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Archives of Orthopaedic and Trauma Surgery

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01-07-2016 | Trauma Surgery

Factors associated with the course of health-related quality of life after a hip fracture

Authors: Sophie Moerman, Anne J. H. Vochteloo, Wim E. Tuinebreijer, Andrea B. Maier, Nina M. C. Mathijssen, Rob G. H. H. Nelissen

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2016

Abstract

Introduction

The number of hip fracture patients is expected to grow the forthcoming decades. Knowledge of the impact of the fracture on the lives of elderly could help us target our care. The aim of the study is to describe HRQoL (Health-Related Quality of Life) after a hip fracture and to identify factors associated with the course of HRQoL in the first postoperative year.

Materials and methods

335 surgically treated hip fracture patients (mean age 79.4 years, SD 10.7, 68 % female) were included in a prospective observational cohort. HRQoL was measured with the SF-12 Health Survey, composed of the Physical and a Mental Component Summary Score (PCS, MCS), at admission (baseline) and at 3 and 12 months postoperatively. Eleven predefined factors known to be associated with the course of HRQoL were recorded: age, gender, physical status, having a partner at admission, living in an institution, prefracture level of mobility, anemia, type of fracture and treatment, delirium during hospital stay and length of stay.

Results

HRQoL declined between baseline and 3 months, and recovered between three and 12 months. PCS HRQoL did not recover to baseline values, MCS HRQoL did. Age younger than 80 years, ASA classification I and II, higher prefracture level of mobility, intracapsular fracture and treatment with osteosynthesis (compared to arthroplasty) were associated with greater initial decline in PCS HRQoL, none of the recorded factors were significant for decline in MCS HRQoL.

Conclusions

Both PCS and MCS HRQoL declined after a hip fracture and PCS did not recover to baseline values. Healthier patients may need extra care to prevent them from having a steep decline in postoperative PCS HRQoL and arthroplasty should be considered with low threshold.

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Title: Factors associated with the course of health-related quality of life after a hip fracture
Authors: Sophie Moerman
Anne J. H. Vochteloo
Wim E. Tuinebreijer
Andrea B. Maier
Nina M. C. Mathijssen
Rob G. H. H. Nelissen
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2474-0

At a glance: The STEP trials

Springer Medicine

Factors associated with the course of health-related quality of life after a hip fracture

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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