Prognosis Prediction in Hip Fracture Surgery Using the Walking Ability at One Week Post-Operation

Abstract Objectives Hip fractures are associated with a high rate of morbidity and mortality, and successful ambulation after surgery is an important outcome in this patient population. This study aims to determine whether 25-hydroxyvitamin D (25(OH)D) or the Geriatric Nutritional Risk Index (GNRI) is associated with short term mortality or ability to walk after hip fracture surgery. Methods Patients undergoing hip fracture repair were included in this study. Mortality and walking ability were assessed at 30 and 60 days after hip fracture surgery. Pre-operative serum albumin and 25(OH)D were measured. Patients were characterized with 25(OH)D <12 ng/mL, 12 to <20, 20 to <30 or ≥30. GNRI was calculated from albumin and body weight and patients were categorized into major/moderate nutritional risk (<92), low risk (92 to <98) or in good nutritional status (≥98). Results Of the 290 patients (82 ± 7 years, BMI 25 ± 5 kg/m2), 73% were females. Compared to patients with vitamin D deficiency (<12 ng/mL), those with vitamin D levels in higher categories had increased ability to walk at 30 days (P = 0.031): 12 to <20 ng/ml (adjusted odds ratio = 2.61; 95% confidence interval = 1.13–5.99); 20 to <30 ng/ml (3.48; 1.53–7.95); ≥30 ng/ml (2.84; 1.12–7.20). In addition, patients also had increased mobility at 60 days in these same higher vitamin D categories 12 to <20 (2.67; 1.14–6.25); 20 to <30 (3.42; 1.46–8.00); ≥30 ng/ml (3.67; 1.37–9.82) compared to the reference group (<12 ng/mL; P = 0.028). There was no association of vitamin D with mortality at either time point. GNRI was not associated with mortality or walking ability. Conclusions In patients with hip fracture, vitamin D deficiency (<12 ng/mL) was associated with reduced ambulation after surgery, whereas GNRI was not associated with any outcomes. Mechanisms that attenuate mobility due to vitamin D deficiency should be examined in future studies. Funding Sources ONE Nutrition Grant to SAS and JLC.

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Risk Factors Affecting Postoperative Walking Ability Following Hip Fracture Surgery in the Elderly

Orthopedic & Muscular System ◽

10.4172/2161-0533.1000209 ◽

2016 ◽

Vol 05 (02) ◽

Cited By ~ 1

Author(s):

Takako Nagai ◽

Akihiro Okawa

Keyword(s):

Risk Factors ◽

Hip Fracture ◽

The Elderly ◽

Walking Ability ◽

Factors Affecting ◽

Hip Fracture Surgery ◽

Surgery In The Elderly ◽

Fracture Surgery

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Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study

BMC Nursing ◽

10.1186/s12912-021-00637-9 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Young Ji Ko ◽

Ju Hee Lee ◽

Seung-Hoon Baek

Keyword(s):

Hip Fracture ◽

Qualitative Study ◽

Older Women ◽

Transition Period ◽

Walking Ability ◽

Hip Fracture Surgery ◽

Post Surgery ◽

Discharge Transition ◽

Partial Weight ◽

Fracture Surgery

Abstract Background This study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery. Methods This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis. Results Four main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability. Conclusions After their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea.

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EFFECTS OF FRAGILITY FRACTURE INTEGRATED REHABILITATION MANAGEMENT HIP FRACTURE IN PAKISTANI OLDER ADULTS

QUALITY OF LIFE IN PATIENTS WITH NEUROGENIC COMMUNICATION DISORDER ◽

10.52567/trj.v5i01.55 ◽

2021 ◽

Vol 5 (1) ◽

pp. 192-197

Author(s):

Anam Aftab ◽

◽

Shaista Habibullah ◽

Nimra Ilyas Bhutta ◽

◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Hip Fracture ◽

Fragility Fracture ◽

Personal Hygiene ◽

Walking Ability ◽

Rehabilitation Management ◽

Hip Fracture Surgery ◽

Fracture Surgery

Objective: to evaluate the effectiveness of fragility Fracture Integrated Rehabilitation Management (FIRM) on older adults of Pakistan after hip fracture surgery. Methodology: A one-group pretest–posttest designwas conducted at the National Institute of Rehabilitation Medicine (NIRM), Islamabad from March 2020 to May 2021.. A n=11 participants with age above 55 years, both male and female, with confirming diagnosed cases of hip fracture were included. Every participats receveied 10 sesssions of Fragility Fracture integrated Rehabilitation Management (FIRM) program in two weeks. Data was collected at baseline at 2nd day and after 10th session on 15th day, through the KOVAL scale to assess the walking ability, the Functional Ambulatory Category (FAC) to assess the level of independence, the modified Barthel index (MBI) for activities of daily living (ADLs), and quality of life (QoL) was assessed by EQ-5D. Data were analyzed by using SPSS Version 21. Result: the mean age 76.45±9.32, of which n=6 (54.6%) were males and n=5(45.4%) were females. after 10th sessions the QoL on EQ-5D, ambulation on FAC and KOVAL scale and the ADL on MBI were significantly improved (p<0.05) with large effect size, except for the anxiety domain of EQ5D and subdomains of MBI; Personal hygiene, feeding, Bowel control, bladder control, Wheelchair, and Chair & bed transfer showed no significant change (p>0.05). Conclusion: FIRM care is found to be effective in improving the walking ability, functional status, ADLs and quality of life in geraiatric population following a hip fracture surgery

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Discharge Transition Experienced by Korean Older Adults After Hip Fracture Surgery: A Qualitative Study

10.21203/rs.3.rs-130312/v1 ◽

2020 ◽

Author(s):

YoungJi Ko ◽

JuHee Lee ◽

Seung-Hoon Baek

Keyword(s):

Older Adults ◽

Hip Fracture ◽

Qualitative Study ◽

Family Involvement ◽

Transitional Care ◽

Qualitative Content Analysis ◽

Walking Ability ◽

Hip Fracture Surgery ◽

Discharge Transition ◽

Fracture Surgery

Abstract Background: This study aimed to explore Korean older adults’ experience with discharge transition after hip fracture surgery. Methods: This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted with 12 participants. Data were collected one to two days before discharge and again four weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis.Results: Four main themes were identified: (1) Challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) Physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) Dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) Walking for things they took for granted: hope of walking and poor walking ability.Conclusions: After the hip fracture surgery, older adults hoped to be able to walk to perform the simple daily chores they earlier took for granted. Considering the physical and psychological frailty of older adults, systematic nursing interventions, including collaboration and coordination with other healthcare professional and settings, are necessary during discharge transition after hip fracture surgery. Invitation for care participation by older adults as well as family involvement should be considered at discharge transitional care in South Korea.

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