Without the use of reverse geometry implants, it is unlikely that the patients would have achieved their pre-morbid function.
The groups were well matched in terms of age, gender, pre-morbid function, illness severity, type of admission and BMI.
Depending on the amount of scarring, scarred tissue usually does not properly restore the architecture and perform the pre-morbid function of the injured tissue.
Pre-morbid function and cognitive status were determined based on a combination of the medical records and proxy report.
The second was an 87-year-old female with extremely poor pre-morbid function whose family elected for non-surgical management.
This is not surprising given the known impact of acute illness and hospitalisation on cognition particularly in frail older patients and confirms that pre-morbid function cannot be assumed to be maintained in hospital [ 1, 2, 7].
The INTERACTIVE trial is among the first to combine nutrition and exercise therapy as an intervention to address the serious consequence of rapid deconditioning and weight loss and subsequent ability to regain pre-morbid function in older patients post PFF.
It is important to provide adequate rehabilitation after hospitalisation to rehabilitate people as close to pre-morbid function as possible so that physical decline, hospital re-admission and even nursing home admission are avoided.
Strengths of this study relate to the number of patients recruited compared with previous studies and the assessment at multiple time points, including an evaluation of pre-morbid function along with five points in the first five years after ICU care.
The INTERACTIVE trial is among the first to combine nutrition and exercise therapy as an early intervention to address the serious consequence of rapid deconditioning and weight loss and subsequent ability to regain pre-morbid function in older patients post proximal femoral fracture.
