{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T01:45:56Z","timestamp":1767923156138,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T00:00:00Z","timestamp":1486512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R37 AG09901"],"award-info":[{"award-number":["R37 AG09901"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01 AG029315"],"award-info":[{"award-number":["R01 AG029315"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32 AG00262"],"award-info":[{"award-number":["T32 AG00262"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010512","name":"Claude D. Pepper Older Americans Independence Center, University of California San Francisco","doi-asserted-by":"publisher","award":["P30 AG028747"],"award-info":[{"award-number":["P30 AG028747"]}],"id":[{"id":"10.13039\/100010512","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,3]]},"abstract":"\n Objectives<\/jats:title>\n There is limited research in cognition and its relationship to mortality after hip fracture among men compared to women. Therefore, the goals of this study were to: (1) compare men and women who fractured their hip on cognition after hospital discharge, and (2) examine the impact of cognition on the differential risk of 6\u2010month mortality between men and women post fracture.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Eight hospitals in Baltimore, Maryland.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Frequency matched 168 male and 171 female hip fracture patients, ages 65 or older, living in the community before fracture.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Cognition assed by Modified Mini\u2010Mental State Examination (3\n MS<\/jats:styled-content>\n , and derived\n MMSE<\/jats:styled-content>\n score), Hooper Visual Organization test (\n HVOT<\/jats:styled-content>\n ), and Trail\u2010making test (Trails A & B) within 22 days of hospital admission, and 6\u2010month mortality.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Men had more impaired cognitive scores on 3\n MS<\/jats:styled-content>\n ,\n MMSE<\/jats:styled-content>\n ,\n HVOT<\/jats:styled-content>\n , and Trails A (\n P<\/jats:italic>\n < .05) at baseline. These statistically significant differences between men and women remained on\n MMSE<\/jats:styled-content>\n and\n HVOT<\/jats:styled-content>\n after controlling for pre\u2010fracture dementia, in\u2010hospital delirium, age, education, race, and comorbidity. Men had higher 6\u2010month mortality rates (\n HR<\/jats:styled-content>\n = 4.4,\n P<\/jats:italic>\n < .001). Cognitive measures were also significantly associated with mortality, including 3\n MS<\/jats:styled-content>\n ,\n HVOT<\/jats:styled-content>\n , and Trails B. Among the cognitive measures, higher 3\n MS<\/jats:styled-content>\n was most protective for mortality (\n HR<\/jats:styled-content>\n = 0.98,\n P<\/jats:italic>\n < .001), both unadjusted and adjusted for other cognitive scales, comorbidity, delirium, and pre\u2010existing dementia. The highest mortality was among men with 3\n MS<\/jats:styled-content>\n <78, with 26.3% dying within 6 months. The effects of cognition on mortality did not differ by sex.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Men display greater levels of cognitive impairment within the first 22 days of hip fracture than women, and cognitive limitations increase the risk of mortality in both men and women.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14674","type":"journal-article","created":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T00:05:11Z","timestamp":1486512311000},"source":"Crossref","is-referenced-by-count":21,"title":["Cognitive Differences between Men and Women who Fracture their Hip and Impact on Six\u2010Month Survival"],"prefix":"10.1111","volume":"65","author":[{"given":"Ann L.","family":"Gruber\u2010Baldini","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Hosseini","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of Maryland Baltimore County Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Orwig","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn","family":"Grattan","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Chiles Shaffer","sequence":"additional","affiliation":[{"name":"National Institute on Aging Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Hochberg","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine Baltimore 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Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/55.9.M498"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-011-1601-6"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-013-2375-9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(05)80082-8"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/61.5.495"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.82.8.1147"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/00003086-199510000-00028","article-title":"Determinants of reduced survival following hip fractures in men","volume":"319","author":"Poor G","year":"1995","journal-title":"Clin Orthop Relat 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