Factors associated with the course of health-related quality of life after a hip fracture

Moerman, Sophie; Vochteloo, Anne J. H.; Tuinebreijer, W.E.; Maier, Andrea B.; Mathijssen, Nina M C; Nelissen, Rob G H H

doi:10.1007/s00402-016-2474-0

Cited by 31 publications

(36 citation statements)

References 36 publications

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“…This is in accordance with studies of the same cohort of hip fracture patients as the current study. The studies focusing on of the level of mobility and health‐related quality of life showed that the most mobile patients were least likely to return to their prefracture mobility level and the healthier patients were less likely to return to their prefracture health‐related quality of life level . These healthier and more active patients have more to lose.…”

Section: Discussionsupporting

confidence: 89%

“…The studies focusing on of the level of mobility and health-related quality of life showed that the most mobile patients were least likely to return to their prefracture mobility level and the healthier patients were less likely to return to their prefracture health-related quality of life level. 23,24 These healthier and more active patients have more to lose. The type of anesthesia was no predictor in ADL decline between baseline and 3 months.…”

Section: Discussionmentioning

confidence: 99%

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Less than one‐third of hip fracture patients return to their prefracture level of instrumental activities of daily living in a prospective cohort study of 480 patients

Moerman

Mathijssen

Tuinebreijer

et al. 2018

Geriatrics Gerontology Int

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Less than one‐third of hip fracture patients return to their prefracture level of instrumental activities of daily living in a prospective cohort study of 480 patients

Moerman

Mathijssen

Tuinebreijer

et al. 2018

Geriatrics Gerontology Int

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“…Our study population is mainly composed of women over the age of 80, not institutionalized, which is in line with other studies [16,[28][29][30][31][32][33]. The length of hospitalisation was 5.3 days (±1.2), considerably less than what was reported in the Úbeda study.…”

Section: Discussionsupporting

confidence: 84%

“…The work carried out by [36] showed variations of 0.78 before the fracture, 0.59 at 4 months and 0.51 at 17 months. The smaller difference between the pre-fracture value and successive values compared to our study can be explained by the increase in the quality of life as a result of the recovery and rehabilitation process [33]. Another possible explanation for higher scores over longer follow-up periods could be the "response to change," where patients become accustomed to their illness or experience changes in their expectations about their state of health [37].…”

Section: Discussionmentioning

confidence: 70%

Quality of life in elderly people after a hip fracture: a prospective study

Amarilla-Donoso¹,

López-Espuela

Roncero-Martín

et al. 2020

Health Qual Life Outcomes

100

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Background: Hip fracture is an important social and medical problem due to its increasing prevalence, the consequences for health and the economic impact on the health care system, but there is no doubt that it also has repercussions on health-related quality of life (HRQoL). Hence the importance of understanding and determining the impact of the condition on everyday life from the perspective of the patient's physical, emotional and social well-being. Purpose: To determine the impact of hip fracture on HRQoL of people over the age of 65 1 month after surgery, related factors and the effects on functional ability and mood. Methods: Prospective observational study conducted in the traumatology units of two university hospitals in the province of Cáceres with consecutive sampling of all patients over the age of 65 admitted for hip fracture surgery during the study period. Sociodemographic and clinical data were recorded at the time of admission and prospectively at the follow-up visit 1 month later. Clinical, social, quality of life (EQ-5D-), basic functional and instrumental capacity (Barthel Index (BI) and Lawton & Brody Scale), and geriatric depression (Yesavage) variables were collected. Results: The study included 224 patients with a median age of 84.6 years (SD ± 6.1), 76.3% were female. Charlson's comorbidity was 5.3 (SD ± 1.2). The EQ-5D index decreased from 0.62 (SD ± 0.35) to 0.16 at 1 month follow up (SD ± 0.20) p < 0.001. The mean Visual Analog Scale (VAS) score of EQ-5D decreased from 72.8 (SD ±15.8) to 48.3 (SD ± 17.2) p < 0.001. All dimensions of EQ-5D showed a significant reduction from the time of pre-fracture status to 1 month after surgery. Independent factors associated with HRQoL 1 month after surgery were pre-fracture status Barthel Index score, Lawton and Brody scale, presence of depression, and type of surgery. Conclusions: After a hip fracture, patients experience considerable deterioration in their HRQoL, especially in selfcare, daily activities, and mobility. There is also a significant decline in functional capacity for both the basic and instrumental activities of daily living. One month after surgery, HRQoL is a long way from pre-fracture levels.

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“…Future investigations may deepen in this approach and in the quality of life rather than in-hospital mortality for evaluating outcome in elderly trauma patients[67,68]. Returning to their baseline quality of life is difficult in these patients, even in relatively minor trauma[69]. This expectative must be discussed with the patient (if possible) and relatives when we consider the treatment alternatives of elderly trauma patients.…”

Section: Postacute Care and Palliative Carementioning

confidence: 99%

Severe trauma in the geriatric population

Llompart‐Pou¹,

Pérez-Bárcena²,

Chico‐Fernández³

et al. 2017

WJCCM

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Geriatric trauma constitutes an increasingly recognized problem. Aging results in a progressive decline in cellular function which leads to a loose of their capacity to respond to injury. Some medications commonly used in this population can mask or blunt the response to injury. Falls constitute the most common cause of trauma and the leading cause of trauma-related deaths in this population. Falls are complicated by the widespread use of antiplatelets and anticoagulants, especially in patients with brain injury. Under-triage is common in this population. Evaluation of frailty could be helpful to solve this issue. Appropriate triaging and early aggressive management with correction of coagulopathy can improve outcome. Limitation of care and palliative measures must be considered in cases with a clear likelihood of poor prognosis.

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Factors associated with the course of health-related quality of life after a hip fracture

Abstract: Both PCS and MCS HRQoL declined after a hip fracture and PCS did not recover to baseline values. Healthier patients may need extra care to prevent them from having a steep decline in postoperative PCS HRQoL and arthroplasty should be considered with low threshold.

Cited by 31 publications

References 36 publications

Less than one‐third of hip fracture patients return to their prefracture level of instrumental activities of daily living in a prospective cohort study of 480 patients

Less than one‐third of hip fracture patients return to their prefracture level of instrumental activities of daily living in a prospective cohort study of 480 patients

Quality of life in elderly people after a hip fracture: a prospective study

Severe trauma in the geriatric population

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