{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T10:19:18Z","timestamp":1768040358757,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T00:00:00Z","timestamp":1526947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Literature investigating rehabilitation outcomes after hip surgery among individuals aged \u226585\u2009years is sparse. We compared the characteristics and outcomes of patients aged under and over 85\u2009years, and assessed factors potentially associated with rehabilitation success as described by the Barthel Index (BI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2011 to 2014, we prospectively enrolled 328 patients (<jats:italic>n<\/jats:italic>\u2009=\u2009152 aged\u2009&lt;85\u2009years, <jats:italic>n<\/jats:italic>\u2009=\u2009176 aged \u226585\u2009years) admitted to an orthogeriatric unit (Sondrio, Italy) with a diagnosis of hip fracture requiring surgical treatment. We excluded patients who were being treated conservatively. Outcomes included absolute functional gain (AFG; BI at discharge\u2009\u2212\u2009BI on admission), rehabilitation effectiveness index (AFG \/ length of stay) and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Older patients were more functionally (mean BI on admission: 11.7\u2009\u00b1\u20099.6 <jats:italic>vs<\/jats:italic> 16.4\u2009\u00b1\u200912.2, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and cognitively impaired than their younger counterparts (34.1% <jats:italic>vs<\/jats:italic> 18.4%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Surgery time (1.9\u2009\u00b1\u20091.2 <jats:italic>vs<\/jats:italic> 2.3\u2009\u00b11.3\u2009days, <jats:italic>P<\/jats:italic>\u2009=\u20090.008) and length of stay were shorter for older patients (5.7\u2009\u00b1\u20092.1 <jats:italic>vs<\/jats:italic> 6.6\u2009\u00b1\u20092.4\u2009days, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). There were no differences in terms of complications. Patients aged &lt;85\u2009years showed better functional outcomes (BI, AFG, REI) at discharge than patients aged \u226585\u2009years (mean AFG: 38.2\u2009\u00b1\u200924.2 <jats:italic>vs<\/jats:italic> 26.1\u2009\u00b1\u200922.0, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). BI on admission (OR 1.05, 95% CI 1.02\u20131.08) and cognitive impairment (OR 0.58, 95% CI 0.34\u20130.98) were independently associated with rehabilitation outcomes, regardless of chronological age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both groups (aged &lt;85 and \u226585\u2009years) showed a significant functional improvement at discharge. Older patients show a residual ability to recover after surgery. A high rehabilitation efficiency \u2013 regardless of age \u2013 should be pursued even for the oldest old patients experiencing hip fracture. <jats:bold>Geriatr Gerontol Int 2018; 18: 1194\u20131199<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13440","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T08:57:09Z","timestamp":1526979429000},"page":"1194-1199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Functional and clinical outcomes of patients aged younger and older than 85\u2009years after rehabilitation post\u2010hip fracture surgery in a co\u2010managed <scp>o<\/scp>rthogeriatric <scp>u<\/scp>nit"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0484-1136","authenticated-orcid":false,"given":"Paolo","family":"Mazzola","sequence":"first","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"},{"name":"Clinical Neurosciences Research Area NeuroMI \u2013 Milan Center for Neuroscience  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizia","family":"Floris","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"},{"name":"Acute Geriatrics Unit, Department of Medicine Sondrio Hospital, ASST of Valtellina and Alto Lario  Sondrio Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Picone","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Anzuini","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleni","family":"Tsiantouli","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"},{"name":"Department of Bone Diseases Geneva University Hospital  Geneva Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Haas","sequence":"additional","affiliation":[{"name":"Neuroscience and Mental Health Institute, University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Bellelli","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"},{"name":"Clinical Neurosciences Research Area NeuroMI \u2013 Milan Center for Neuroscience  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"De Filippi","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit, Department of Medicine Sondrio Hospital, ASST of Valtellina and Alto Lario  Sondrio Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Annoni","sequence":"additional","affiliation":[{"name":"Acute Geriatrics Unit School of Medicine and Surgery, University of Milano\u2010Bicocca  Monza Italy"},{"name":"Clinical Neurosciences Research Area NeuroMI \u2013 Milan Center for Neuroscience  Milan 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