Key result
A history of heart failure was associated with significantly poorer functional recovery after hip fracture, demonstrating lower Functional Independence Measure effectiveness (34.1% vs 51.6%, p=0.048).
Why the study?
Heart failure is a recognized risk factor for reduced physical function and falls, but its impact on functional recovery after a hip fracture remains unclear.
Does a history of heart failure reduce functional recovery in patients with sub-acute hip fracture?
Cohort (n=122)
No
Does a history of heart failure reduce functional recovery in patients with sub-acute hip fracture?
Heart failure is an independent risk factor for poor functional recovery after hip fracture, highlighting the need for tailored rehabilitation strategies in this population.
HF history may warrant closer monitoring during hip fracture rehab; hypothesis-generating for tailored strategies pending prospective confirmation.
[Purpose] Heart failure has been identified as a risk factor for reduced physical function and falls; however, the impact of heart failure on functional recovery after a hip fracture is unclear. This study aimed to examine how heart failure and pre-fracture physical function affect recovery after a hip fracture. [Participants and Methods] The study population consisted of 122 patients with sub-acute hip fracture (mean age 81.7 ± 9.7 years, 18.9% male) who were divided into two groups: heart failure and non-heart failure. The outcome measurement was the functional independence measure effectiveness. A two-way analysis of variance was performed to investigate how heart failure and ambulatory ability prior to hip fracture were related to the functional independence measure effectiveness. [Results] Seventeen patients (13.9%) had a history of heart failure. The two-way analysis of variance showed the two independent variables (heart failure and ambulatory ability before fracture) had significant main effects; however, their interaction effect was not significant. [Conclusion] Heart failure affects functional recovery after hip fracture independent of the pre-fracture physical function, and vice versa. Further research on rehabilitation in hip fracture patients with heart failure is required to develop strategies to overcome poor functional recovery in such patients.
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Itagaki et al. (2019) conducted a cohort in Sub-acute hip fracture (n=122). Heart failure vs. Non-heart failure was evaluated on Functional Independence Measure (FIM) effectiveness (p=0.048). A history of heart failure was associated with significantly poorer functional recovery after hip fracture, demonstrating lower Functional Independence Measure effectiveness (34.1% vs 51.6%, p=0.048).
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