fracture than would be expected by normal aging in same-aged women.
KW - Activities of daily living
KW - Aging
KW - Disability assessment
KW - Hip fractures
KW - Performance-based measures
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U2 - 10.1016/j.jclinepi.2004.04.016
DO - 10.1016/j.jclinepi.2004.04.016
M3 - Article
C2 - 16291474
AN - SCOPUS:27744494791
VL - 58
SP - 1289
EP - 1298
JO - Journal of Chronic Diseases
JF - Journal of Chronic Diseases
SN - 0895-4356
IS - 12
ER -