Increase in Disability Prevalence Before Hip Fracture

TitleIncrease in Disability Prevalence Before Hip Fracture
Publication TypeJournal Article
Year of Publication2015
AuthorsCenzer, I, Boscardin, WJ, Ritchie, CS, Wallhagen, ML, Covinsky, KE
JournalJournal of the American Geriatrics Society
Volume63
Issue10
Pagination2029-2035
KeywordsHealth Conditions and Status, Medicare/Medicaid/Health Insurance, Methodology
Abstract

Objectives To establish the prevalence and correlates of disability during the 2 years before hip fracture. DesignData from participants who experienced hip fracture in the Health and Retirement Study (HRS) with hip fracture identified using linked Medicare claims. Each participant was interviewed at varying time points in the 2 years before hip fracture. Disability was defined as self-report of the need for assistance in any activity of daily living (walking across the room, eating, bathing, dressing, using the toilet, transferring). Based on the timing between interview and hip fracture, prevalence of disability was calculated in the cohort as a whole over the 2 years before hip fracture and in subgroups defined according to demographic and clinical characteristics. SettingThe HRS is a nationally representative longitudinal study (1992-2010). ParticipantsHRS participants aged 65 with hip fracture (mean age at fracture 84, 77 female). Results The adjusted prevalence of disability was 20 (95 confidence interval (CI) = 14-25 ) 2 years before hip fracture, with little change until approximately 10 months before fracture, when it started to rise, reaching 44 (95 CI = 33-55 ) in the month before hip fracture. The prevalence of disability was highest in the last month before fracture for persons aged 85 and older (53 ) and for those with dementia (60 ). Conclusion Care models for hip fracture need to consider not only the acute medical and surgical needs, but also the high level of need for supportive care and caregiver assistance that chronically disabled individuals require.

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DOI10.1111/jgs.13658
Endnote Keywords

medicare/ADMINISTRATIVE DATA/Disabilities/Hip Fractures/ADL/IADL

Endnote ID

999999

Citation Key8229
PubMed ID26480970
PubMed Central IDPMC4699653