Evaluation of the Health-Related Quality of Life in Elderly Patients According to the Type of Hip Fracture: Femoral Neck or Trochanteric

Mendonça, Tânia Maria; Silva, Carlos Henrique Martins da; Canto, Roberto Sérgio de Tavares; Morales, Nívea de Macedo Oliveira; Pinto, Rogério de Melo Costa; Morales, Rogério de Rizo

doi:10.1590/s1807-59322008000500007

Cited by 23 publications

(25 citation statements)

References 27 publications

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“…[13][14][15][16][17] The literature also shows a high morbidity related to femoral fractures, with some degree of physical limitation around 4 months after a fracture. 18 In a prospective study of 68 patients, only 32.56% reacquired the walking capacity and 27.9% of the previously independent patients needed special care. 7 As a condition of high prevalence among the elderly, whose treatment is essentially surgery 5 and a long hospital stay, femoral fracture entails high costs.…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

Oliveira

Borba

2017

Acta ortop. bras.

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Objectives: To evaluate the incidence and economic impact of femur fractures in the state of Paraná, Brazil. Methods: This descriptive study included men and women ≥ 60 years of age with hip fractures which were treated by the Public Health System in emergency care from January 2010 to December 2014. Data were collected from the DATASUS public health database using filters to select patients; results were presented descriptively and as proportions. The standardized incidence of femur fracture was calculated by sex and age for 10,000 inhabitants in Paraná state and in Brazil for the year 2012. Results: During the study period, 11,226 fractures were registered, 66.8% in women and 33.2% in men. There was a preponderance of fractures in Caucasians and in older age groups. Mortality during hospitalization was 5.9%, higher in males, in patients aged ≥80 years, and in Blacks and Asians. The total cost was R$ 29,393,442.78 and the average cost per hospitalization was R$ 2,618.34. The eastern region of the state had the highest rate of fractures, predominantly in the capital, Curitiba. The standardized incidence rate was higher in females and in the population of Paraná. Conclusion: Femur fractures have a high incidence rate in the elderly population of Paraná and a large economic impact.

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Section: Resultsmentioning

confidence: 99%

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

Oliveira

Borba

2017

Acta ortop. bras.

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“…Other studies found that 3–4 months after a fracture, partial recovery was observed in the SF‐12 scores of physical and mental measures. However, another study found that after 1–2 years, the perceived health‐related quality of life approached the level prior to the fracture (Mendonca et al, ). It seems that in the period after a fall, the effect of a fracture is not restricted to the anatomical sphere but finds expression in additional aspects of life.…”

Section: Discussionmentioning

confidence: 99%

“…Quality of life is another important OM following hip fractures (Aitken and Bohannon, ), and older women continuing to report inferior quality of life in the years after the break (Cranney et al, ). Hip fractures were found to correlate with a more negative perception of health‐related quality of life (Hallberg et al, ; Ekstrom et al, ), with older women continuing to report inferior quality of life in the first year after the break (Boonen et al, ; Cranney et al, ; Mendonca et al, ).…”

Section: Introductionmentioning

confidence: 99%

Participation and Quality of Life of Cognitively Impaired Older Women in Israel Following Hip Fractures

2014

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The main objective of this study was to identify the impact of cognitive problems on the participation and quality of life of individuals following hip fracture among senior women. Sixty women aged ≥65 years after an operation due to a hip fracture, half with non-impaired cognition (average Mini Mental State Examination 27) and half with mild cognitive impairment (average Mini Mental State Examination 21) were examined and interviewed at admission to a rehabilitation hospital in Israel and 1 month after discharge with the following measures: Functional Independence Measure, Geriatric Depression Scale, Israeli Adults Assessment of Participation and questionnaire and 12-item short-form health status survey questionnaire. The average age was 83 years (SD = 6.5), 63% were widows. No difference was found between those with and without cognitive impairment. A month after discharge, the average general participation score of the cognitively unimpaired women was 11.5, and of those with impaired cognition was 7.5 (p > 0.001). Four participation subscales revealed significant differences between the two groups (homecare, physical exercise, self-care and quiet pastimes), and two subscales (going out and entertainment and enrichment activities) showed no significant differences. Quality of life was lower a month after discharge for both physical and mental components, with no differences between the two groups. Therefore, specific attention should be given to those with mild cognitive impairment during rehabilitation. It is recommended to practise the basic functions over and over as part of their re-adjustment to their new situation. Attention should also be given in order to improve their re-involvement in the community.

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“…Only a few studies in the English literature focused on quality of life and used the SF-36 for outcome evaluation after operatively treated pertrochanteric fractures [12,13]. Mattson et al [12] reported 57 patients with unstable pertrochanteric fractures treated by DHS with slightly better results in general health, social functioning and mental health subscales on the SF-36 at six months postoperatively compared to our cohort.…”

Section: Discussionmentioning

confidence: 81%

Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

Giessauf

Glehr

Bernhardt

et al. 2012

BMC Musculoskelet Disord

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BackgroundIntramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly been based on objective measures. The purpose of the present study is to correlate patients’ health-related quality of life results after intramedullary nailing of pertrochanteric fractures with objective outcome measures.MethodsWe conducted a single-center study including 62 patients (mean age 80 ± 10 years) with pertrochanteric fractures treated with a Gamma 3 Nail. Health related quality of life was measured using the Short Form-36. These results were compared to both US and Austrian age and sex-adjusted population norms. The objective outcome measures studied at one year postoperatively included Harris Hip Score, range of motion, leg length, body mass index, neck-shaft angle and grade of osteoarthritis.ResultsAccording to the Harris Hip Score 43 patients (67%) had excellent or good results. There was no significant difference in the average neck-shaft angle comparing affected hip to non-affected hip at 12 months postoperatively. The average osteoarthritis score, for both the injured and uninjured hip, did not differ significantly. We found significant differences between the bodily pain, social functioning and mental health subscales and two summary scores of the Short-Form 36 in comparison to Austrian population norms. Complication rate was 8%.ConclusionsThe results of this study confirm that intramedullary nailing with the use of a Gamma Nail is a safe treatment option for stable and unstable pertrochanteric fractures. Despite good functional and radiographic results we noticed a substantial fall off in patients’ quality of life up to 12 months after operation.

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Evaluation of the Health-Related Quality of Life in Elderly Patients According to the Type of Hip Fracture: Femoral Neck or Trochanteric

Cited by 23 publications

References 27 publications

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

Epidemiology of Femur Fractures in the Elderly and Cost to the State of Paraná, Brazil

Participation and Quality of Life of Cognitively Impaired Older Women in Israel Following Hip Fractures

Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

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