Prognostic factors related to ambulation deterioration after 1-year of geriatric hip fracture in a Chinese population

Wong, Ronald Man Yeung; Qin, Jianghui; Chau, Wai‐Wang; Tso, Chi Yin; Wong, Heung‐wah; Chow, Simon Kwoon‐Ho; Leung, Kwok‐Sui; Cheung, Wing-Hoi

doi:10.1038/s41598-021-94199-0

Cited by 9 publications

(6 citation statements)

References 47 publications

(60 reference statements)

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“…In accordance with the previous study, gender was an insignificant predictor of functional ability [27]. Our findings regarding the prevalence of hip fractures among females are also consistent with those of numerous other studies in many countries worldwide and indicate that females are more likely to experience hip fractures than males [34,35]. The evidence highlights that the biological and physiological differences between genders might influence both bone health and functional recovery.…”

Section: Discussionsupporting

confidence: 92%

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Monkuntod,

Aree-Ue,

Roopsawang

2023

JCM

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Background: hip fractures commonly have an impact on older adults’ health. Surgical treatment aims to reduce pain and promote functional ability. However, developing adverse health outcomes or complications post-hip surgery may impede older patients’ recovery to return to functional ability as pre-fracture. We aimed to examine the association of personal factors and adverse health outcomes during hospitalization and post-hospital discharge on the functional ability of older people undergoing hip surgery. Methods: a total of 120 older people with hip fractures who were scheduled for surgery at three tertiary hospitals and met the inclusion criteria were recruited for this study. Data were obtained at admission, before discharge, and during the two-week postoperative follow-up using the Demographic, Hip Dysfunction and Osteoarthritis Outcome Score, Joint Replacement, the Confusion Assessment Method (CAM) Thai version, and Health Outcome Questionnaires. Descriptive statistics and multiple logistic regression analyses were performed to analyze the data. Results: most participants were female, with a mean age of 78.10 years (range = 60–93; SD = 8.37). The most common adverse health outcome during hospitalization was urinary tract infection, followed by delirium, pneumonia, deep vein thrombosis, and surgical site infection. At two weeks immediately post-hospital discharge, 16 participants experienced unpleasant events, including delirium, urinary tract infection, surgical site infection, and pneumonia. The significant predictors of poor functional ability at two weeks immediately post-hospital discharge were old age (OR = 1.114, p = 0.001), subtrochanteric fracture (OR = 13.48, p = 0.008), and type of surgery (OR = 4.105, p = 0.049).

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Section: Discussionsupporting

confidence: 92%

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Monkuntod,

Aree-Ue,

Roopsawang

2023

JCM

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“…They concluded that old age negatively affects ambulatory functional outcomes in patients with hip fractures. Wong et al [25] also argued that the risk of ambulation deterioration increased every 10 years of age.…”

Section: Discussionmentioning

confidence: 99%

Factors predictive of functional outcomes and quality of life in patients with fragility hip fracture: A retrospective cohort study

Kang¹,

Kim²,

Lee³

et al. 2023

Medicine

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To determine the predictors of functional outcomes and quality of life (QoL) of patients who were surgically treated for fragility hip fracture. This was a retrospective cohort study performed in the 3 tertiary rehabilitation facilities. A total of 165 patients who had undergone surgery for fragility hip fracture were followed up to 6 months postoperatively. The factors expected to be related to the functional outcomes and QoL at 6 months post-surgery were as follows: baseline demographics, fracture site, operation type, fall characteristics including fall location and fall direction, comorbidities, and initial functional status. The following were comorbidities: hypertension, diabetes mellitus, dementia, cerebrovascular accident, and osteoporosis. Functional outcome and QoL measures were represented using the Koval grade, functional ambulatory category (FAC), Berg balance scale, 4-m walking speed test, the Korean version of Mini-Mental State Examination, EuroQol 5-dimension (EQ-5D) questionnaire, the Korean version of Modified Barthel Index, and the Korean version of instrumental activities of daily living (K-IADL). For all tests, each patient was assessed immediately after transfer and at 6 months post-surgery. Multivariable regression analyses adjusting for factors mentioned above were as follows. Old age led to a significantly less favorable outcome on FAC and K-IADL at 6 months. Intertrochanteric fracture had a significantly positive impact on Koval at 6 months compared to femur neck and intertrochanteric fractures. Total hip replacement arthroplasty and bipolar hemiarthroplasty had a significantly positive impact on EQ-5D and FAC at 6 months respectively compared to other operation types. Fall characteristics didn’t reveal any significant impact on functional outcomes and QoL. Patients with hypertension and diabetes mellitus had a significantly negative outcome on EQ-5D and K-IADL respectively. Among initial assessments of function and QoL, initial 4-m walking speed test, Korean version of Mini-Mental State Examination, K-IADL, and Korean version of Modified Barthel Index were independent predictors of function and QoL at 6 months. This study confirmed that age, fracture site, operation type, comorbidities, and initial physical and cognitive function significantly influenced recovery of function and QoL at 6 months in patients with fragility hip fractures.

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“…They concluded that old age negatively affects ambulatory functional outcomes in patients with hip fractures. Wong et al [25] also argued that risk of ambulation deterioration increased for every 10 years of age.…”

Section: Discussionmentioning

confidence: 99%

Factors predictive of functional outcomes in patients with fragility hip fracture

Kang

Kim

Lee

et al. 2022

Preprint

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Background: To determine the predictors of functional outcomes of patients with surgically treated for fragility hip fracture Methods: This was a retrospective cohort study performed in the three tertiary rehabilitation facilities. A total of 165 patients (43 males and 122 females; average age 81.1±6.8 years) who had undergone surgery for fragility hip fracture were followed up from immediately after surgery to 6 months postoperatively. The factors expected to be related to the functional outcomes at 6 months post-surgery were as follows: Baseline demographics, fracture site, operation type, fall characteristics including fall location and fall direction, comorbidities, initial functional status. Comorbidities referred to a summary of the following conditions: hypertension, diabetes mellitus, dementia, cerebrovascular accident, and osteoporosis. Functional outcome measures were represented using the Koval’s grade, Functional Ambulatory Category (FAC), Berg balance scale (BBS), 4-meter walking speed test (4MWT), Korean version of Mini-Mental State Examination (K-MMSE), EuroQol five-dimension (EQ-5D) questionnaire, Korean version of Modified Barthel Index (K-MBI) and Korean version of instrumental activities of daily living (K-IADL). For all tests, each patient was assessed immediately after transfer and at 6 months post-surgery. In addition, since it was a multicenter study, hospital factors were also included as independent variables. Results: Multivariable regression analyses adjusting for age, sex, hospital, fracture site, operation type, fall location, fall direction, initial variables of the functional outcomes and comorbidities were as follows. Old age led to significantly less favorable outcome on FAC and K-IADL at 6 months. Intertrochanteric fracture had a significantly positive impact on Koval at 6 months compared to femur neck and intertrochanteric fractures. Total hip replacement arthroplasty had a significantly positive impact on EQ-5D at 6 months compared to bipolar hemiarthroplasty (BPH) and reduction and internal fixation. BPH had a significantly positive outcome on FAC at 6 months compared to other operation types. Fall characteristics didn’t reveal any significant impact on functional outcomes. Patients with hypertension had a significantly negative outcome on EQ-5D and patients with diabetes mellitus had a significantly less favorable outcome on K-IADL. Among Initial functional assessments, initial 4MWT was an independent predictor of Koval, BBS, 4MWT, K-MMSE and K-MBI at 6 months. Initial K-MMSE was significantly associated with BBS, K-MMSE and K-MBI 6 months. Initial K-IADL was an independent predictor of Koval and 4MWT at 6 months and Initial K-MBI was an independent predictor of K-IADL at 6 months.Conclusion: This study confirmed that age, fracture site, operation type, comorbidities and initial function significantly influenced functional recovery at 6 months in patients with fragility hip fracture.

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Prognostic factors related to ambulation deterioration after 1-year of geriatric hip fracture in a Chinese population

Cited by 9 publications

References 47 publications

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Factors predictive of functional outcomes and quality of life in patients with fragility hip fracture: A retrospective cohort study

Factors predictive of functional outcomes in patients with fragility hip fracture

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