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Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture

After hip fracture, older adults experience poor functional outcomes including a lack of IADL recovery. Gender differences exist in risk, incidence, mortality, and complication rates; yet, analyses of predictive factors of IADL especially by gender are often not conducted. The purpose of this study...

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Detalles Bibliográficos
Autores principales: Colancecco, Elise, Kolanowski, Ann, Chinchilli, Vernon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740319/
http://dx.doi.org/10.1093/geroni/igaa057.957
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author Colancecco, Elise
Kolanowski, Ann
Chinchilli, Vernon
author_facet Colancecco, Elise
Kolanowski, Ann
Chinchilli, Vernon
author_sort Colancecco, Elise
collection PubMed
description After hip fracture, older adults experience poor functional outcomes including a lack of IADL recovery. Gender differences exist in risk, incidence, mortality, and complication rates; yet, analyses of predictive factors of IADL especially by gender are often not conducted. The purpose of this study was to investigate gender differences in predictive factors of IADL recovery for older adults at two and six months following hip fracture. This secondary analysis used data (n=326 with IADL of n=399) the Baltimore Hip Studies (BHS-7 cohort). Participants were >65 years of age and community-dwelling. Men were sequentially enrolled; women were frequency-matched. Data analysis required building a shared parameter model was built that incorporated an ordinal logistic regression within a generalized linear mixed-effects model, in conjunction with a time-to-event hazards regression model for the time to death or withdrawal. Predictive factors included: age, race, marital status, and comorbidities; physical function; cognitive status (3MS); and psychosocial function (depression [CES-D], resilience, fear of falling, social participation, and perceived health status. Results indicated that higher age (OR 1.1 95% CI 1.05, 1.15, p< .01), greater comorbidity burden (OR 1.31 95% CI 1.08, 1.6, p < .01), poorer baseline Lower Physical ADL ( OR 1.8 95% CI 1.54, 2.15, p< .01), better cognitive function (OR 0.95 95% CI 0.9, 1; p= 0.047) and poorer LPADL recovery (OR 1.27 95% CI 1.07, 1.5, p< .05) significantly impacted IADL recovery. The stratified (by gender) model was not as strong as the full model, but did indicate some gender differences may exist.
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spelling pubmed-77403192020-12-21 Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture Colancecco, Elise Kolanowski, Ann Chinchilli, Vernon Innov Aging Abstracts After hip fracture, older adults experience poor functional outcomes including a lack of IADL recovery. Gender differences exist in risk, incidence, mortality, and complication rates; yet, analyses of predictive factors of IADL especially by gender are often not conducted. The purpose of this study was to investigate gender differences in predictive factors of IADL recovery for older adults at two and six months following hip fracture. This secondary analysis used data (n=326 with IADL of n=399) the Baltimore Hip Studies (BHS-7 cohort). Participants were >65 years of age and community-dwelling. Men were sequentially enrolled; women were frequency-matched. Data analysis required building a shared parameter model was built that incorporated an ordinal logistic regression within a generalized linear mixed-effects model, in conjunction with a time-to-event hazards regression model for the time to death or withdrawal. Predictive factors included: age, race, marital status, and comorbidities; physical function; cognitive status (3MS); and psychosocial function (depression [CES-D], resilience, fear of falling, social participation, and perceived health status. Results indicated that higher age (OR 1.1 95% CI 1.05, 1.15, p< .01), greater comorbidity burden (OR 1.31 95% CI 1.08, 1.6, p < .01), poorer baseline Lower Physical ADL ( OR 1.8 95% CI 1.54, 2.15, p< .01), better cognitive function (OR 0.95 95% CI 0.9, 1; p= 0.047) and poorer LPADL recovery (OR 1.27 95% CI 1.07, 1.5, p< .05) significantly impacted IADL recovery. The stratified (by gender) model was not as strong as the full model, but did indicate some gender differences may exist. Oxford University Press 2020-12-16 /pmc/articles/PMC7740319/ http://dx.doi.org/10.1093/geroni/igaa057.957 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Colancecco, Elise
Kolanowski, Ann
Chinchilli, Vernon
Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title_full Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title_fullStr Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title_full_unstemmed Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title_short Gender Differences in Predictive Factors of Older Adults’ IADL Recovery Following Hip Fracture
title_sort gender differences in predictive factors of older adults’ iadl recovery following hip fracture
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7740319/
http://dx.doi.org/10.1093/geroni/igaa057.957
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