OBJECTIVE: To compare the ambulatory status following @entity173 surgery in the acute setting between older adults from @entity1162 ( @entity1162 ) and the community. SETTING: A 650-bed, urban, inner city, university-affiliated teaching hospital. METHODS: One hundred forty @entity173 @entity1 (60-97 years) from @entity1162 and the community were examined. Ambulatory status before and after surgery was categorized four ways based on the degree of independence in ambulation: A1 = independent ambulation (with or without an assisting device), A2 = assistance of another @entity1 required, A3 = predominant use of a wheelchair, and A4 = bed-bound. Change in ambulatory status was designated as "moderate" if the deterioration was one status level only (A1 to A2, A2 to A3, and A3 to A4) or "major" if the deterioration was more than one status level (A1 to A3/A4 or A2 to A4). Additional variables such as age, sex, risk factors, length of stay, history of drug use, and laboratory results also were examined. RESULTS: @entity173 @entity1 from @entity1162 were older (P = 0.0160) and had more overall risk factors for @entity173 (P = 0.0039) than community @entity1 . They also had higher rates of @entity303 (P < 0.000), @entity943 (P = 0.025), @entity933 (P = 0.0016) and anxiolytics use (P = 0.019) than @entity1 from the community. On admission, @entity1162 @entity1 had lower serum @entity460 (P = 0.0003), @entity3151 (P = 0.0210), and albumin (P = 0.0004) than community @entity1 . Before hospitalization they also were less ambulatory (P = 0.002) than community @entity1 . Post surgery, ambulatory status declined in both groups. However, a "major" change (decline) in ambulatory status occurred more often in @entity1162 @entity1 (P = 0.001). CONCLUSIONS: A greater decline in ambulatory status is seen in @entity1 from @entity1162 than in community @entity1 , immediately following @entity173 surgery. Compared with community @entity1 , @entity1162 @entity1 are also older, sicker (higher total risk score) and have an increased risk for a decline in functional status.

Outcome in ambulatory status immediately following XXXX surgery in the acute setting: a comparison of nursing home residents and community older adults.

@entity1 :: ('9606', 'Species') :: ['patients', 'person'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity3151 :: ('MESH:D010758', 'Chemical') :: ['phosphorus'] @entity173 :: ('MESH:D006620', 'Disease') :: ['Hip fracture', 'hip fracture'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity933 :: ('MESH:D003693', 'Disease') :: ['delirium'] @entity1162 :: ('MESH:D008133', 'Disease') :: ['LTCF', 'long-term care facilities'] @entity943 :: ('MESH:D001145', 'Disease') :: ['arrhythmia']
@entity173 :: (MESH:D006620,Disease) :: ['hip fracture']
