The impact of hip fracture on health-related quality of life and activities of daily living : the SPARE-HIP prospective cohort study
| Autor: | I. Etxebarria-Foronda, C. Martín-Hernández, J. Martínez-Iñiguez Blasco, J. Rodriguez Solis, I Andres Cano, Daniel Prieto-Alhambra, C. Pablos Hernández, I. Perez-Coto, L Rodríguez Mañas, Abel Herrera, G Adrados Bueno, Antony Palmer, D. Mifsut, I. Aguado-Maestro, O Torregrosa Suau, J Teixidor Serra, L Ezquerra Herrando, M. F. Bravo Bardaji, M. Salomó-Domènech, A Diez-Perez, M. Barres-Carsi, L. Gracia Delgado, Xavier Nogués, H. Kessel, E Vaquero-Cervino, S. Mills, José Ramón Caeiro-Rey, L. D. R. Evangelista, B. Llado Ferrer, Fátima Brañas, D. Moral-Cuesta |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Male Quality of life medicine.medical_specialty Activities of daily living Short Communication humanos Osteoporosis coste de las enfermedades 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Cost of Illness Interquartile range estudios prospectivos Activities of Daily Living medicine Humans Orthopedics and Sports Medicine Femur Patient Reported Outcome Measures Prospective Studies Registries Prospective cohort study actividades de la vida diaria mediana edad Aged Aged 80 and over anciano Hip fracture business.industry Middle Aged medicine.disease Fragility hip fracture Femoral Neck Fractures Spain calidad de vida Orthopedic surgery Physical therapy Female 030101 anatomy & morphology business fracturas del cuello femoral |
| Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Archives of Osteoporosis r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname |
| ISSN: | 1862-3522 |
| Popis: | PurposeThe medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported health-related quality of life.MethodsDesign and participants: Multicentric prospective cohort study. Consecutive sample patients with fragility hip fracture over 50years old admitted in 48 hospitals in Spain.Outcomes: daily living activity function (Barthel Index) and health-related quality of life (EQ-5D) pre-fracture, admission to hospital and at 1- and 4-month follow-up post-fracture.Statistics: Barthel and EQ-5D over time are described as mean (SD) and median (interquartile range).ResultsA total of 997 patients were recruited at baseline with 4-month outcomes available for, and 856 patients (89.5%). Barthel Index fell from 78.77 (23.75) at baseline to 43.62 (19.86) on admission to hospital with the fracture. Scores partially recovered to 54.89 (25.40) and 64.09 (21.35) at 1- and 4-month post-fracture, respectively. EQ-5D fell from a median of 0.75 (0.47-0.91) to -0.01 (-0.03 to 0.51) on admission. Partial recovery was observed again to (0.51 (-0.06 to 0.67)) and (0.60 (0.10 to 0.80)) at 1- and 4-month post-fracture, respectively.ConclusionsHip fracture results in a large decline in the ability to perform activities of daily living and patient-reported health-related quality of life with only partial recovery amongst survivors 4-month post-fracture. This work has been sponsored by an unrestricted grant of AMGEN to the Hospital del Mar Institute of Medical Investigation (IMIM). |
| Databáze: | OpenAIRE |
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