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

Abstract

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.

Less than one‐third of hip fracture patients return to their prefracture level of instrumental activities of daily living in a prospective cohort study of 480 patients

“…This is in accordance with studies of the same cohort of hip fracture patients as the current study. The studies focusing on of the level of mobility and health‐related quality of life showed that the most mobile patients were least likely to return to their prefracture mobility level and the healthier patients were less likely to return to their prefracture health‐related quality of life level . These healthier and more active patients have more to lose.…”

“…The studies focusing on of the level of mobility and health-related quality of life showed that the most mobile patients were least likely to return to their prefracture mobility level and the healthier patients were less likely to return to their prefracture health-related quality of life level. 23,24 These healthier and more active patients have more to lose. The type of anesthesia was no predictor in ADL decline between baseline and 3 months.…”

Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery

“…This lack of significance could be because of the smaller sample size, as well as the use of aggregate scores, because we found in our study that anemia affected certain domains more. 18 Our current finding that moderate to severe anemia is associated with poorer physical HRQoL measured according to the PF and RP domains 6 months after hip surgery is consistent with most literature on anemia in individuals without hip fracture, although anemia did not affect other mental SF-36 domains such as vitality and general health, in contrast to other studies on anemia in individuals without hip fracture.…”

“…Variables included were type of surgery (fixation vs replacement), age, sex, CCI score (≥2 vs 0–1), and perioperative transfusion. These variables were chosen because they are clinically relevant variables that have been shown in other studies to affect quality of life (QoL) outcomes after hip fracture surgery . To increase the robustness of our findings, a sensitivity analysis was performed using another multivariate model that adjusted for serious comorbidities such as previous cardiovascular disease, ischemic heart disease, chronic kidney disease (preoperative serum creatinine ≥2mg/dL), diabetes mellitus on insulin, American Society of Anesthesiologists physical status score, and dementia.…”

Severe trauma in the geriatric population

“…Future investigations may deepen in this approach and in the quality of life rather than in-hospital mortality for evaluating outcome in elderly trauma patients[67,68]. Returning to their baseline quality of life is difficult in these patients, even in relatively minor trauma[69]. This expectative must be discussed with the patient (if possible) and relatives when we consider the treatment alternatives of elderly trauma patients.…”