OBJECTIVE: To contribute to fall prevention by studying the epidemiological profile, mortality, and functional evolution of elderly persons with hip fracture, in Brazil, in the year following a fracture. METHOD: Fifty-six elderly patients aged 60 years and over with hip fracture secondary to a fall and admitted in 2000 were included. In addition to the medical record data, patients or their guardians filled a form providing information regarding personal data, history of fall and fracture, physical evaluation, and ability to perform basic and instrumental activities of daily living prior to and 1 year after their fracture, using Katz's Index and Lawton's Index, respectively. RESULTS: Fractures were more common among Caucasian widowed women, and most falls occurred at home. General mortality within 1 year after the occurrence of fracture was 30.35% and was associated with sex and age. There was an increase in the inability to walk and in the use of a supporting device. A significant reduction in the functional ability to perform basic and instrumental activities of daily living was found. CONCLUSION: The evolution of hip fracture in the year following it is related to high mortality and to a decrease in functional ability, with age and male sex being the factors associated with a worse prognosis, emphasizing the need for special follow-up care of these groups during the immediate and late postoperative periods.
OBJECTIVE: To contribute to fall prevention by studying the epidemiological profile, mortality, and functional evolution of elderly persons with hip fracture, in Brazil, in the year following a fracture. METHOD: Fifty-six elderly patients aged 60 years and over with hip fracture secondary to a fall and admitted in 2000 were included. In addition to the medical record data, patients or their guardians filled a form providing information regarding personal data, history of fall and fracture, physical evaluation, and ability to perform basic and instrumental activities of daily living prior to and 1 year after their fracture, using Katz's Index and Lawton's Index, respectively. RESULTS: Fractures were more common among Caucasian widowed women, and most falls occurred at home. General mortality within 1 year after the occurrence of fracture was 30.35% and was associated with sex and age. There was an increase in the inability to walk and in the use of a supporting device. A significant reduction in the functional ability to perform basic and instrumental activities of daily living was found. CONCLUSION: The evolution of hip fracture in the year following it is related to high mortality and to a decrease in functional ability, with age and male sex being the factors associated with a worse prognosis, emphasizing the need for special follow-up care of these groups during the immediate and late postoperative periods.
Authors: Guilherme Carlos Brech; Tatiana Godoy Bobbio; Kelem de Negreiros Cabral; Patrícia Mota Coutinho; Leila Regina de Castro; Luis Mochizuki; Jose Maria Soares-Junior; Edmund Chada Baracat; Luiz Eugênio Garcez Leme; Julia Maria D'Andréa Greve; Angélica Castilho Alonso Journal: Clinics (Sao Paulo) Date: 2022-05-10 Impact factor: 2.898
Authors: Nurul Izzah Ibrahim; Mohd Sharkawi Ahmad; Mohamed S Zulfarina; Sharifah Nurul Aqilah Sayed Mohd Zaris; Isa Naina Mohamed; Norazlina Mohamed; Sabarul Afian Mokhtar; Ahmad Nazrun Shuid Journal: Int J Environ Res Public Health Date: 2018-05-16 Impact factor: 3.390
Authors: Guilherme Carlos Brech; Jessica Sillas DE Freitas; Marcia Gouvea; Adriana Machado-Lima; Marta Ferreira Bastos; Liliam Takayama; Rosa Maria Rodrigues Pereira; Julia Maria D'Andréa Greve; Angelica Castilho Alonso Journal: Acta Ortop Bras Date: 2021 Mar-Apr Impact factor: 0.513