Frailty and resilience in an older population. The role of resilience during rehabilitation after orthopedic surgery in geriatric patients with multiple comorbidities

Paola Iannello, Alessandro Antonietti, Anna Mottini, Giulia Angela Antonella Rebagliati, Luciana Sciumé, Valerio Antonello Caserta, Valeria Gattoronchieri, Lorenzo Panella, Camilla Callegari

Risultato della ricerca: Contributo in rivistaArticolo in rivista

27 Citazioni (Scopus)

Abstract

Hip fracture is common in the elderly and it is usually associated with comorbidities and physiological changes which may have an impact on functioning and quality of life. The concept of resilience may explain why this impact varies among patients. The aim of this open, prospective cohort study was to explore the relationships between resilience, frailty and quality of life in orthopedic rehabilitation patients, and also to assess whether these factors might affect rehabilitation outcome. Eighty-one patients, older than 60 years, underwent a multidisciplinary assessment at the beginning and at the end of the rehabilitation period following orthopedic surgery to the lower limb. The assessments were performed using the Resilience Scale, the Multidimensional Prognostic Index (as a measure of frailty), the WHO Quality of Life-BRIEF, the Geriatric Depression Scale, and the Functional Independence Measure (as a measure of the rehabilitation outcome). A negative correlation between disability and resilience emerged and this association interacted with frailty level. We also found that resilience and quality of life are positive predictors of functional status at discharge. © 2016 CIC Edizioni Internazionali Unauthorized reproduction of this article is prohibited.
Lingua originaleEnglish
pagine (da-a)171-177
Numero di pagine7
RivistaFunctional Neurology
Volume31
Stato di pubblicazionePubblicato - 2016

Keywords

  • Frailty
  • Geriatric
  • Hip fracture
  • Quality of life
  • Resilience

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