scholarly journals Prognostic Factors for Mortality, Activity of Daily Living and Quality of Life in Taiwanese Older Patients within 1 Year following Hip Fracture Surgery

2022 ◽  
Vol 12 (1) ◽  
pp. 102
Author(s):  
Ming-Hsiu Chiang ◽  
Yu-Yun Huang ◽  
Yi-Jie Kuo ◽  
Shu-Wei Huang ◽  
Yeu-Chai Jang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Daily Living ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Background. Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. Methods. This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. Results. Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. Conclusions. Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual’s personalized risks in order to improve functional outcomes and reduce mortality.

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

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

Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery

2018 ◽  
Vol 66 (8) ◽  
pp. 1524-1531 ◽  
Author(s):  
Yilin Eileen Sim ◽  
Shao-en David Sim ◽  
Chusheng Seng ◽  
Tet Sen Howe ◽  
Suang Bee Koh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Functional Outcomes ◽  
Preoperative Anemia ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

The quality of life after motorcycle traffic injuries: a cohort study in northwest of Iran

2020 ◽  
Author(s):  
Leili Abedi Gheshlaghi ◽  
Hamid Sharifi ◽  
Mehdi Noroozi ◽  
Mohsen Barouni ◽  
Homayoun Sadeghi-bazargan
Keyword(s):  
Quality Of Life ◽  
Estimating Equation ◽  
Demographic Variables ◽  
Generalized Estimating Equation ◽  
Factors Affecting ◽  
Face To Face ◽  
Rainy Weather ◽  
Northwest Of Iran

Abstract Background: Quality of life (QOL) after motorcycle accident is an important and dynamic concept but the conducted research about QOL's injured motorcyclists is much less. Therefore, in this study we investigated the QOL of injured motorcyclists up to three months after their accident and determining the associated factors.Methods: In present study, 190 injured motorcyclists who admitted at the two referral specialized hospitals (Emam Reza and Shohada) in Tabriz, between June 2018 and January 2019, and agreed to participate were included in the study. All injured motorcyclists were contacted through the telephone one and 171 of them (90%) three months after their accident to complete an EQ-5D-3L questionnaire. The baseline measurement (such as demographic variables, time and place of accident, vehicles and individuals), were gathered by using face to face interview in the hospitals. The QOL score in this study could vary between 1-3. The higher score showed the lower QOL. The Generalized Estimating Equation (GEE) models were used to determine the factors affecting these motorcyclists’ QOL .Results: The injured motorcyclist’s QOL was relatively better three months after the accident (mean ± Standard Deviation: 2.15 ± 0.65) in comparison with their status a month after the accident (mean ± SD: 1.78 ± 0.51) (p<0.001). The multivariable model showed that individuals whose pelvis (Coef: 0.29, (95% Confidence Intervals [CI]: 0.16, 0.42), P= 0.001) and knee (Coef: 0.26, (95% CI: 0.10, 0.42), P= 0.001) were injured, experienced a lower QOL. Also, those whose accident had happened in rainy weather experienced lower QOL (Coef: 0.33, (95% CI: 0.12, 0.53), P= 0.001). Those who were in an accident with a vehicle experienced a better QOL than others (Coef: -0.26, (95% CI: -0.43, -0.09), P=0.002).Conclusion: The results showed the QOL of the injured people was improving from the first follow-up to the second one. It is recommended that by designing multi-year cohort studies, the QOL of motorcyclists be assessed for a longer time in order to identify the effective factors that improve the QOL of injured motorcyclists.

scholarly journals Functional Ability, Participation, and Health-Related Quality of Life After Hip Fracture

2018 ◽  
Vol 39 (1) ◽  
pp. 41-47
Author(s):  
Orit Segev-Jacubovski ◽  
Hagit Magen ◽  
Adina Maeir
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Hip Fracture ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Abilities ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Hip fracture is prevalent among older adults impacting on all aspects of daily life. The gaols of this study were: (a) Examine the trajectory of activities of daily living (ADL)/instrumental activities of daily living (IADL) functioning and participation among older adults with hip fracture from prefracture to 6-months postrehabilitation; (b) determine the relationship between health-related quality of life (HRQoL), functional abilities, and participation 6-months postrehabilitation; and (c) examine whether functional outcomes can predict HRQoL. Both retrospective and prospective data were analyzed. Fifty-five participants (Mean age = 80.82) completed the motor component of the functional independence measure (mFIM), IADL questionnaire, Activity Card Sort, and SF-12. Prefracture levels of function and participation were not attained. Significant correlations were found between HRQoL, functional abilities, and participation. ADL functioning and mobility predicted Physical SF-12, whereas social-cultural activity predicted Mental SF-12. Significant loss of functioning and participation was found, persisting 6 months after rehabilitation that impede their HRQoL. Improving functioning, mobility, and social participation can be achieved by occupational therapy intervention for promoting HRQoL among elderly with hip fracture.

scholarly journals Multidimensional investigation of chronic pain experience and physical functioning following hip fracture surgery: clinical implications

2019 ◽  
Vol 14 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Hércules Lázaro Moraes Campos ◽  
Richard Eloin Liebano ◽  
Camila Astolphi Lima ◽  
Monica Rodrigues Perracini
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Pain Intensity ◽  
Physical Functioning ◽  
Lower Limb ◽  
Daily Living ◽  
Weight Bearing ◽  
Hip Fracture Surgery ◽  
Iadl Disability ◽  
Fracture Surgery

Introduction: Older adults experience significant chronic pain after hip fracture, resulting in decreased physical functioning. However, pain investigation in this population is mostly limited to self-reported pain intensity. Detailed pain assessment may identify intervention targets other than pain relief. The aim of this study is to investigate multiple dimensions of pain experience (intensity, sensory, affective, evaluative and miscellaneous dimensions) and to correlate them to lower limb functionality and limitations in daily living activities. Methods: We conducted a cross-sectional study of 50 older adults (77.1 ± 8.1 years old) who underwent hip fracture surgery in the past 4 months. We used the Numeric Rating Scale (NRS), the McGill Pain Questionnaire (MPQ) and an algometer to assess pain intensity, pain quality and pressure pain threshold, respectively. Lower limb functionality and limitation in basic (activities of daily living (ADL)) and instrumental activities of daily living (IADL) were assessed using the Short Physical Performance Battery (SPPB) and the Brazilian OARS Multidimensional Functional Assessment Questionnaire. Results: Participants described pain as brief, momentary and transient, especially during weight-bearing activities. Although the pain intensity measured by the NRS was reported as moderate to severe (7.5 ± 1.6 points), it was not correlated with physical functioning. However, we observed a moderate negative correlation between pressure pain threshold, ADL and IADL disability ( r = –0.41, p < 0.01). Among pain qualities, the sensory category was moderately negatively correlated to SPPB ( r = –0.41, p < 0.01), and the evaluative category was moderately correlated to ADL and IADL disability ( r = 0.43, p < 0.01). Conclusion: Pain can be present 4 months after hip fracture surgery, particularly during weight-bearing activities, and it is associated with poor lower limb functionality, as well as ADL and IADL disability. Older adults may benefit from pain assessments that go beyond pain intensity measurements after hip fracture, as this helps clinicians optimise pain management and overall functional recovery.

Preoperative hypoalbuminemia: Poor functional outcomes and quality of life after hip fracture surgery

Bone ◽  
2021 ◽  
Vol 143 ◽  
pp. 115567
Author(s):  
SHAOEN DAVID SIM ◽  
YILIN EILEEN SIM ◽  
KENNY TAY ◽  
TET SEN HOWE ◽  
MENG AI PNG ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Functional Outcomes ◽  
Hip Fracture Surgery ◽  
Fracture Surgery
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