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Colter Mitchell: Biological consequences of poverty
Huang, Y., Y. Shyu, Jersey Liang, M. Chen, H. Cheng, and C. Wu. 2012. "Diabetes and Health Outcomes Among Older Taiwanese with Hip Fracture." Rejuvenation Research, 15(5): 476-482.
Objective: Hip fracture tremendously impacts functional abilities for the elderly with high morbidity and mortality; recovery is compromised by co-morbidities. Diabetes mellitus is a common co-morbidity for the aging population, but little is known about the influence of diabetes on outcomes of the Asian elderly with hip fracture. Research Design and Methods: This study was a secondary analysis of data on 242 community-dwelling elders with hip fracture from three previous longitudinal studies. Sixty-one cases (25.2%) had diabetes. Outcomes were measured by the Chinese Barthel Index, Medical Outcomes Study Short Form-36 Taiwan version, and analyzed by the generalized estimating equation approach to examine how diabetes influenced hip-fractured elders' mortality, service utilization, mobility, daily activities, and health-related quality of life during the first 12 months after postsurgical discharge in Taiwan. Results: Hip-fractured elderly with diabetes had a significantly higher mortality rate (22.6% vs. 10.3%, p = 0.03) during the first year following discharge, and significantly higher readmission rate (10.0% vs. 2.5%, p = 0.04) from the first to third month following discharge than those without diabetes. After controlling for covariates, elderly participants without diabetes had an overall 2.2 times (confidence interval [ CI] = 1.15-4.21) greater odds of recovery in walking ability and better reported general health (beta = 9.33; p = 0.01) and physical functioning (beta = 7.26; p = 0.02) than those with diabetes during the first year after discharge. Conclusions: Diabetes negatively influenced outcomes of elderly patients with hip fracture. The results may provide a reference for developing interventions for hip-fractured elders with diabetes.
Country of focus: Taiwan.