TY - JOUR
T1 - Frailty and resilience in an older population. The role of resilience during rehabilitation after orthopedic surgery in geriatric patients with multiple comorbidities
AU - Rebagliati, Giulia Angela Antonella
AU - Sciumé, Luciana
AU - Iannello, Paola
AU - Mottini, Anna
AU - Antonietti, Alessandro
AU - Caserta, Valerio Antonello
AU - Gattoronchieri, Valeria
AU - Panella, Lorenzo
AU - Callegari, Camilla
PY - 2016
Y1 - 2016
N2 - 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.
AB - 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.
KW - Frailty
KW - Geriatric
KW - Hip fracture
KW - Quality of life
KW - Resilience
KW - Frailty
KW - Geriatric
KW - Hip fracture
KW - Quality of life
KW - Resilience
UR - http://hdl.handle.net/10807/86850
M3 - Article
SN - 0393-5264
VL - 31
SP - 171
EP - 177
JO - Functional Neurology
JF - Functional Neurology
ER -