Comorbidity 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
Núñez-Cortés, Rodrigo ; López-Bueno, Laura ; Besoain-Saldaña, Álvaro ; Cruz-Montecinos, Carlos ; Solís-Navarro, Lilian ; Suso-Martí, Luis ; López-Bueno, Rubén (Universidad de Zaragoza) ; Morral, Antoni ; Calatayud, Joaquín
Resumen: Purpose: 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.
Idioma: Inglés
DOI: 10.1016/j.gerinurse.2024.07.011
Año: 2024
Publicado en: GERIATRIC NURSING 59 (2024), 223-227
ISSN: 0197-4572
Factor impacto JCR: 2.4 (2024)
Categ. JCR: NURSING rank: 42 / 192 = 0.219 (2024) - Q1 - T1
Categ. JCR: NURSING rank: 42 / 192 = 0.219 (2024) - Q1 - T1
Categ. JCR: GERONTOLOGY rank: 15 / 48 = 0.312 (2024) - Q2 - T1
Categ. JCR: GERIATRICS & GERONTOLOGY rank: 47 / 73 = 0.644 (2024) - Q3 - T2
Factor impacto SCIMAGO: 0.914 - Medicine (miscellaneous) (Q1) - Gerontology (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Área Didáctica Expres.Corporal (Dpto. Expres.Music.Plást.Corp.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2025-09-22-14:40:40)
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Idioma: Inglés
DOI: 10.1016/j.gerinurse.2024.07.011
Año: 2024
Publicado en: GERIATRIC NURSING 59 (2024), 223-227
ISSN: 0197-4572
Factor impacto JCR: 2.4 (2024)
Categ. JCR: NURSING rank: 42 / 192 = 0.219 (2024) - Q1 - T1
Categ. JCR: NURSING rank: 42 / 192 = 0.219 (2024) - Q1 - T1
Categ. JCR: GERONTOLOGY rank: 15 / 48 = 0.312 (2024) - Q2 - T1
Categ. JCR: GERIATRICS & GERONTOLOGY rank: 47 / 73 = 0.644 (2024) - Q3 - T2
Factor impacto SCIMAGO: 0.914 - Medicine (miscellaneous) (Q1) - Gerontology (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Área Didáctica Expres.Corporal (Dpto. Expres.Music.Plást.Corp.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2025-09-22-14:40:40)
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Articles > Artículos por área > Didáctica de la Expresión Corporal
Record created 2024-08-22, last modified 2025-09-23