Activities of Daily Living and Determinant Factors among Older Adult Subjects with Lower Body Fracture after Discharge from Hospital: A Prospective Study

International Journal of Environmental Research and Public Health
Nurul Izzah IbrahimAhmad Nazrun Shuid

Abstract

Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient's ADL was assessed at pre-fracture, ward admission and post-discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre-fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that 'age' and 'ability to walk before fracture' were the determinant factors of dependent for 'bathing', 'dressing' and 'toileting'. The 'ability to walk before fracture' was the determinant factor of dependent for 'transferring'. 'Age' and 'gender' were the determinant factors of dependent for 'continence', while 'age' was the determinant factor of dependent for 'feeding'. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than...Continue Reading

References

Mar 1, 1989·American Journal of Public Health·J M MosseyR Craik
Jan 1, 1985·Epidemiologic Reviews·S R CummingsK J O'Dowd
Jan 1, 1970·The Gerontologist·S KatzR C Grotz
Feb 1, 1982·Acta Orthopaedica Scandinavica·J S Jensen, J Bagger
Sep 1, 1994·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·G JonesJ A Eisman
Mar 1, 1997·American Journal of Public Health·F D WolinskyT E Stump
Jun 11, 1999·Journal of Gerontological Nursing·M Shelkey, M Wallace
Jun 15, 1999·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L J MeltonW M O'Fallon
Sep 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J MagazinerJ Kenzora
Jan 9, 2001·Journal of Orthopaedic Trauma·M R ShahK J Koval
Jun 26, 2001·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M E WiktorowiczE Papadimitropoulos
Jun 7, 2002·Lancet·Steven R Cummings, L Joseph Melton
May 20, 2003·Journal of Advanced Nursing·Linda Cox CurryGail C Davis
Oct 8, 2003·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Cathleen Colón-EmericKenneth W Lyles
May 6, 2004·JAMA : the Journal of the American Medical Association·Sharon ParmetRichard M Glass
May 12, 2004·The Journal of Nursing Research : JNR·Pi-Chu Lin, Su-Yu Chang
Nov 5, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Javier Alegre-LópezJulia Fernández-Melón
Dec 8, 2004·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·J A Kaye, H Jick
May 4, 2005·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·T Heikkinen, P Jalovaara
Nov 10, 2005·Disability and Rehabilitation·P HaentjensS Boonen
Sep 19, 2006·Best Practice & Research. Clinical Rheumatology·Cathleen S Colón-Emeric, Kenneth G Saag
Sep 20, 2006·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·O Johnell, J A Kanis
Dec 26, 2006·Clinics·Rosamaria GarciaLuiz Eugênio Garcez-Leme
Jan 30, 2007·Acta Orthopaedica·Martha H Meyer, Ralph A Meyer
Mar 10, 2007·Journal of Clinical Epidemiology·Sijmen A ReijneveldHenriëtte Dijkshoorn
Nov 14, 2007·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Alireza MoayyeriKay-Tee Khaw
Dec 9, 2009·Current Osteoporosis Reports·Jennifer L Kelsey, Elizabeth J Samelson
Jun 4, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·T AlarcónA Otero
Apr 1, 2001·Environmental Health and Preventive Medicine·S TakayamaS Tamaki
Apr 14, 2011·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Melanie BertramTheo Vos
Jul 19, 2011·Gender Medicine·Israel DudkiewiczAvital Hershkovitz
Nov 8, 2011·Journal of Clinical and Experimental Neuropsychology·David A Gold
Jun 26, 2012·Geriatrics & Gerontology International·Anne J H VochtelooPeter Pilot
Aug 8, 2013·Obstetrics and Gynecology·Catherine A MatthewsFrancine Grodstein
Aug 21, 2013·JAMA Internal Medicine·Thomas M GillHeather G Allore

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