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Arch Osteoporos. 2019 May 29;14(1):56. doi: 10.1007/s11657-019-0607-0.

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

Author information

1
GREMPAL (Grup de Recerca en Epidemiologia de les Malalties Prevalents de l'Aparell Locomotor) Research Group, CIBERFES, IDIAP Jordi Gol (Universitat Autònoma de Barcelona) and Instituto de Salud Carlos III, Av Gran Via de les Corts Catalanes, 587, Atic, 08007, Barcelona, Spain. Daniel.prietoalhambra@ndorms.ox.ac.uk.
2
Musculoskeletal Pharmaco and Device Epidemiology - Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Windmill Road, Oxford, OX3 7LD, UK. Daniel.prietoalhambra@ndorms.ox.ac.uk.
3
Musculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autònoma de Barcelona, Doctor Aiguader 88, 08003, Barcelona, Spain. Daniel.prietoalhambra@ndorms.ox.ac.uk.
4
Geriatric Unit, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.
5
Traumatology and Orthopaedics Unit, Nuffield Orthopedic Centre, Windmill Rd, Headington, Oxford, OX3 7HE, UK.
6
Hospital Universitario Rio Hortega, Calle Dulzaina, 2, 47012, Valladolid, Spain.
7
Hospital Regional Universitario de Malaga, Av. de Carlos Haya, s/n, 29010, Málaga, Spain.
8
Geriatric Unit, Hospital Universitario Infanta Leonor, Gran Vía del Este, 80, 28031, Madrid, Spain.
9
Internal Medicine Unit, Hospital Infanta Cristina, Av. de Elvas, s/n, 06080, Badajoz, Spain.
10
Traumatology and Orthopaedics Unit, Complejo Hospitalario Universitario de Santiago de Compostela, Rúa da Choupana, s/n, 15706, Santiago de Compostela, A Coruña, Spain.
11
Hospital Puerta del Mar, Av. Ana de Viya, 21, 11009, Cádiz, Spain.
12
Hospital Universitari i Politècnic La Fe, Av de Fernando Abril Martorell, 106, 46026, València, Spain.
13
Hospital Universitario Reina Sofía de Cordoba, Av Menendez Pidal, 14004, Córdoba, Spain.
14
Corporación sanitaria Universitaria Parc Tauli, Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
15
Department of Orthopaedic, Alto Deba Hospital, Arrasate-Mondragon, Gipuzkoa, Spain.
16
Hospital Son Llàtzer, Carretera de Manacor, PQ 4 (Son Ferriol), 07198, Palma de Mallorca, Spain.
17
Traumatology and Orthopaedics Unit, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.
18
F.E.A of the Traumatology and Orthopaedics Unit, Hospital Clínico Universitario Lozano Blesa, Av. San Juan Bosco, 15, 50009, Zaragoza, Spain.
19
Hospital Clínico de Valencia, Av de Blasco Ibáñez, 17, 46010, Valencia, Spain.
20
Geriatric Unit, Hospital Universitario Severo Ochoa, Av. De Orellana s/n, 28911, Leganés, Madrid, Spain.
21
Internal Medicine Department IMIM (Hospital del Mar Medical Research), CIBER FES ISCIII, Universitat Autónoma de Barcelona, Barcelona, Spain.
22
Hospital Universitario San Agustín, Camino de Heros, 6, 33401, Avilés, Asturias, Spain.
23
Hospital San Pedro, Calle Piqueras, 98, 26006, Logroño, La Rioja, Spain.
24
IIS Aragón (Instituto de Investigación Sanitaria de Aragón), Hospital Universitario Miguel Servet, Paseo Isabel la Católica 1-3, 50009, Zaragoza, Spain.
25
Geriatric Care Unit, Complejo Hospitalario Torrecárdenas, Calle Hermandad de Donantes de Sangre, 04009, Almería, Spain.
26
Hospital Universitari Vall de Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
27
Geriatric Unit, Hospital Universitario de Guadalajara, Calle Donante de Sangre, s/n, 19002, Guadalajara, Spain.
28
Bone Metabolism Unit, Internal Medicine Unit, Hospital General Universitari d'Elx, Carrer Almazara, 11, 03203, Elche, Alicante, Spain.
29
Complejo Hospitalario de Pontevedra, Av Montecelo, 0, 36164, Casas Novas, Pontevedra, Spain.
30
Geriatric Unit, Hospital de Salamanca, Paseo de San Vicente, 139, 37007, Salamanca, Spain.
31
Geriatric Unit, Hospital Universitario de Getafe, Carr. De Madrid - Toledo, Km 12,500, 28905, Getafe, Madrid, Spain.
32
Department of Surgery, Aragón Health Research Institute, University of Zaragoza, Zaragoza, Spain.
33
Musculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autònoma de Barcelona, Doctor Aiguader 88, 08003, Barcelona, Spain.

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.

KEYWORDS:

Fragility hip fracture; Osteoporosis; Quality of life; Registries

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