Table 7.
Literature summary
Study | Year | Results |
---|---|---|
Chiu et al. [3] | 1992 | Of 1430 patients with hip fractures, 146 (10.2%) had previous cerebrovascular accidents; the fracture was on the hemiplegic side in 82% of patients |
Di Monaco et al. [8] | 2003 | Activity ability was significantly less in the patients with stroke than in the control subjects; lower cognitive ability was negatively associated with activity ability |
Youm et al. [43] | 2000 | Of 862 patients with hip fractures, 63 (7.3%) had a history of cerebrovascular accident; the fracture was on the hemiplegic side in 46 (86.8%) of the 53 patients with hemiplegia; patients who had a history of cerebrovascular accident were more likely to have an ASA rating of III or IV, have three or more comorbidities, be a home ambulator, and have a higher average length of hospital stay (28.5 days) than those who did not have a prior cerebrovascular accident (22.4 days); when controlling for prefracture level of function, there were no differences in the rate of functional recovery between the two groups of patients |
Current study | 2008 | Patients with poststroke hip fracture represented 7.3% of all patients; 88.1% of hip fractures after a stroke occurred on the hemiparetic side; the patients with hemiplegia were sicker than those without hemiplegia according to the ASA rating of preoperative risk and more likely to have three or more comorbidities, lower cognitive ability, and weaker walking ability than patients without hemiplegia; patients with hemiplegia had longer days of hospitalization and higher mortality rate at 1 year followup (for patients with hemiplegia who experienced hip fractures) |
ASA = American Society of Anesthesiologists.