More than half of hip fracture patients do not regain mobility in the first postoperative year

Vochteloo, Anne J. H.; Moerman, Sophie; Tuinebreijer, W.E.; Maier, Andrea B.; Vries, Mark R. de; Bloem, Rolf M.; Nelissen, Rob G H H; Pilot, Peter

doi:10.1111/j.1447-0594.2012.00904.x

Cited by 131 publications

(89 citation statements)

References 20 publications

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“…Between 40 and 60 % of hip fracture survivors are likely to recover their prefracture level of mobility [25,37,47]. Up to 70 % of people may regain their pre-fracture level of independence for composite measures of basic ADL [22,48,51], but this proportion is likely to be lower for those with higher levels of dependence pre-fracture [48].…”

Section: Discussionmentioning

confidence: 99%

“…Two studies have indicated that the proportion recovering their pre-fracture mobility can continue to increase beyond 3 months (Table 4) [37,44]. However as these data represent mobility in survivors, this may indicate longer survival of those with better mobility.…”

Section: Activity Outcomes Mobilitymentioning

confidence: 99%

“…The majority of studies included patients aged 60 or 65 years and over, although nine studies included patients aged 50 years or over [12,18,24,25,[30][31][32][33][34][35][36]. Eight studies specifically enrolled patients with hip fracture as a result of low-impact trauma or falls [12,23,27,33,[36][37][38][39]; one included patients with fractures obtained from low to moderate energy trauma [30]. The remaining studies did not use the type of trauma that the injury was sustained from as an eligibility criterion.…”

Section: Study Characteristicsmentioning

confidence: 99%

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A Critical Review of the Long-Term Disability Outcomes Following Hip Fracture

Dyer

Crotty

Fairhall

et al. 2017

Innovation in Aging

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Background: Hip fractures are an increasingly common consequence of falls in older people that are associated with a high risk of death and reduced function. This review aims to quantify the impact of hip fracture on older people's abilities and quality of life over the long term. Methods: Studies were identified through PubMed and Scopus searches and contact with experts. Cohort studies of hip fracture patients reporting outcomes 3 months post-fracture or longer were included for review. Outcomes of mobility, participation in domestic and community activities, health, accommodation or quality of life were categorised according to the World Health Organization's International Classification of Functioning and synthesised narratively. Risk of bias was assessed according to four items from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Results: Thirty-eight studies from 42 publications were included for review. Most followed a clearly defined sample from the time of fracture. Hip fracture survivors experienced significantly worse mobility, independence in function, health, quality of life and higher rates of institutionalisation than age matched controls. The bulk of recovery of walking ability and activities for daily living occurred within 6 months after fracture. Between 40 and 60 % of study participants recovered their pre-fracture level of mobility and ability to perform instrumental activities of daily living, while 40-70 % regained their level of independence for basic activities of daily living. For people independent in self-care pre-fracture, 20-60 % required assistance for various tasks 1 and 2 years after fracture. Fewer people living in residential care recovered their level of function than those living in the community. In Western nations, 10-20 % of hip fracture patients are institutionalised following fracture. Few studies reported impact on participation in domestic, community, social and civic life.

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Section: Discussionmentioning

confidence: 99%

Section: Activity Outcomes Mobilitymentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

A Critical Review of the Long-Term Disability Outcomes Following Hip Fracture

Dyer

Crotty

Fairhall

et al. 2017

Innovation in Aging

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“…This compares with less than half of treated patients who regained their pre-fracture mobility in another study. 15 According to an internal survey conducted at Prince of Wales Hospital, only 22% of patients received out-patient physiotherapy; the major reason (71%) was "not referred". Inadequate rehabilitation after discharge may explain poor functional recovery after Poor functional recovery after hip fracture may contribute to this high institutionalisation rate, as fractures are significantly associated with mildto-severe functional limitations.…”

Section: Consequences Of Fragility Hip Fracturementioning

confidence: 99%

How well are we managing fragility hip fractures? A narrative report on the review with the attempt to setup a Fragility Fracture Registry in Hong Kong

Leung

Yuen

Ngai³

et al. 2017

Hong Kong Med J

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“…Sechs Monate nach einem Sturzereignis beträgt die Mortalität zwischen 11-23 %, nach einem Jahr zwischen 22-29 % und nach fünf Jahren bis zu 47 % (Haleem, Lutchman, Mayahi, Grice, & Parker, 2008). Zudem erreichen 50 % der Gestürzten nicht mehr dasselbe Mobilitätsniveau wie vor der Fraktur (Vochteloo et al, 2013). Die Frakturfolgen gehen darüber hinaus auch mit einer erheblichen Verminderung der Autonomie und damit der Lebensqualität einher (Rubenstein, 2006).…”

Section: Einleitung Zum Format Der Potenzialanalyseunclassified

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

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Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

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More than half of hip fracture patients do not regain mobility in the first postoperative year

Abstract: The risk not to regain prefracture mobility is highest in mobile patients without an aid. The risk of becoming immobile is higher in those having a lower prefracture mobility. Activities of daily living dependence and delirium were the main risk factors for not regaining mobility.

Cited by 131 publications

References 20 publications

A Critical Review of the Long-Term Disability Outcomes Following Hip Fracture

A Critical Review of the Long-Term Disability Outcomes Following Hip Fracture

How well are we managing fragility hip fractures? A narrative report on the review with the attempt to setup a Fragility Fracture Registry in Hong Kong

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