Key result
A history of hip fracture surgery in elderly patients was associated with a 9.17-fold increased odds of having an undesirable quality of life compared to matched controls without a similar history.
Why the study?
Does a history of hip fracture surgery reduce quality of life in the elderly?
Case-Control (n=140)
No
Does a history of hip fracture surgery reduce quality of life in the elderly?
Odds Ratio: 9.17 (95% CI 4.24–19.82)
Absolute Event Rate: 78.6% vs 28.6%
p-value: p=<0.001
Elderly patients who have undergone hip fracture surgery have a significantly lower quality of life compared to matched controls, highlighting the need for supportive systems and rehabilitation.
May signal substantially worse quality of life after hip fracture surgery in the elderly; leaves open whether targeted rehabilitation improves outcomes.
INTRODUCTION: Hip fracture is common in the elderly. However, the quality of life of the elderly after hip fracture surgery has been largely ignored. Therefore, this study was conducted to compare the quality of life of the elderly with and without history of hip fracture surgery. METHODS: In a case-control study, 70 individuals with a history of hip fracture surgery at least three months before the study (case group) were compared with 70 elderly with the same specifications except the history of hip fracture (control group). The five-dimensional instrument of Euro Qol (EQ5D) was used to collect data. Chi-square test, t-test, analysis of variance (ANOVA) and calculating the odds ratio were used for data analysis. RESULTS: Compared to the control group, mobility, pain/discomfort, anxiety/depression, health status, self-care, and level of activity were lower in patients with the history of hip fracture. The mean scores of quality of life were also significantly lower in the case group regardless of all demographic variables such as age, sex, living arrangements, income, marriage, level of education, and job. CONCLUSION: The chance of undesirable quality of life in patients with a history of hip fracture surgery was 9.17 times greater than the elderly without a similar history. Therefore, developing supportive systems and rehabilitation facilities may improve patients' quality of life.
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Adib‐Hajbaghery et al. (2013) conducted a case-control in Hip fracture (n=140). History of hip fracture surgery vs. No history of hip fracture surgery was evaluated on Undesirable quality of life (EQ5D score ≤ 50) (OR 9.17, 95% CI 4.24-19.82, p=<0.001). A history of hip fracture surgery in elderly patients was associated with a 9.17-fold increased odds of having an undesirable quality of life compared to matched controls without a similar history.