Alpha 2.0
Login Register
» Articles » PMID: 21562326

Diabetes Comorbidity and Age Influence Rehabilitation Outcomes After Hip Fracture

Overview
Journal Diabetes Care
Specialty Endocrinology
Date 2011 May 13
PMID 21562326
Citations 26
Authors
Timothy A Reistetter
James E Graham
Anne Deutsch
Samuel J Markello
Carl V Granger
Kenneth J Ottenbacher
Affiliations
Soon will be listed here.
Abstract

Objective: To examine the influence of diabetes on length of stay (LOS), functional status, and discharge setting in individuals with hip fracture.

Research Design And Methods: This work included secondary analyses of 79,526 individuals from 915 rehabilitation facilities in the U.S. Patients were classified into three groups using the Centers for Medicare and Medicaid Services comorbidity structure: individuals without diabetes (77.0%), individuals with non-tier diabetes (18.3%), and individuals with tier diabetes (4.7%).

Results: Mean age was 79.4 years (SD 9.6), and mean LOS was 13.3 days (SD 5.3). Tier diabetes was associated with longer LOS, lower functional status ratings, and reduced odds of discharge home when compared with individuals with no diabetes and non-tier diabetes. Statistically significant interactions (P < 0.05) were found between age and diabetes classification for LOS, functional status, and discharge setting.

Conclusions: The impact of diabetes on recovery after hip fracture is moderated by age.

Citing Articles

Investigation of Factors Related to the Week 1 Cumulated Ambulation Score in Patients With Proximal Femoral Fractures Post-surgery Using Decision Tree Analysis.

Hiramatsu R, Minata S, Imaoka S Cureus. 2024; 16(3):e55407.

PMID: 38562354 PMC: 10984705. DOI: 10.7759/cureus.55407.

Sarm1 knockout prevents type 1 diabetic bone disease in females independent of neuropathy.

Brazill J, Shen I, Craft C, Magee K, Park J, Lorenz M JCI Insight. 2024; 9(4).

PMID: 38175722 PMC: 11143934. DOI: 10.1172/jci.insight.175159.

The role of advanced glycation end products in fracture risk assessment in postmenopausal type 2 diabetic patients.

Gao L, Liu C, Hu P, Wang N, Bao X, Wang B Front Endocrinol (Lausanne). 2022; 13:1013397.

PMID: 36578954 PMC: 9790927. DOI: 10.3389/fendo.2022.1013397.

Post-hip fracture rehabilitation outcomes of diabetic and non-diabetic elderly patients.

Ben-Joseph R, Luboshitz B, Ayzenfeld R, Twito O Ann Med. 2021; 53(1):2298-2304.

PMID: 34856850 PMC: 8648020. DOI: 10.1080/07853890.2021.2009555.

Risk Factors for Incident Fracture in Older Adults With Type 2 Diabetes: The Framingham Heart Study.

Dufour A, Kiel D, Williams S, Weiss R, Samelson E Diabetes Care. 2021; 44(7):1547-1555.

PMID: 34001536 PMC: 8323187. DOI: 10.2337/dc20-3150.

References
1.
Deutsch A, Granger C, Fiedler R, DeJong G, Kane R, Ottenbacher K . Outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs for Medicare beneficiaries with hip fracture. Med Care. 2005; 43(9):892-901. DOI: 10.1097/01.mlr.0000173591.23310.d5. View
2.
Stineman M, Escarce J, Goin J, Hamilton B, Granger C, Williams S . A case-mix classification system for medical rehabilitation. Med Care. 1994; 32(4):366-79. DOI: 10.1097/00005650-199404000-00005. View
3.
Schwartz A . Diabetes Mellitus: Does it Affect Bone?. Calcif Tissue Int. 2003; 73(6):515-9. DOI: 10.1007/s00223-003-0023-7. View
4.
Granger C, Reistetter T, Graham J, Deutsch A, Markello S, Niewczyk P . The Uniform Data System for Medical Rehabilitation: report of patients with hip fracture discharged from comprehensive medical programs in 2000-2007. Am J Phys Med Rehabil. 2011; 90(3):177-89. PMC: 3147279. DOI: 10.1097/PHM.0b013e31820b18d7. View
5.
Ottenbacher K, Hsu Y, Granger C, Fiedler R . The reliability of the functional independence measure: a quantitative review. Arch Phys Med Rehabil. 1996; 77(12):1226-32. DOI: 10.1016/s0003-9993(96)90184-7. View