Quality of life after hip fracture: a 12-month prospective study

• Published in: PeerJ (San Francisco, CA) CA), 2020-06, Vol.8, p.e9215-e9215, Article e9215
• Main Authors: Amarilla-Donoso, Francisco Javier, Roncero-Martin, Raul, Lavado-Garcia, Jesus Maria, Toribio-Felipe, Rosaura, Moran-Garcia, Jose Maria, Lopez-Espuela, Fidel
• Format: Article
• Language: English
• Subjects: Activities of daily living; Analysis; Fractures; Fractures (Injuries); Geriatric care; Geriatrics; Health-related quality of life; Hip; Hip fracture; Mental depression; Mortality; Nursing; Orthopedics; Osteoporosis; Patients; Quality of life; Questionnaires; Rehabilitation; Self image; Studies; Surgery; Surveys; Womens health
• ISSN: 2167-8359; 2167-8359
• DOI: 10.7717/peerj.9215

Hip fracture is an important and frequent health problem worldwide. To date, there are still limited studies focused on the analysis of health-related quality of life (HRQOL) after a hip fracture in the Spanish population, especially with long-term follow-up. To determine the HRQOL at 12 months after hip fracture and to identify potential factors associated with HRQOL. Prospective observational study. Traumatology units of two university hospitals in province Cáceres (Spain). A total of 224 patients were admitted to the unit and required immediate surgery due to a hip fracture. HRQOL was measured with the EuroQol-5D questionnaire (EQ-5D) and the SF-12 Health Survey. Scores from the visual analog scale EQ-5D decreased significantly ( < 0.001) from 72.8 at baseline to 48.3 after 1 month, to 48.2 after 6 months and to 46.1 after 12 months. The EQ-5D index score showed a similar significant reduction ( < 0.001) from 0.6 to 0.1, 0.3 and 0.3, respectively. Values of the physical component summary (PCS-12) significantly decreased ( < 0.001) from 38.6 at baseline to 31.0, 33.1 and 33.5. The mental component summary (MCS-12) decreased from 46.5 to 44.8 after 6 months ( = 0.022) and 44.3 after 12 months ( = 0.005). Factors potentially associated with HRQOL at 12 months after hip fracture were depression status after 12 months ( = 0-1.876; 95% CI [-2.409 to -1.343]; < 0.001), functional ambulation classification after 12 months (B = -12.133; 95% CI [-17.970 to -6.297]; < 0.001), EQ-5D VAS at baseline ( = 0.223; 95% CI [0.115-0.330]; < 0.001), and age ( = -0.323; 95% CI [-0.594 to -0.053; = 0.015). Patients experience a significant impairment in HRQOL H after a hip fracture, especially in self-care, pain/discomfort, usual activities, mobility and anxiety/depression. The decline in the HRQOL is effective the first month and lasts at least 12 months after the surgical intervention.