Key result
Old age, high Charlson Comorbidity Index, and ASA grading predicted 1-year mortality (12.7% overall mortality rate) in Taiwanese older adults following hip fracture surgery.
Why the study?
Hip fractures among older adults are a major public health concern worldwide, leading researchers to investigate potential clinical factors predicting postoperative 1-year activities of daily living, quality of life, and mortality.
Cohort (n=377)
No
Old age, comorbidities, and ASA grading predict 1-year mortality, while albumin, cognitive status, and handgrip strength predict functional recovery in older adults after hip fracture surgery.
Supports preoperative risk stratification in older hip fracture patients; hypothesis-generating for targeted interventions to reduce mortality.
BACKGROUND: Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. METHODS: This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. RESULTS: Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. CONCLUSIONS: Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual's personalized risks in order to improve functional outcomes and reduce mortality.
No takes yet. Share an insight, caveat, or question.
Chiang et al. (2022) conducted a cohort in hip fracture (n=377). Clinical prognostic factors (age, comorbidities, ASA grading, albumin, cognition, handgrip strength) was evaluated on 1-year activities of daily living (ADL), quality of life (QoL), and mortality. Old age, high Charlson Comorbidity Index, and ASA grading predicted 1-year mortality (12.7% overall mortality rate) in Taiwanese older adults following hip fracture surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: