Abstract
A hip fracture is traumatic for many older adults, often leading to declines in both health and health perception. Although health ratings often decrease from pre- to post-fracture, nothing is known about what influences cognitively impaired patients to assess their post-fracture health as they do. We developed a causal model of health perception following a hip fracture and previously reported this causal model for older hip fracture patients of high mental status. This study evaluates the same causal model on 145 patients of low mental status. We found a substantial reorganization of relative health and functional ratings, indicative of the highly disruptive impact of the hip fracture. Our findings suggest physical rehabilitation may aid in recovery from hip fracture and this merits further study.
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