{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T23:08:05Z","timestamp":1777158485717,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"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":["Psychogeriatrics"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Clinical outcomes of patients with proximal femoral fracture within 1\u2009year after hospitalization are presented. In particular, associations between the patients' clinical status and their pre\u2010fracture residence were evaluated (community\u2010dwelling vs nursing home).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients aged \u226560\u2009years with proximal femoral fractures were included in a prospective, single\u2010centre observational study and followed for 12\u2009months. Patients' clinical status at baseline was compared to their health status at follow\u2010up 12\u2009months later. Several standardized questionnaires were used to evaluate the patients' functional and cognitive capacity (e.g. Lawton Instrumental Activities of Daily Living Scale, Barthel Index, and Mini\u2010Mental State Examination), mobility (timed up\u2010and\u2010go test, Tinetti Test, and Harris Hip Score), quality of life (EuroQol\u20105 Dimensions index and EuroQol Visual Analogue Scale), and psychological status (Geriatric Depression Scale).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study included 402 patients (mean age: 81.3\u2009\u00b1\u20098.2\u2009years, 72% women). Patients stayed in hospital for 13.7\u2009\u00b1\u20096.1\u2009days on average. The comparison of patients' clinical status at baseline and at 12\u2010month follow\u2010up revealed that the Mini\u2010Mental State Examination and Charlson Comorbidity Index remained unchanged (<jats:italic>P<\/jats:italic> =\u20090.527 and <jats:italic>P<\/jats:italic> =\u20090.705), the level of depression (Geriatric Depression Scale) significantly decreased (<jats:italic>P<\/jats:italic> &lt;\u20090.001), and quality of life (EuroQol\u20105 Dimensions index) diminished (<jats:italic>P<\/jats:italic> &lt;\u20090.001). Although patients' mobility increased after 12\u2009months (<jats:italic>P<\/jats:italic> &lt;\u20090.001 for timed up\u2010and\u2010go test and Harris Hip Score), their functional capacity was significantly reduced (<jats:italic>P<\/jats:italic> &lt;\u20090.001 for Barthel Index and Lawton Instrumental Activities of Daily Living Scale). Nursing home residents showed a significantly higher impairment at baseline than community\u2010dwelling individuals and less improvement in functional and cognitive tests at 12\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Clinical outcomes after hip fracture are significantly associated with patients' pre\u2010fracture residence status. Place of residence as well as functional and cognitive status on admission may lead to differences in functional recovery and affect therapeutic and rehabilitative decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12450","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T12:16:10Z","timestamp":1553775370000},"page":"11-19","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Association between longitudinal clinical outcomes in patients with hip fracture and their pre\u2010fracture place of residence"],"prefix":"10.1111","volume":"20","author":[{"given":"Monika","family":"Balzer\u2010Geldsetzer","sequence":"first","affiliation":[{"name":"University Hospital Essen Geriatric Centre Haus Berge  Contilia GmbH Germany"},{"name":"Department of Neurology Philipps\u2010University Marburg  Giessen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Buecking","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Philipps\u2010University Marburg  Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffen","family":"Ruchholtz","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Philipps\u2010University Marburg  Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Kis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center  Goettingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dodel","sequence":"additional","affiliation":[{"name":"University Hospital Essen Geriatric Centre Haus Berge  Contilia GmbH Germany"},{"name":"Department of Neurology Philipps\u2010University Marburg  Giessen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8323-5240","authenticated-orcid":false,"given":"Philipp","family":"Hessmann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center  Goettingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-007-1258-y"},{"key":"e_1_2_6_3_1","unstructured":"Federal Statistical Office of Germany.2017. Diagnostic data of the hospitals starting from 2000 (key figures of full\u2010time inpatients). Classification: year place of treatment\/residence ICD10. Region: Germany ICD10: S72 Fracture of femur Type of standardization: Standard population Germany 2011. 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