Characterization of elderly patients in rehabilitation: Stroke versus hip fracture

Devora Lieberman, Michael Friger, Vera Fried, Yakov Grinshpun, Natalya Mytlis, Roff Tylis, David Galinsky, David Lieberman

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Purpose: To compare the characteristics of elderly patients hospitalized for rehabilitation following stroke with those following hip fracture (HF). Methods: A prospective study in a geriatrics department of a general university hospital in southern Israel. Five hundred and sixteen hospitalized elderly patients were included in the study, 221 following stroke and 295 following HF. The characteristics were compared by univariate and logistic regression analyses. Results: The mean age (± SD) of the stroke patients was 71.7 ± 7.8 years compared to 77.4 ± 7.9 for HF (p < 0.000001). Fifty-three per cent of the stroke patients were women compared to 76% of the HF patients (p < 0.000001). Stroke patients had significantly lower levels of folic acid (p = 0.00002). HF patients had more hearing and visual impairments (p = 0.008 and p = 0.017, respectively), but these were related to age differences between the groups. The Folstein Minimental test result was significantly higher in the HF group (p = 0.002). There were no differences in the symptoms of depression score as measured by geriatric depression screening scale. The Functional Independent Measure scale showed a higher pre-event functional capacity among the stroke patients (p < 0.000001), but there was no difference in this scale on admission to rehabilitation or upon discharge. Conclusions: There is a difference in the nature of the stroke and HF events. When either event involves an elderly patient with a broad range of limitations and diseases, a new medical condition develops. In this condition the symptoms of depression and the functional state at admission and upon discharge are not significantly different between these groups of patients.

Original languageEnglish
Pages (from-to)542-547
Number of pages6
JournalDisability and Rehabilitation
Volume21
Issue number12
DOIs
StatePublished - 1 Dec 1999

ASJC Scopus subject areas

  • Rehabilitation

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