During a 12-month period, 44 (41%) of 108 patients (50 years of age or older) treated for hip fractures were discharged to a nursing home. One year after the fracture, 29 (66%) remained institutionalized, five (11%) had died, and ten (33%) had returned to their own homes. The discharge medical plan of care, completed by the surgeon, a registered nurse, and a social worker, was correct in predicting temporary institutionalization in only 66% of the cases. In an attempt to provide a more accurate method of predicting the outcomes of hip-fracture patients, a functional rating scale was developed. The scale proved to be a valuable adjunct in identifying those patients who were predisposed to permanent institutionalization.
Keene JS, Anderson CA. Hip Fractures in the Elderly: Discharge Predictions With a Functional Rating Scale. JAMA. 1982;248(5):564–567. doi:10.1001/jama.1982.03330050046029
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