EPIDEMIOLOGY--DETERMINANTS OF RECOVERY FROM HIP FRACTURE

髋部骨折是老年人面临的一个主要健康问题。 髋部骨折给老年人及其家人和老年人带来的负担 医疗保健系统很棒。尽管如此，许多人仍在骨折 髋关节的恢复，尽管有些人比另一些人更完全。此外， 许多医学和心理社会因素被认为会影响 髋部骨折后的存活和康复，尽管之前 这方面的研究严重缺乏。 拟议项目的目的是确定其影响 医疗和心理社会因素对生存和康复的影响 体能、功能独立性和社会互动 老年社区居民髋部骨折后的一年内 65岁。虽然许多医疗因素会影响康复，但这个项目 将重点放在潜在的可修改的复苏决定因素上，如 AS：术前医疗和认知状况；围手术期和术后 手术并发症；骨折后认知、情感和 态度状况；家人和朋友参与康复；以及 治疗性干预。 这些问题将通过未来的 近500例髋部骨折的流行病学调查 65岁以上的患者。有关骨折前和骨折后状态的信息 将从重要的其他人、医院护士和 医疗记录。存活的患者将在他们的 骨折后1、3、6和12个月的居住地 接受过身体评估技术培训的个人。在此期间 检查时，评估者将评估体能{范围 动作、步态、平衡、功能独立性 执行日常生活任务，并会获取所需信息 以评估精神和社会功能。将对数据进行分析 使用多元技术，这将使我们能够理解 医疗和心理社会因素如何影响生存和 体能、功能独立性和社会功能的恢复 在受伤后的一年内的互动。

Hip fracture represents a major health problem facing the aged. The burdens of hip fracture to the elderly, their families and the health care system are great. Still, many individuals fracturing a hip recover, though some more fully than others. Furthermore, many medical and psychosocial factors are believed to influence survival and recovery following a hip fracture, though prior research in this area is seriously lacking. The purpose of the proposed project is to determine the influence of medical and psychosocial factors on survival and on recovery in physical capacity, functional independence and social interaction during the year following a hip fracture in community dwellers aged 65+. While many medical factors influence recovery, this project will focus on potentially modifiable determinants of recovery such as: preoperative medical and cognitive status; peri and post- operative complications; postfracture cognitive, affective and attitudinal status; family and friend involvement in recovery; and therapeutic interventions. These issues will be addressed through a prospective epidemiological investigation of approximately 500 hip fracture patients over age 65. Information on pre and post-fracture status will be obtained from significant others, hospital nurses and medical records. Surviving patients will be assessed at their place of residence at 1, 3, 6, and 12 months post-fracture by an individual trained in physical assessment techniques. During this examination, the evaluator will assess physical capacity {range of motion, gait, balance}, functional independence in ability to perform tasks of daily living, and will obtain information needed to evaluate mental and social functioning. Data will be analyzed using multivariate techniques which will enable an understanding of how medical and psychosocial factors impact on survival and recovery in physical capacity, functional independence and social interaction during the year following the injury.