BACKGROUND: @entity73 is common in the @entity173 @entity1 population, yet few studies of functional recovery include this subgroup. The objective was to determine whether baseline cognition was a determinant of the rate of functional recovery over 6 months after @entity173 . METHODS: A consecutive cohort of 383 @entity1 65 years or older who were treated for @entity173 within a Canadian health region were grouped on cognitive status. @entity1 with Mini-Mental Status Examination scores <18 at 3-5 days postoperatively were classified as cognitively impaired. Primary outcome was the Functional Independence Measure. Interviews were completed within 5 days postoperatively (baseline), 1, 3, and 6 months postoperatively. Linear mixed modeling examined the pattern of recovery and the effect of cognitive status. RESULTS: Of the 383 @entity1 , 104 (27%) had Mini-Mental Status Examination scores of less than 18. The effect size for changes in the @entity15467 over 6 months was large for those without @entity73 (effect size = 2.3) and smaller for those with @entity73 (effect size = 0.9). After adjusting for age, gender, proxy respondent, and @entity174 type, @entity1 with @entity73 recovered more slowly, never attaining comparable levels with those without @entity73 . The 6-month health status for the cohort was substantially lower than the health status of age-gender-matched, community-dwelling adults. CONCLUSIONS: @entity1 with @entity73 who @entity174 their hips recover more slowly and achieve less functional recovery. Recovery is not uniform nor is it linear over the initial 6 months. The diversity of @entity1 needs should be recognized postoperatively so that long-term recovery is optimized.

Cognitive Status at Hospital Admission: Postoperative Trajectory of Functional Recovery for Hip XXXX .

@entity1 :: ('9606', 'Species') :: ['participants', 'Patients', 'patients', 'patient', 'Participants'] @entity15467 :: ('MESH:C535759', 'Disease') :: ['FIM'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment', 'impaired cognition', 'Cognitive impairment'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fracture']
@entity174 :: (MESH:D050723,Disease) :: ['Fracture']
