Recovery of Activities of Daily Living Among Older People One Year After Hip Fracture

This article aims to determine the functional recovery of older people, who were previously independent in activities of daily living (ADLs) and without cognitive impairment, in the year following a fall-related hip fracture. A cohort study was carried out among patients admitted to University Gener...

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Detalles Bibliográficos
Autores: Corcoles Jiménez, María Pilar, Villada Munera, Ascensión, Egido Fernández, María Ángeles del, Candel Parra, Eduardo, Moreno Moreno, Mónica, Jiménez Sánchez, María Delirio, Piñá Martínez, Antonio
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/46788
Acceso en línea:https://hdl.handle.net/10578/46788
Access Level:acceso abierto
Palabra clave:Accidental falls
Activities of daily living
Aged
Hip fractures
Recovery of function
Descripción
Sumario:This article aims to determine the functional recovery of older people, who were previously independent in activities of daily living (ADLs) and without cognitive impairment, in the year following a fall-related hip fracture. A cohort study was carried out among patients admitted to University General Hospital of Albacete (Spain). Consecutive sampling was performed. Variables included demographic, habitual residence, type of hip fracture, mental status (Short Portable Mental Status Questionnaire [SPMSQ] Pfeiffer), and independence in ADLs (according to the Barthel Index [BI]) prior to the fall and after the fracture. For 205 patients, 1 year after surgery, the mean BI score was 78.09 (SD = 25.13); (vs. 90.02 before the hip fracture), 59% showed urinary continence (vs. 79%), and 65% walked without assistance (vs. 82%). Regarding predictors of recovery, results indicate that patients who are older, who suffer complications after hospital discharge, or who reside in nursing homes experience poorer recovery in ADLs. Only 47.9% of the patients regained prior levels of autonomy 1 year after surgery.