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- W2078653324 abstract "Objective: To examine the relations between discharge pain level and discharge functional status in aged Medicare fee-for-service patients with hip fracture. Design: Secondary data analysis of Medicare claims and assessment data using the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) 2005 database. Setting: 970 inpatient rehabilitation hospitals and rehabilitation units in the United States. Participants: 14,329 patients with unilateral hip fracture. Interventions: Not applicable. Main Outcome Measures: Discharge FIM mobility and discharge FIM cognitive scores. Results: Among patients 65 or older with hip fracture the mean ± SD age was 81±7 years. Most patients were women (74%). Separate linear regression models predicting discharge mobility FIM score and discharge cognitive FIM score as the outcome variables showed that patient-reported pain score at discharge was a significant predictor of function for both mobility and cognition when age, sex, and admission FIM score (either mobility or cognitive) were included as covariates (P<.001 and P=.001, respectively). Conclusions: Among aged Medicare fee-for-service patients with a unilateral hip fracture, the average age of patients was over 80, and almost one third of fractures occurred in elderly men. Pain, as described by patient report at discharge, was significantly associated with discharge functional status for both mobility and cognition after accounting for the effect of age, sex, and functional status on admission." @default.
- W2078653324 created "2016-06-24" @default.
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- W2078653324 date "2008-11-01" @default.
- W2078653324 modified "2023-10-16" @default.
- W2078653324 title "Course 412: Geriatrics: Association of Pain and Functional Recovery for Aged Medicare Patients With Hip Fracture" @default.
- W2078653324 doi "https://doi.org/10.1016/j.apmr.2008.09.016" @default.
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