Hip fractures in the elderly. Discharge predictions with a functional rating scale

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Abstract
During a 12-mo. period, 44 (41%) of 108 patients (50 yr or older) treated for hip fractures were discharged to a nursing home. One yr after the fracture, 29 (66%) remained institutionalized, 5 (11%) had died, and 10 (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.

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