@article{ref1,
title="Changes in health-related quality of life and activities of daily living after hip fracture because of a fall in elderly patients: a prospective cohort study",
journal="International journal of clinical practice",
year="2015",
author="Orive, M. and Aguirre, U. and García-Gutiérrez, S. and Las Hayas, C. and Bilbao, A. and Gonzalez, N. and Zabala, J. and Navarro, G. and Quintana, J. M.",
volume="69",
number="4",
pages="491-500",
abstract="BACKGROUND: The impact of hip fracture because of a fall on health-related quality of life (HRQoL) and activities of daily living (ADL) have not been well established. <br><br>AIM: To evaluate changes in HRQoL and the ability to conduct ADL among patients with hip fracture because of a fall and to compare these changes with patients who did not fall and break a hip, adjusting by gender and age. <br><br>METHODS: Adults aged 65 or more who attended the emergency departments of seven public hospitals were recruited in a prospective double-cohort study (fracture cohort, n = 776; non-fracture cohort, n = 115). ADL and HRQoL were assessed at baseline (during the postfall hospitalisation or by telephone afterwards) and 6 months later using the Barthel Index and the Lawton Brody Index for ADL, and the Short Form Health Survey (SF-12) and Western Ontario and McMaster Universities Osteoarthritis Index short form (WOMAC-SF) for HRQoL. <br><br>RESULTS: Adjusting by gender, age and baseline status, a hip fracture was a strong predictor of decline in all outcomes measured except for mental quality of life among men (measured by SF-12). Hip fracture patients younger than 74 years reported significantly more pain (measured by WOMAC-SF) than the comparison group (p = 0.02), but this difference was not observed among older patients (p = 0.19 for 75-84 years; p = 0.39 for ≥ 85 years). <br><br>DISCUSSION: Hip fractures have profound effects on HRQoL and ADL in both men and women, regardless of age. This indicates the need for special follow-up care of elderly hip fracture patients in the immediate and late postfracture periods.<p /> <p>Language: en</p>",
language="en",
issn="1368-5031",
doi="10.1111/ijcp.12527",
url="http://dx.doi.org/10.1111/ijcp.12527"
}