title: Daily life among the oldest old with and without previous hip fractures.
abstract: The aim of this cross-sectional study was to describe the oldest old, with and without previous hip fracture with regard to their ability to perform personal and instrumental activities of daily living (ADL); home adaptations received; possession of assistive devices; perceived health and morale. A random sample drawn from the population of 85-year-olds, all 90-year-olds and all > or =95-year-olds (n =253) in Umeå, a city in northern Sweden, were examined. Data obtained from assessments and interviews carried out in the participants' homes, as well as data from medical charts, were analysed. Those with an earlier hip fracture (n = 58) had more difficulties in performing both personal and instrumental ADLs than those without (n = 195) but regarding individual home adaptations and the possession of assistive devices for personal care, no differences were detected between the groups. Self-perceived health and morale were equally good in both groups. The conclusion drawn is that lifelong consequences, in the form of reduced abilities to perform ADLs and wheelchair dependency are common among the oldest old after a hip fracture. Therefore, trials concerning the effects of more extensive and prolonged rehabilitation following hip fracture would be of great interest
authors.affiliation: Department of Community Medicine and Rehabilitation, Umeå University, Sweden. eva.elinge@germed.umu.se
authors.forename: Eva
authors.initials: E
authors.lastname: Elinge
authors.forename: Michael
authors.initials: M
authors.lastname: Stenvall
authors.forename: Petra
authors.initials: P
authors.lastname: von Heideken Wågert
authors.forename: Britta
authors.initials: B
authors.lastname: Löfgren
authors.forename: Yngve
authors.initials: Y
authors.lastname: Gustafson
authors.forename: Lars
authors.initials: L
authors.lastname: Nyberg
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006620:Hip Fractures / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D009013:Morale; D012111:Residence Characteristics; D012649:Self Concept; D012656:Self-Help Devices / Q000706:statistics & numerical data