TY  - JOUR
PY  - 2015//
TI  - 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
JO  - International journal of clinical practice
A1  - Orive, M.
A1  - Aguirre, U.
A1  - García-Gutiérrez, S.
A1  - Las Hayas, C.
A1  - Bilbao, A.
A1  - Gonzalez, N.
A1  - Zabala, J.
A1  - Navarro, G.
A1  - Quintana, J. M.
SP  - 491
EP  - 500
VL  - 69
IS  - 4
N2  - 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>
LA  - en
SN  - 1368-5031
UR  - http://dx.doi.org/10.1111/ijcp.12527
ID  - ref1
ER  -