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Prieto-Alhambra D, Moral-Cuesta D, Palmer A, Aguado-Maestro I, Bardaji MFB, Brañas F, Bueno GA, Caeiro-Rey JR, Cano IA, Barres-Carsi M, Delgado LG, Salomó-Domènech M, Etxebarria-Foronda I, Ferrer BL, Mills S, Herrando LE, Mifsut D, Evangelista LDR, Nogués X, Perez-Coto I, Blasco JMI, Martín-Hernández C, Kessel H, Serra JT, Solis JR, Suau OT, Vaquero-Cervino E, Hernández CP, Mañas LR, Herrera A, Díez-Perez A. 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; 14:56. [PMID: 31144117 PMCID: PMC6541580 DOI: 10.1007/s11657-019-0607-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 05/13/2019] [Indexed: 02/03/2023]
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.
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Affiliation(s)
- D. Prieto-Alhambra
- grid.452479.9GREMPAL (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 ,0000 0004 1936 8948grid.4991.5Musculoskeletal 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 ,grid.7080.fMusculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autònoma de Barcelona, Doctor Aiguader 88, 08003 Barcelona, Spain
| | - D. Moral-Cuesta
- 0000 0000 8970 9163grid.81821.32Geriatric Unit, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - A. Palmer
- Traumatology and Orthopaedics Unit, Nuffield Orthopedic Centre, Windmill Rd, Headington, Oxford, OX3 7HE UK
| | - I. Aguado-Maestro
- 0000 0001 1842 3755grid.411280.eHospital Universitario Rio Hortega, Calle Dulzaina, 2, 47012 Valladolid, Spain
| | - M. F. Bravo Bardaji
- grid.411457.2Hospital Regional Universitario de Malaga, Av. de Carlos Haya, s/n, 29010 Málaga, Spain
| | - F. Brañas
- grid.414761.1Geriatric Unit, Hospital Universitario Infanta Leonor, Gran Vía del Este, 80, 28031 Madrid, Spain
| | - G. Adrados Bueno
- 0000 0004 1771 0842grid.411319.fInternal Medicine Unit, Hospital Infanta Cristina, Av. de Elvas, s/n, 06080 Badajoz, Spain
| | - J. R. Caeiro-Rey
- 0000 0000 8816 6945grid.411048.8Traumatology and Orthopaedics Unit, Complejo Hospitalario Universitario de Santiago de Compostela, Rúa da Choupana, s/n, 15706 Santiago de Compostela, A Coruña Spain
| | - I. Andrés Cano
- 0000 0004 1771 1175grid.411342.1Hospital Puerta del Mar, Av. Ana de Viya, 21, 11009 Cádiz, Spain
| | - M. Barres-Carsi
- 0000 0001 0360 9602grid.84393.35Hospital Universitari i Politècnic La Fe, Av de Fernando Abril Martorell, 106, 46026 València, Spain
| | - L. Gracia Delgado
- 0000 0004 1771 4667grid.411349.aHospital Universitario Reina Sofía de Cordoba, Av Menendez Pidal, 14004 Córdoba, Spain
| | - M. Salomó-Domènech
- 0000 0000 9238 6887grid.428313.fCorporación sanitaria Universitaria Parc Tauli, Parc Taulí, 1, 08208 Sabadell, Barcelona Spain
| | | | - B. Llado Ferrer
- grid.413457.0Hospital Son Llàtzer, Carretera de Manacor, PQ 4 (Son Ferriol), 07198 Palma de Mallorca, Spain
| | - S. Mills
- 0000 0000 8970 9163grid.81821.32Traumatology and Orthopaedics Unit, Hospital Universitario La Paz, Paseo de la Castellana, 261, 28046 Madrid, Spain
| | - L. Ezquerra Herrando
- 0000 0004 1767 4212grid.411050.1F.E.A of the Traumatology and Orthopaedics Unit, Hospital Clínico Universitario Lozano Blesa, Av. San Juan Bosco, 15, 50009 Zaragoza, Spain
| | - D. Mifsut
- grid.411308.fHospital Clínico de Valencia, Av de Blasco Ibáñez, 17, 46010 Valencia, Spain
| | - L. D. R. Evangelista
- 0000 0001 0635 4617grid.411361.0Geriatric Unit, Hospital Universitario Severo Ochoa, Av. De Orellana s/n, 28911 Leganés, Madrid Spain
| | - X. Nogués
- grid.7080.fInternal Medicine Department IMIM (Hospital del Mar Medical Research), CIBER FES ISCIII, Universitat Autónoma de Barcelona, Barcelona, Spain
| | - I. Perez-Coto
- Hospital Universitario San Agustín, Camino de Heros, 6, 33401 Avilés, Asturias Spain
| | | | - C. Martín-Hernández
- 0000 0000 9854 2756grid.411106.3IIS Aragón (Instituto de Investigación Sanitaria de Aragón), Hospital Universitario Miguel Servet, Paseo Isabel la Católica 1-3, 50009 Zaragoza, Spain
| | - H. Kessel
- 0000 0000 9832 1443grid.413486.cGeriatric Care Unit, Complejo Hospitalario Torrecárdenas, Calle Hermandad de Donantes de Sangre, 04009 Almería, Spain
| | - J. Teixidor Serra
- 0000 0001 0675 8654grid.411083.fHospital Universitari Vall de Hebron, Passeig de la Vall d’Hebron, 119-129, 08035 Barcelona, Spain
| | - J. Rodriguez Solis
- grid.411098.5Geriatric Unit, Hospital Universitario de Guadalajara, Calle Donante de Sangre, s/n, 19002 Guadalajara, Spain
| | - O. Torregrosa Suau
- 0000 0004 0399 7977grid.411093.eBone Metabolism Unit, Internal Medicine Unit, Hospital General Universitari d’Elx, Carrer Almazara, 11, 03203 Elche, Alicante Spain
| | - E. Vaquero-Cervino
- 0000 0000 8490 7830grid.418886.bComplejo Hospitalario de Pontevedra, Av Montecelo, 0, 36164, Casas Novas, Pontevedra, Spain
| | - C. Pablos Hernández
- grid.411258.bGeriatric Unit, Hospital de Salamanca, Paseo de San Vicente, 139, 37007 Salamanca, Spain
| | - L. Rodríguez Mañas
- 0000 0000 9691 6072grid.411244.6Geriatric Unit, Hospital Universitario de Getafe, Carr. De Madrid - Toledo, Km 12,500, 28905 Getafe, Madrid Spain
| | - A. Herrera
- 0000 0001 2152 8769grid.11205.37Department of Surgery, Aragón Health Research Institute, University of Zaragoza, Zaragoza, Spain
| | - A. Díez-Perez
- grid.7080.fMusculoskeletal Research Unit, IMIM-Parc Salut Mar, CIBERFES, Universitat Autònoma de Barcelona, Doctor Aiguader 88, 08003 Barcelona, Spain
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