| Autor: |
Orive, M., Aguirre, U., García‐Gutiérrez, S., Las Hayas, C., Bilbao, A., González, N., Zabala, J., Navarro, G., Quintana, J. M. |
| Zdroj: |
International Journal of Clinical Practice; Apr2015, Vol. 69 Issue 4, p491-500, 10p, 4 Charts, 1 Graph |
| Abstrakt: |
Background The impact of hip fracture because of a fall on health-related quality of life ( HRQoL) and activities of daily living ( ADL) have not been well established. Aim To evaluate changes in HRQoL and the ability to conduct ADL among patients with hip fracture because of a fall and to compare these changes with patients who did not fall and break a hip, adjusting by gender and age. Methods Adults aged 65 or more who attended the emergency departments of seven public hospitals were recruited in a prospective double-cohort study (fracture cohort, n = 776; non-fracture cohort, n = 115). ADL and HRQoL were assessed at baseline (during the postfall hospitalisation or by telephone afterwards) and 6 months later using the Barthel Index and the Lawton Brody Index for ADL, and the Short Form Health Survey ( SF-12) and Western Ontario and McMaster Universities Osteoarthritis Index short form ( WOMAC- SF) for HRQoL. Results Adjusting by gender, age and baseline status, a hip fracture was a strong predictor of decline in all outcomes measured except for mental quality of life among men (measured by SF-12). Hip fracture patients younger than 74 years reported significantly more pain (measured by WOMAC- SF) than the comparison group (p = 0.02), but this difference was not observed among older patients (p = 0.19 for 75-84 years; p = 0.39 for ≥ 85 years). Discussion Hip fractures have profound effects on HRQoL and ADL in both men and women, regardless of age. This indicates the need for special follow-up care of elderly hip fracture patients in the immediate and late postfracture periods. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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