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

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.

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

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

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

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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