Browsing by Author "Jeremic, Aleksandar (6701360652)"

Aim: To evaluate the functional status measured by Berg Balance Scale (BBS) in elderly aged more than 65years after hip fractures, and to evaluate the influence of sex, age and comorbidity on balance function improvement. Methods: The study included 203 patients with hip fractures. Functional status was evaluated by BBS: at admission (Group 1), at discharge (Group 2) and 3months after discharge (Group 3). We analyzed three age groups: Group65-74, Group75-84 and Group85-up; female and male sex separately; and for severity index value (SI; total cumulative illness rating scale for geriatrics score divided by number of endorsed categories): group between 0-1.99 (SI1) and group ≥2 (SI2). Results: BBS values significantly declined in all male groups and female Group 2 and Group 3 in SI2 (P<0.01). Group65-74 and Group85-up had a significant BBS values decline in Group 2 and Group 3, whereas Group75-84 had a significant decline in all groups in the SI2 group (P<0.01). Females and males had a significant BBS values increase in the SI1 groups (P<0.01), and non-significant BBS values increase between Group 2/Group 3 for SI2. Group85-up had a significant BBS values increase in SI1 (Group 1/Group 2 and Group 1/Group 3; P<0.01); a non-significant increase between Group 1/Group 2 and Group 1/Group 3, and a non-significant decline between Group 2/Group 3 in SI2. Conclusions: Male sex, increased comorbidity and age more than 85years could be considered with lower functional recovery capacity potential after hip fracture, and thus should be individually assessed and continuously monitored. Functional status estimation by BBS could be taken as a sensitive predictive value for the evaluation of functional improvement in these patients. © 2012 Japan Geriatrics Society.

Aim: To evaluate the functional status measured by Berg Balance Scale (BBS) in elderly aged more than 65years after hip fractures, and to evaluate the influence of sex, age and comorbidity on balance function improvement. Methods: The study included 203 patients with hip fractures. Functional status was evaluated by BBS: at admission (Group 1), at discharge (Group 2) and 3months after discharge (Group 3). We analyzed three age groups: Group65-74, Group75-84 and Group85-up; female and male sex separately; and for severity index value (SI; total cumulative illness rating scale for geriatrics score divided by number of endorsed categories): group between 0-1.99 (SI1) and group ≥2 (SI2). Results: BBS values significantly declined in all male groups and female Group 2 and Group 3 in SI2 (P<0.01). Group65-74 and Group85-up had a significant BBS values decline in Group 2 and Group 3, whereas Group75-84 had a significant decline in all groups in the SI2 group (P<0.01). Females and males had a significant BBS values increase in the SI1 groups (P<0.01), and non-significant BBS values increase between Group 2/Group 3 for SI2. Group85-up had a significant BBS values increase in SI1 (Group 1/Group 2 and Group 1/Group 3; P<0.01); a non-significant increase between Group 1/Group 2 and Group 1/Group 3, and a non-significant decline between Group 2/Group 3 in SI2. Conclusions: Male sex, increased comorbidity and age more than 85years could be considered with lower functional recovery capacity potential after hip fracture, and thus should be individually assessed and continuously monitored. Functional status estimation by BBS could be taken as a sensitive predictive value for the evaluation of functional improvement in these patients. © 2012 Japan Geriatrics Society.

The importance of early inclusion in rehabilitation program and exercise of older people after the hip fracture could be explained by the fact that physical activity influences the muscle strength, balance and eventually degree of hip pain [11]. Such determinants are very important particularly for individuals quality of life and could prevent further risks of comorbidities and falls later in life. It has been often hypothesized that the success of recovery is extremely dependent on the timeliness and adequacy of the treatment. While it is desirable to provide the best possible care as soon as possible the actual limitations that may exist in health-care systems due to a limited number of medical staff as well as limited capacity in rehabilitation programs may create need for appropriate planning and/or scheduling. © 2013 IEEE.

The importance of early inclusion in rehabilitation program and exercise of older people after the hip fracture could be explained by the fact that physical activity influences the muscle strength, balance and eventually degree of hip pain [11]. Such determinants are very important particularly for individuals quality of life and could prevent further risks of comorbidities and falls later in life. It has been often hypothesized that the success of recovery is extremely dependent on the timeliness and adequacy of the treatment. While it is desirable to provide the best possible care as soon as possible the actual limitations that may exist in health-care systems due to a limited number of medical staff as well as limited capacity in rehabilitation programs may create need for appropriate planning and/or scheduling. © 2013 IEEE.