Prognostic factors for self-rated function and perceived health in patient living at home three months after a hip fracture.
OBJECTIVE
To explore the relationship between prefracture sociodemographic and health characteristics, basic activities of daily living, instrumental activities of daily living and perceived health 3 months after a hip fracture aged 65 or older.


METHODS
Age, sex, living alone or not, use of walking aids and whether they had experienced another fall during the previous 6 months, were recorded in hospital and at a three-month follow-up. A total of 277 patients were included. The Barthel Index, the Nottingham Extended ADL Index, the Short Form-12 questionnaire, and the Mini Mental State Examination were used.


RESULTS
Prefracture use of a walking aid outdoors was a predictor of postfracture dependency in basic activities of daily living: odds ratio (OR) 2.0, 95% confidence intervals (CI 1.1-3.6), reduced score in instrumental activities of daily living (OR 1.8; 95% CI 1.0-3.2) and reduced perceived physical health (p = 0.04). Prefracture instrumental activity of daily living was a predictor for dependency in basic activities of daily living (OR 3.3; 95% CI 1.7-6.3). Cognitive dysfunction was a risk factor for dependency in basic activities of daily living (OR 0.1; 95% CI 0.01-0.7).


CONCLUSIONS
Prefracture use of outdoor walking aids, perceived physical health, cognitive function, instrumental activity of daily living and female gender were all predictors explaining the three-month outcomes for basic activities of daily living and instrumental activity of daily living.
Department of Geriatric Medicine, Oslo University Hospital, Ullevål, N-0407 Oslo, Norway. hilde.sylliaas@hf.hio.no
Hilde
H
Sylliaas
Pernille
P
Thingstad
Torgeir Bruun
TB
Wyller
Jorunn
J
Helbostad
Olav
O
Sletvold
Astrid
A
Bergland
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006620:Hip Fractures / Q000523:psychology* / Q000534:rehabilitation*; D006701:Home Nursing; D006801:Humans; D008297:Male; D008609:Mental Status Schedule; D051346:Mobility Limitation; D009664:Norway; D017063:Outcome Assessment, Health Care; D010465:Perception; D011379:Prognosis; D012647:Self-Assessment; D012656:Self-Help Devices; D012737:Sex Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires