IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i1p95-d125913.html
   My bibliography  Save this article

Predictors of a Change and Correlation in Activities of Daily Living after Hip Fracture in Elderly Patients in a Community Hospital in Poland: A Six-Month Prospective Cohort Study

Author

Listed:
  • Maria Ganczak

    (Department of Epidemiology and Management, Faculty of Medical Sciences, Pomeranian Medical University, Zolnierska 48, 71-210 Szczecin, Poland)

  • Krzysztof Chrobrowski

    (Orthopedic Surgery and Traumatology Ward, Multidisciplinary District Hospital, Dekerta 1, 66-400 Gorzów Wlkp, Poland)

  • Marcin Korzeń

    (Department of Methods of Artificial Intelligence and Applied Mathematics, Faculty of Computer Science and Information Technology, West Pomeranian University of Technology Szczecin, Zolnierska 46, 71-210 Szczecin, Poland)

Abstract

Objectives: The consequences of hip fractures (HFs) in elderly persons include a deterioration in functional capacity to perform activities that enable independent living. Since prior research into this issue in Central Europe is rather scant, this study sought to assess the change in activities and instrumental activities of daily living (ADL/IADL) after HF surgery among Polish patients, to study predictors of regaining pre-fracture functional status three and six months later, and to evaluate the correlation between ADL and IADL limitations over time. Methods: A prospective study was conducted between 2011 and 2013 in a tertiary hospital in Western Poland. ADL/IADL were evaluated using the Katz index and Lawton scale, respectively. Results: About half (50.8%) of 120 patients (mean age 80.1 ± SD 7.59) had cognitive impairment (CI). Patients with CI were older ( p = 0.002) and had lower scores for pre-fracture ADL/IADL ( p = 0.001 and p < 0.001, respectively). Six months after HF, 33.3% of patients failed to return to their pre-fracture ADL and 62.5% failed to return to pre-fracture IADL; 20% of those who could walk before HF were unable to walk after six months. The pre-fracture Spearman correlation coefficient between ADL and IADL summary scores was 0.46; it increased to 0.70 at three months after HF surgery and 0.77 at six months ( p < 0.0001). Regaining ADL after six months was more likely in patients with pre-fracture intact intellectual function and independence in pre-fracture ADL; regaining IADL, in younger patients and those with higher pre-fracture IADL scores. Conclusions: Impairment in functional performance is common after HF surgery. ADL and IADL were strongly correlated in these patients, with this increasing over time. Functional outcomes after HF were more dependent on patient characteristics than treatment-related factors. Therefore, more emphasis should be directed towards the pre-fracture period and, in particular, maintaining cognitive function and preserving functional capacity in older persons at high risk of HF.

Suggested Citation

  • Maria Ganczak & Krzysztof Chrobrowski & Marcin Korzeń, 2018. "Predictors of a Change and Correlation in Activities of Daily Living after Hip Fracture in Elderly Patients in a Community Hospital in Poland: A Six-Month Prospective Cohort Study," IJERPH, MDPI, vol. 15(1), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:1:p:95-:d:125913
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/1/95/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/1/95/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jersey Liang & Joan M. Bennett & Benjamin A. Shaw & Ana R. Quiñones & Wen Ye & Xiao Xu & Mary Beth Ofstedal, 2008. "Gender Differences in Functional Status in Middle and Older Age: Are There Any Age Variations?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(5), pages 282-292.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Francisco José Tarazona-Santabalbina & Cristina Ojeda-Thies & Jesús Figueroa Rodríguez & Concepción Cassinello-Ogea & José Ramón Caeiro, 2021. "Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture," IJERPH, MDPI, vol. 18(6), pages 1-29, March.
    2. Nurul Izzah Ibrahim & Mohd Sharkawi Ahmad & Mohamed S Zulfarina & Sharifah Nurul Aqilah Sayed Mohd Zaris & Isa Naina Mohamed & Norazlina Mohamed & Sabarul Afian Mokhtar & Ahmad Nazrun Shuid, 2018. "Activities of Daily Living and Determinant Factors among Older Adult Subjects with Lower Body Fracture after Discharge from Hospital: A Prospective Study," IJERPH, MDPI, vol. 15(5), pages 1-21, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mi Jung Lee & Daejin Kim & Sergio Romero & Ickpyo Hong & Nikolay Bliznyuk & Craig Velozo, 2022. "Examining Older Adults’ Home Functioning Using the American Housing Survey," IJERPH, MDPI, vol. 19(8), pages 1-13, April.
    2. Bram Vanhoutte & Deborah Carr, 2021. "Age Takes Hold of Us by Surprise: Conceptualizing Vulnerabilities in Aging as the Timing of Adverse Events [Cox’s regression model for counting processes: A large sample study]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(1), pages 152-160.
    3. Eunsun Kwon & Sojung Park, 2017. "Heterogeneous Trajectories of Physical and Mental Health in Late Middle Age: Importance of Life-Course Socioeconomic Positions," IJERPH, MDPI, vol. 14(6), pages 1-20, May.
    4. Linda G. Martin & Zachary Zimmer & Jinkook Lee, 2017. "Foundations of Activity of Daily Living Trajectories of Older Americans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(1), pages 129-139.
    5. Pruchno, Rachel & Wilson-Genderson, Maureen & Heid, Allison R. & Cartwright, Francine P., 2021. "Effects of peri-traumatic stress experienced during Hurricane Sandy on functional limitation trajectories for older men and women," Social Science & Medicine, Elsevier, vol. 281(C).
    6. Warner, David F. & Brown, Tyson H., 2011. "Understanding how race/ethnicity and gender define age-trajectories of disability: An intersectionality approach," Social Science & Medicine, Elsevier, vol. 72(8), pages 1236-1248, April.
    7. Kyunghwa Kwak, 2018. "Age and Gender Variations in Healthy Immigrant Effect: a Population Study of Immigrant Well-Being in Canada," Journal of International Migration and Integration, Springer, vol. 19(2), pages 413-437, May.
    8. Vanhoutte, Bram, 2019. "Age takes hold of us by surprise: Conceptualising Vulnerabilities in Ageing as the Timing of Adverse Events - Pre-print," SocArXiv xqjwv, Center for Open Science.
    9. Juan Fan & Guangwei Huang, 2023. "Are Women More Vulnerable to Flooding Than Men in an Aging Japanese Society?," IJERPH, MDPI, vol. 20(2), pages 1-11, January.
    10. Liang, Jersey & Wang, Chia-Ning & Xu, Xiao & Hsu, Hui-Chuan & Lin, Hui-Shen & Lin, Yu-Hsuan, 2010. "Trajectory of functional status among older Taiwanese: Gender and age variations," Social Science & Medicine, Elsevier, vol. 71(6), pages 1208-1217, September.
    11. Ang, Shannon, 2018. "Social participation and health over the adult life course: Does the association strengthen with age?," Social Science & Medicine, Elsevier, vol. 206(C), pages 51-59.
    12. Ang, Shannon, 2019. "Intersectional cohort change: Disparities in mobility limitations among older Singaporeans," Social Science & Medicine, Elsevier, vol. 228(C), pages 223-231.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:1:p:95-:d:125913. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.