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

Geriatrics & Gerontology International
Sophie MoermanAnne Jh Vochteloo

Abstract

A significant loss of instrumental activities of daily living (IADL) after a hip fracture has been reported. The aim of the present study was to identify specific predictors for low IADL after a hip fracture, in order to target better postoperative care for these patients. A prospective observational cohort study of 480 hip fracture patients was carried out. IADL was measured at baseline, and after 3 and 12 months using the Groningen Activity Restriction Scale. Multivariable logistic regression analysis was carried out using age, sex, American Society of Anesthesiologists classification, prefracture living with a partner, prefracture living situation, prefracture use of walking aids, type of fracture, type of anesthesia, length of hospital stay, postoperative complications and prefracture IADL as potential predictors for low IADL after a hip fracture. The correlation between IADL, mobility and living situation, both at admission, and 3 and 12 months postoperatively, were measured. Three months after hip fracture treatment, 24% of patients returned to their baseline IADL level, at 12 months postoperative this was 29%. Factors associated with a larger loss in IADL after a hip fracture were older age, prefracture living with a par...Continue Reading

References

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Citations

Feb 28, 2020·Journal of Palliative Medicine·Elizabeth A Bukowy, Elizabeth Thiel
Nov 4, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Willeke M RavensbergenJacobijn Gussekloo
Sep 24, 2020·Journal of the American Medical Directors Association·Max P L van der SijpWilco P Achterberg
Mar 6, 2021·Journal of Orthopaedic Surgery and Research·Guanrong PengJianhao Lin
Apr 20, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol
May 7, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·David Ming Hon LamTimmy Chi Wing Chan
Jul 3, 2021·International Journal of Environmental Research and Public Health·Nath AdulkasemTheerachai Apivatthakakul

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