The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study

PURPOSE: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported hea...

Descripción completa

Detalles Bibliográficos
Autores: Prieto-Alhambra, Daniel, Nogués Solán, Xavier, Díez Pérez, Adolfo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/42799
Acceso en línea:http://hdl.handle.net/10230/42799
http://dx.doi.org/10.1007/s11657-019-0607-0
Access Level:acceso abierto
Palabra clave:Fragility hip fracture
Osteoporosis
Quality of life
Registries
id ES_c0efe9f08eaf712b47d8deea8b07b97b
oai_identifier_str oai:recercat.cat:10230/42799
network_acronym_str ES
network_name_str España
repository_id_str
spelling The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort studyPrieto-Alhambra, DanielNogués Solán, XavierDíez Pérez, AdolfoFragility hip fractureOsteoporosisQuality of lifeRegistriesPURPOSE: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported health-related quality of life. METHODS: Design and participants: Multicentric prospective cohort study. Consecutive sample patients with fragility hip fracture over 50 years old admitted in 48 hospitals in Spain. OUTCOMES: daily living activity function (Barthel Index) and health-related quality of life (EQ-5D) pre-fracture, admission to hospital and at 1- and 4-month follow-up post-fracture. STATISTICS: Barthel and EQ-5D over time are described as mean (SD) and median (interquartile range). RESULTS: A total of 997 patients were recruited at baseline with 4-month outcomes available for, and 856 patients (89.5%). Barthel Index fell from 78.77 (23.75) at baseline to 43.62 (19.86) on admission to hospital with the fracture. Scores partially recovered to 54.89 (25.40) and 64.09 (21.35) at 1- and 4-month post-fracture, respectively. EQ-5D fell from a median of 0.75 (0.47-0.91) to - 0.01 (- 0.03 to 0.51) on admission. Partial recovery was observed again to (0.51 (- 0.06 to 0.67)) and (0.60 (0.10 to 0.80)) at 1- and 4-month post-fracture, respectively. CONCLUSIONS: Hip fracture results in a large decline in the ability to perform activities of daily living and patient-reported health-related quality of life with only partial recovery amongst survivors 4-month post-fracture.SpringerOpen201920192019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/42799http://dx.doi.org/10.1007/s11657-019-0607-0reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésCopyright © The Author(s) 2019. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/427992026-05-29T05:05:01Z
dc.title.none.fl_str_mv The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
title The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
spellingShingle The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
Prieto-Alhambra, Daniel
Fragility hip fracture
Osteoporosis
Quality of life
Registries
title_short The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
title_full The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
title_fullStr The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
title_full_unstemmed The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
title_sort The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
dc.creator.none.fl_str_mv Prieto-Alhambra, Daniel
Nogués Solán, Xavier
Díez Pérez, Adolfo
author Prieto-Alhambra, Daniel
author_facet Prieto-Alhambra, Daniel
Nogués Solán, Xavier
Díez Pérez, Adolfo
author_role author
author2 Nogués Solán, Xavier
Díez Pérez, Adolfo
author2_role author
author
dc.subject.none.fl_str_mv Fragility hip fracture
Osteoporosis
Quality of life
Registries
topic Fragility hip fracture
Osteoporosis
Quality of life
Registries
description PURPOSE: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported health-related quality of life. METHODS: Design and participants: Multicentric prospective cohort study. Consecutive sample patients with fragility hip fracture over 50 years old admitted in 48 hospitals in Spain. OUTCOMES: daily living activity function (Barthel Index) and health-related quality of life (EQ-5D) pre-fracture, admission to hospital and at 1- and 4-month follow-up post-fracture. STATISTICS: Barthel and EQ-5D over time are described as mean (SD) and median (interquartile range). RESULTS: A total of 997 patients were recruited at baseline with 4-month outcomes available for, and 856 patients (89.5%). Barthel Index fell from 78.77 (23.75) at baseline to 43.62 (19.86) on admission to hospital with the fracture. Scores partially recovered to 54.89 (25.40) and 64.09 (21.35) at 1- and 4-month post-fracture, respectively. EQ-5D fell from a median of 0.75 (0.47-0.91) to - 0.01 (- 0.03 to 0.51) on admission. Partial recovery was observed again to (0.51 (- 0.06 to 0.67)) and (0.60 (0.10 to 0.80)) at 1- and 4-month post-fracture, respectively. CONCLUSIONS: Hip fracture results in a large decline in the ability to perform activities of daily living and patient-reported health-related quality of life with only partial recovery amongst survivors 4-month post-fracture.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/42799
http://dx.doi.org/10.1007/s11657-019-0607-0
url http://hdl.handle.net/10230/42799
http://dx.doi.org/10.1007/s11657-019-0607-0
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv SpringerOpen
publisher.none.fl_str_mv SpringerOpen
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418518971154432
score 15.81155

Similares en LA Referencia