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Activities of daily living after hip fracture: profile and rate of recovery during 2 years of follow-up

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Abstract

Summary

In this study 509 hip fracture patients were followed-up during 24 months measuring their recuperation in activities of daily living. The different activities measured had both different profile and probability of recovery.

Introduction

Recovery of pre-fracture functional level is a goal of hip fracture treatment. The objective of this study was to measure recovery of previous functional level for ambulation and for the activities of daily living during the 24 months after osteoporotic hip fracture.

Methods

This is a longitudinal prospective study of the patients admitted to the orthopaedics department of a university hospital for hip fracture and followed up by a geriatrician during three years (2003–2005). Demographic, clinical, functional and treatment data were collected during hospitalisation. Telephone follow-up was made at 3, 6, 12 and 24 months. Data were analysed by survival analysis applying the Kaplan–Meier estimator.

Results

Five hundred and nine patients were included. The mean age was 84.5 (SD 6.3) years. The activities with lower probability of recovery to the previous level at 24 months were climbing stairs, chair/bed transfers, ambulation, dressing, bathing and use of toilet (between 67.5% and 76% recovery). The activities with higher probability of recovery were grooming, feeding and bladder and bowel control (between 86.3% and 95.4%). Recovery of previous performance level for ambulation, chair/bed transfers, use of toilet, feeding, grooming and bladder control occurred primarily during the first 6 months, whereas recovery of bathing, dressing and climbing stairs occurred mainly in the first 12 months after the fracture.

Conclusions

The activities with lower likelihood of recovery were ambulation, chair/bed transfers, climbing stairs, use of toilet, bathing and dressing. Time of recovery varied by activity; bathing, dressing and climbing stairs were the activities with the longest recovery time.

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Acknowledgements

This research was supported in part by a grant of the National Health Research Foundation, Ministry of Health (FIS Program PI/95/1868 and RETICS 06/13/1013) and with the aid of the 2007 Prize for Research in Geriatrics of the Madrid Society of Geriatrics and Gerontology.

Conflicts of interest

None.

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Authors and Affiliations

  1. Servicio de Geriatría, Hospital Universitario La Paz, IdiPAZ, Servicio Madrileño de Salud, Paseo Castellana 261, 28046, Madrid, Spain

    T. Alarcón, J. I. González-Montalvo & P. Gotor

  2. Sección de Bioestadística, Hospital Universitario La Paz, IdiPAZ, Servicio Madrileño de Salud, Madrid, Spain

    R. Madero

  3. Servicio de Medicina Preventiva, Hospital Universitario La Paz, IdiPAZ, Departamento de Medicina Preventiva y Salud Publica Universidad Autónoma de Madrid, Madrid, Spain

    A. Otero

Authors
  1. T. Alarcón
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  2. J. I. González-Montalvo
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  3. P. Gotor
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  4. R. Madero
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  5. A. Otero
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Correspondence to T. Alarcón.

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Alarcón, T., González-Montalvo, J.I., Gotor, P. et al. Activities of daily living after hip fracture: profile and rate of recovery during 2 years of follow-up. Osteoporos Int 22, 1609–1613 (2011). https://doi.org/10.1007/s00198-010-1314-2

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  • DOI: https://doi.org/10.1007/s00198-010-1314-2

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