Factors associated with physical dependency in adults with hip fracture
Main Article Content
Keywords
Functional Status, Hemiarthroplasty, Quality of Life, Hip Fractures
Abstract
Background: Hip fractures impact the quality of life and can lead to physical dependency, particularly in older adults.
Objective: To determine whether surgical treatment and other factors are associated with dependency in performing activities of daily living in elderly patients with hip fractures.
Material and methods: A cross-sectional analytical study was conducted at a regional general hospital from January 2019 to December 2021. Surgically treated patients with hip fractures were included. Follow-up was conducted for 6 months after surgery, and the Barthel Index and EQ-5D questionnaires were administered. Summary statistics and association measures were used for data analysis.
Results: A total of 126 patients with an average age of 78 ± 9 years were included. Patients with subcapital and basicervical fracture treated with hemiarthroplasty showed greater dependency compared to those treated with total hip arthroplasty with statistically significant differences. It was demonstrated that the greater the age the greater the dependency (p < 0.001), as well as prolonged hospital stay (p = 0.018). Cardiac disease was the comorbidity associated with increased dependency (p = 0.006).
Conclusion: The type of surgery emerged as a factor associated with dependency in patients with subcapital and basicervical fractures treated with hemiarthroplasty. The length of hospital stay and the presence of cardiac disease were also associated with physical dependency.
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