The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study

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  • dc.contributor.author Prieto-Alhambra, Daniel
  • dc.contributor.author Nogués Solan, Francesc Xavier
  • dc.contributor.author Díez Pérez, Adolfo
  • dc.date.accessioned 2019-11-08T10:53:13Z
  • dc.date.available 2019-11-08T10:53:13Z
  • dc.date.issued 2019
  • dc.description.abstract PURPOSE: The medical morbidity and mortality associated with neck of femur fractures is well-documented, whereas there is limited data for patient-reported outcomes. The aim of this study was to characterize the impact of neck of femur fractures on activities of daily living and patient-reported health-related quality of life. METHODS: Design and participants: Multicentric prospective cohort study. Consecutive sample patients with fragility hip fracture over 50 years old admitted in 48 hospitals in Spain. OUTCOMES: daily living activity function (Barthel Index) and health-related quality of life (EQ-5D) pre-fracture, admission to hospital and at 1- and 4-month follow-up post-fracture. STATISTICS: Barthel and EQ-5D over time are described as mean (SD) and median (interquartile range). RESULTS: A total of 997 patients were recruited at baseline with 4-month outcomes available for, and 856 patients (89.5%). Barthel Index fell from 78.77 (23.75) at baseline to 43.62 (19.86) on admission to hospital with the fracture. Scores partially recovered to 54.89 (25.40) and 64.09 (21.35) at 1- and 4-month post-fracture, respectively. EQ-5D fell from a median of 0.75 (0.47-0.91) to - 0.01 (- 0.03 to 0.51) on admission. Partial recovery was observed again to (0.51 (- 0.06 to 0.67)) and (0.60 (0.10 to 0.80)) at 1- and 4-month post-fracture, respectively. CONCLUSIONS: Hip fracture results in a large decline in the ability to perform activities of daily living and patient-reported health-related quality of life with only partial recovery amongst survivors 4-month post-fracture.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Prieto-Alhambra D, Moral-Cuesta D, Palmer A, Aguado-Maestro I, Bardaji MFB, Brañas F. et al. The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study. Arch Osteoporos. 2019 May 29;14(1):56. DOI 10.1007/s11657-019-0607-0
  • dc.identifier.doi http://dx.doi.org/10.1007/s11657-019-0607-0
  • dc.identifier.issn 1862-3514
  • dc.identifier.uri http://hdl.handle.net/10230/42799
  • dc.language.iso eng
  • dc.publisher SpringerOpen
  • dc.rights Copyright © The Author(s) 2019. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Fragility hip fracture
  • dc.subject.keyword Osteoporosis
  • dc.subject.keyword Quality of life
  • dc.subject.keyword Registries
  • dc.title The impact of hip fracture on health-related quality of life and activities of daily living: the SPARE-HIP prospective cohort study
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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