Factors Associated with Recovered Functionality After Hip Fracture in Non-Institutionalized Older Adults: A Case-Control Study Nested in a Cohort
| Autor: | Karla Moreno-Tamayo, Eliseo Ramírez-García, Sergio Sánchez-García, Guadalupe García De La Torre, Erika Judith Rodríguez Reyes, María Claudia Espinel-Bermúdez |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Logistic regression Barthel scale Internal medicine Activities of Daily Living medicine Humans functionality Socioeconomic status older adults Aged Original Research Hip fracture Hip Fractures business.industry case-control studies Case-control study Fear Recovery of Function General Medicine Anthropometry medicine.disease hip fracture Clinical Interventions in Aging Cohort Accidental Falls Female Geriatrics and Gerontology business |
| Zdroj: | Clinical Interventions in Aging |
| ISSN: | 1178-1998 |
| Popis: | Eliseo RamÃrez-GarcÃa,1 Guadalupe S GarcÃa de la Torre,2 Erika Judith RodrÃguez Reyes,3 Karla Moreno-Tamayo,1 MarÃa Claudia Espinel-Bermudez,4 Sergio Sánchez-GarcÃa1 1Epidemiological and Health Services Research Unit, Aging Area, National Medical Center XXI Century, Instituto Mexicano del Seguro Social, Mexico City, Mexico; 2Public Health Department, School of Medicine, Universidad Nacional Autónoma de México, Mexico City, Mexico; 3Epidemiological Surveillance Coordination, Instituto Mexicano del Seguro Social, Mexico City, Mexico; 4Clinical Epidemiology Research Unit, UMAE Specialties Hospital, Western Medical Center, Instituto Mexicano del Seguro Social, Guadalajara, MéxicoCorrespondence: Sergio Sánchez-GarcÃa Email sergio.sanchezga@imss.gob.mxPurpose: To identify factors associated with recovered functionality after a hip fracture in a sample of older adult patients.Patients and Methods: Nested case-control study in a cohort. Older adults (60 years or older) with a hip fracture were recruited between May 2017 and October 2018. The Barthel scale was used to measure performance in activities of daily living (ADL). A questionnaire was applied to collect information about demographic, clinic, psychological and social variables, and anthropometric measurements were taken. A logistic regression model was built to analyze various factors related to recovered functionality.Results: A total of 346 older adults with a hip fracture were studied (n=173 cases and n=173 controls); 69.4% (n=240) women and 30.6% (n=140) men. Mean age was 79.4 years (± 8.7) overall; for cases, 77.4 (± 7.9) years and for controls, 81.4 (± 9.0). Mean schooling was 6.3 (± 4.3) years. Recovered functionality was associated with normal nutritional status (OR 4.81, 95% CI = 2.54â 9.12), absence of heart disease (OR 4.08, 95% CI = 1.48â 11.20), self-efficacy for ADL (OR 4.07, 95% CI = 2.15â 7.72), absence of depressive symptoms (OR 2.99, 95% CI = 1.69â 5.28), prior functionality (OR 2.83, 95% CI = 1.51â 5.31), high socioeconomic level (OR 2.41, 95% CI = 1.24â 4.65) and transcervical fracture (OR 2.34, 95% CI = 1.05â 5.22).Conclusion: In older adults who have suffered a hip fracture, clinical, psychological, and demographic characteristics are associated with recovered functionality. These factors should be considered as a priority in the care of older adults who have experienced hip fractures.Keywords: functionality, hip fracture, older adults, case-control studies |
| Databáze: | OpenAIRE |
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