Recovery of activities of daily living among older people one year after hip fracture

Clinical Nursing Research
María Pilar Córcoles-JiménezAntonio Piña-Martínez

Abstract

This article aims to determine the functional recovery of older people, who were previously independent in activities of daily living (ADLs) and without cognitive impairment, in the year following a fall-related hip fracture. A cohort study was carried out among patients admitted to University General Hospital of Albacete (Spain). Consecutive sampling was performed. Variables included demographic, habitual residence, type of hip fracture, mental status (Short Portable Mental Status Questionnaire [SPMSQ] Pfeiffer), and independence in ADLs (according to the Barthel Index [BI]) prior to the fall and after the fracture. For 205 patients, 1 year after surgery, the mean BI score was 78.09 (SD = 25.13); (vs. 90.02 before the hip fracture), 59% showed urinary continence (vs. 79%), and 65% walked without assistance (vs. 82%). Regarding predictors of recovery, results indicate that patients who are older, who suffer complications after hospital discharge, or who reside in nursing homes experience poorer recovery in ADLs. Only 47.9% of the patients regained prior levels of autonomy 1 year after surgery.

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Citations

Apr 10, 2019·Journal of the American Geriatrics Society·Jennifer A OuelletLisa M Walke
Dec 16, 2017·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·YoungJi KoSeungHoon Baek
Feb 14, 2020·European Journal of Physical and Rehabilitation Medicine·Marco Di MonacoGiuseppe Massazza
Sep 1, 2020·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·María-Pilar Córcoles-JiménezRamón-Jesús Azor-García
Jun 4, 2019·Journal of Orthopaedic Surgery·Youngji KoYong-Chan Ha
Apr 4, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K FischerH A Bischoff-Ferrari

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