title: Recovery of activities of daily living among older people one year after hip fracture.
abstract: This article aims to determine the functional recovery of older people, who were previously independent in activities of daily living (ADLs) and without cognitive impairment, in the year following a fall-related hip fracture. A cohort study was carried out among patients admitted to University General Hospital of Albacete (Spain). Consecutive sampling was performed. Variables included demographic, habitual residence, type of hip fracture, mental status (Short Portable Mental Status Questionnaire [SPMSQ] Pfeiffer), and independence in ADLs (according to the Barthel Index [BI]) prior to the fall and after the fracture. For 205 patients, 1 year after surgery, the mean BI score was 78.09 (SD = 25.13); (vs. 90.02 before the hip fracture), 59% showed urinary continence (vs. 79%), and 65% walked without assistance (vs. 82%). Regarding predictors of recovery, results indicate that patients who are older, who suffer complications after hospital discharge, or who reside in nursing homes experience poorer recovery in ADLs. Only 47.9% of the patients regained prior levels of autonomy 1 year after surgery.
authors: University General Hospital, Albacete, Spain pcorcoles@sescam.org.
authors: María Pilar
authors: MP
authors: Córcoles-Jiménez
authors: University General Hospital, Albacete, Spain.
authors: Ascensión
authors: A
authors: Villada-Munera
authors: University General Hospital, Albacete, Spain.
authors: María Ángeles
authors: MÁ
authors: Del Egido-Fernández
authors: Faculty of Nursing, Castilla-La Mancha University, Albacete, Spain.
authors: Eduardo
authors: E
authors: Candel-Parra
authors: University General Hospital, Albacete, Spain.
authors: Mónica
authors: M
authors: Moreno-Moreno
authors: University General Hospital, Albacete, Spain.
authors: María Delirio
authors: MD
authors: Jiménez-Sánchez
authors: University General Hospital, Albacete, Spain.
authors: Antonio
authors: A
authors: Piña-Martínez
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D020127:Recovery of Function / Q000502:physiology*; D013030:Spain
keywords: accidental falls; activities of daily living; aged; hip fractures; recovery of function