title: Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall.
abstract: OBJECTIVE
  The aim of this study was to identify factors related to a decline in function following a wrist fracture.
  
  
  METHODS
  Observational, prospective cohort study done in five public hospitals of the Basque Health Service. We recruited adults aged 65 or older with a wrist fracture due to a fall who attended the emergency department (ED) of one of these hospitals. Sociodemographic and clinical data were collected, along with information about health-related quality of life (HRQoL) and functionality.
  
  
  RESULTS
  A decline in function 6 months after the fracture was more likely among women (OR=3.409; 95% CI=1.920-6.053), patients receiving institutional help before the fracture (OR=5.717; 95% CI=1.644-19.883), patients who developed fracture-related complications within 6 months of the fall (OR=5.015; 95% CI=1.377-18.268), patients who visited an ED within 6 months of the fall (OR=1.646; 95% CI=1.058-2.561), patients with a displaced fracture (OR=1.595; 95% CI=1.106-2.300), and patients who broke the dominant hand (OR=1.464; 95% CI=1.019-2.103). Better baseline HRQoL and function were associated with smaller declines in function 6 months after the fall. Eighteen months after the fall, decline in function was more likely among women (OR=2.172; 95% CI=1.138-4.144) and patients visiting an ED because of fracture-related complications (OR=1.722; 95% CI=1.113-2.663). Better HRQoL and dependency level at baseline were associated with less decline in function 18 months after the fracture.
  
  
  CONCLUSIONS
  Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture.
  
  
  CONCLUSIONS
  These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo - Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
authors.forename: Nerea
authors.initials: N
authors.lastname: González
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo - Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
authors.forename: Ane
authors.initials: A
authors.lastname: Antón-Ladislao
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo - Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
authors.forename: Miren
authors.initials: M
authors.lastname: Orive
authors.affiliation: Traumatology Service, Hospital Galdakao-Usansolo, Galdakao, Spain.
authors.forename: Jon
authors.initials: J
authors.lastname: Zabala
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo - Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
authors.forename: Susana
authors.initials: S
authors.lastname: García-Gutiérrez
authors.affiliation: Deusto University, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Bilbao, Spain.
authors.forename: Carlota
authors.initials: C
authors.lastname: Las Hayas
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo - Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Quintana
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D011446:Prospective Studies; D011788:Quality of Life; D013030:Spain; D014953:Wrist / Q000503:physiopathology*; D014954:Wrist Injuries / Q000209:etiology*