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Prevalence of Major Life Events in the Elderly: Hip Fracture Patients, Ambulatory Rheumatology Patients and Community Dwellers

Margaret G. E. Peterson, PhD1, John P. Allegrante, PhD2, C. Ronald MacKenzie, MD3, David L. Helfet, MD4, Stephen A. Paget, MD3, and Marjorie Pangas, MS, RN3. (1) Research Division, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, (2) Department of Health and Behavior Studies, Columbia University, Teachers College, 525 West 120th Street, New York, NY 10027, 212-678-3960, jpa1@columbia.edu, (3) Department of Rheumatology, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, (4) Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021

Purpose: The aim of this study was to compare the occurrence of life events experienced by hip fracture patients, non-fracture patients and community-dwelling controls. Design: Cross-sectional survey study. Methods: The study reports on 54 hip fracture, 63 ambulatory patients, and 115 community residents, over 65 years of age. Two questionnaires were completed; a demographic questionnaire and an adaptation of the Holmes and Rahe Social Readjustment Rating Scale. Results: The total number of life events was higher for hip fracture patients than for the community group (p=0.02). Changes in sleeping habits, activities, and illness were the most common events. At least one bereavement was reported by 32% of hip fracture patients, 27% of ambulatory patients, and 26% of community-dwelling respondents (p=0.8). 10% of all respondents reported being affected by more than one death. Implications: Hip fracture patients and symptomatic patients may have experienced several events, which have affected their quality of life.

Learning Objectives: By the end of this session attendees will be able to

Keywords: Elderly, Stress

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Innovations in Long-term Care

The 132nd Annual Meeting (November 6-10, 2004) of APHA