Recovery of Activities of Daily Living Among Older People One Year After Hip Fracture

María Pilar Córcoles-Jiménez, Ascensión Villada-Munera, María à ngeles del Egido-Fernández, Eduardo Candel-Parra, Mónica Moreno-Moreno, María Delirio Jiménez-Sánchez and Antonio Piña-Martínez

Clinical Nursing Research, 2015, vol. 24, issue 6, 604-623

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.

Keywords: hip fractures; activities of daily living; recovery of function; accidental falls; aged (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:24:y:2015:i:6:p:604-623

DOI: 10.1177/1054773815573261

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