Long-term functional outcome after a low-energy hip fracture in elderly patients. View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12

AUTHORS

Stijn G C J de Joode, Pishtiwan H S Kalmet, Audrey A A Fiddelers, Martijn Poeze, Taco J Blokhuis

ABSTRACT

BACKGROUND: The incidence of hip fractures is increasing. Elderly patients with a hip fracture frequently present with comorbidities, which are associated with higher mortality rates. Clinical studies regarding long-term functional outcome and mortality in hip fractures are rare. The aim of this study was to analyse the functional outcome and the mortality rate after a follow-up of 5 years in elderly patients with a hip fracture. MATERIALS AND METHODS: This combined retrospective and cross-sectional study included patients aged 65 years or older with a low energy hip fracture who underwent surgery in the Maastricht University Medical Center+, the Netherlands. Data such as demographics and mortality rates were retrospectively collected and functional outcome (i.e. mobility, pain, housing conditions and quality of life) was assessed by a questionnaire. RESULTS: Two hundred and sixteen patients were included in this study (mean age 82.2, SD ± 7.5). No significant differences were found in pain before hip fracture and after 1-year and 5-year follow-ups. Long-term functional outcome deteriorated after a hip fracture, with a significant increase in the use of walking aids (p < 0.001), a significant decrease of patients living in a private home (p < 0.001), and a low physical quality of life (SF-12 PCS = 27.1). The mortality incidences after 30-day, 1-year and 5-year follow-ups were 7.9%, 37.0% and 69.4%, respectively. CONCLUSION: Long-term functional outcome in elderly patients with hip fractures significantly deteriorated, with an increased dependency for mobility and housing conditions and a decreased physical quality of life. In addition, hip fractures are associated with high mortality rates at the 5-year follow-up. LEVEL OF EVIDENCE: Level III, a retrospective cohort study. More... »

PAGES

20

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s10195-019-0529-z

DOI

http://dx.doi.org/10.1186/s10195-019-0529-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1113378595

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30976999


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