000136412 001__ 136412 000136412 005__ 20250923084427.0 000136412 0247_ $$2doi$$a10.1016/j.gerinurse.2024.07.011 000136412 0248_ $$2sideral$$a139325 000136412 037__ $$aART-2024-139325 000136412 041__ $$aeng 000136412 100__ $$aNúñez-Cortés, Rodrigo 000136412 245__ $$aComorbidity burden and nutritional status are associated with short-term improvement in functional independence and pain intensity after hip fracture surgery in older adults with in-hospital rehabilitation 000136412 260__ $$c2024 000136412 5060_ $$aAccess copy available to the general public$$fUnrestricted 000136412 5203_ $$aPurpose: Hip fracture is a common condition among older adults. The aim of this study was to explore the influence of nutritional status and comorbidity burden on changes in functionality, fall risk, and pain intensity one month after hip surgery in older adults with in-hospital rehabilitation. Methods: Thirty-six hip fracture patients (55.6% female) aged 65 years or older with indication for surgical resolution were recruited. The main outcomes were functional independence (Barthel Index), risk of falls (Downton Falls Risk Index) and pain intensity (Visual Analogue Scale), assessed preoperatively and one month after discharge. Covariates included age, sex, BMI, Charlson Comorbidity Index (CCI) and nutritional status (Mini Nutritional Assessment). For the inferential analysis, a one-way analysis of covariance (ANCOVA) was applied. Results: Significant improvements were observed in functional independence (11.0 points, 95% CI: 1.7 to 20.3), risk of falls (-2.8 points, 95% CI: -4.0 to -1.7) and pain intensity (-2.6 points, 95% CI: -3.4 to -1.9). Among the covariates, a significant interaction was found between the CCI and improvements in functional independence (F=7.03, p=0.010, η2p=0.093), while nutritional status showed a significant interaction with pain reduction (F=5.65, p=0.020, η2p=0.075). Conclusion: A lower comorbidity burden was associated with greater postoperative functional independence, while better nutritional status was associated with a greater reduction in postoperative pain intensity. 000136412 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/ 000136412 590__ $$a2.4$$b2024 000136412 592__ $$a0.914$$b2024 000136412 591__ $$aNURSING$$b42 / 192 = 0.219$$c2024$$dQ1$$eT1 000136412 593__ $$aMedicine (miscellaneous)$$c2024$$dQ1 000136412 591__ $$aNURSING$$b42 / 192 = 0.219$$c2024$$dQ1$$eT1 000136412 593__ $$aGerontology$$c2024$$dQ2 000136412 591__ $$aGERONTOLOGY$$b15 / 48 = 0.312$$c2024$$dQ2$$eT1 000136412 591__ $$aGERIATRICS & GERONTOLOGY$$b47 / 73 = 0.644$$c2024$$dQ3$$eT2 000136412 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000136412 700__ $$aLópez-Bueno, Laura 000136412 700__ $$aBesoain-Saldaña, Álvaro 000136412 700__ $$aCruz-Montecinos, Carlos 000136412 700__ $$aSolís-Navarro, Lilian 000136412 700__ $$aSuso-Martí, Luis 000136412 700__ $$0(orcid)0000-0002-7865-3429$$aLópez-Bueno, Rubén$$uUniversidad de Zaragoza 000136412 700__ $$aMorral, Antoni 000136412 700__ $$aCalatayud, Joaquín 000136412 7102_ $$13001$$2187$$aUniversidad de Zaragoza$$bDpto. Expres.Music.Plást.Corp.$$cÁrea Didáctica Expres.Corporal 000136412 773__ $$g59 (2024), 223-227$$pGeriatr. nurs.$$tGERIATRIC NURSING$$x0197-4572 000136412 8564_ $$s375647$$uhttps://zaguan.unizar.es/record/136412/files/texto_completo.pdf$$yVersión publicada 000136412 8564_ $$s2587752$$uhttps://zaguan.unizar.es/record/136412/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000136412 909CO $$ooai:zaguan.unizar.es:136412$$particulos$$pdriver 000136412 951__ $$a2025-09-22-14:40:40 000136412 980__ $$aARTICLE