Change of residence and functional status within three months and one year following hip fracture surgery

Abstract

The loss of independence in the first year after a hip fracture is substantial for specific activities. Recovery mainly takes place during the first three months after surgery. Change of residence mostly involved those patients who lived alone in their own home at pre-fracture. Implications for Rehabilitation One year after fracture, patients did not recover their previous function, and the activities most affected at the one-year follow-up were: dressing lower body, bathing/showering, transfer bathtub/shower and walking up/down stairs. After a hip fracture, most recovery of the function happens within the first three months, though some functional activities continue recovering over the first year. Rehabilitation programs cannot be based only on mobility activities, the recovery of other daily living activities should also be included.

Complications and patient-reported outcome after hip fracture. A consecutive annual cohort study of 664 patients

“…A Greek study [18] showed results similar to ours, 35% of the patients who walked independently before fracture regained their pre-fracture mobility. On the other hand, both Spanish [19] and Taiwanese studies [20] report much higher recovery rates, 80 and 74%, respectively. Although the mean age of the study populations did not differ much, the latter studies had a larger amount of patients walking independently before the fracture, which could explain the different outcomes.…”

“…The small amount of patients regaining pre-fracture function in our study could also be explained by the equally low number of patients receiving enough rehabilitation. Ariza-Vega et al [19] showed that patients receiving rehabilitation during the first three months after discharge had a better functional recovery compared with those who did not receive any outpatient rehabilitation. Functional recovery may take up to one year [4], which makes continuous training important.…”

The effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture

“…[5] Thus, the outcome of patients with hip fracture is considered multifactorial [5] and can therefore not be related to just 1 or 2 single factors. Additionally, patients are at risk of decreased physical function, [6–8] new injurious falls and fractures, [9,10] and increased need of supportive care. [11] …”

Predictors of Long-Term Mortality in Older People With Hip Fracture

“…A more detailed description of the methodology can be found in a previously published article by our research group. 27 The first interview took place at the hospital after surgery, where patients were asked about their prefracture functional level, sociodemographic data, psychiatric symptoms, and cognitive status. The same interviewer conducted the last interview by phone 1 year after surgery.…”