Factors Influencing Performance-Oriented Mobility After Hip Fracture

Objective: To identify the patient- and fracture-related determinants that influence performance-oriented mobility in hip fracture patients as measured by the Performance-Oriented Mobility Assessment (POMA) score. Method: A prospective study was conducted. Patients aged 65 or older (n = 186) were pr...

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Bibliographic Details
Published in:Journal of aging and health 2015-08, Vol.27 (5), p.827-842
Main Authors: Martín-Martín, Lydia Mª, Arroyo-Morales, Manuel, Sánchez-Cruz, José Juan, Valenza-Demet, Gerald, Valenza, Marie Carmen, Jiménez-Moleón, José Juan
Format: Article
Language:English
Subjects:
Activities of Daily Living
Age Factors
Aged
Comorbidity
Discriminant analysis
Emotional disorders
Female
Fractures
Gait - physiology
Health technology assessment
Hip Fractures - physiopathology
Hip Fractures - psychology
Hip Fractures - surgery
Hip joint
Humans
Length of Stay - statistics & numerical data
Male
Mobility
Mobility Limitation
Postural Balance - physiology
Prospective Studies
Recovery of Function
Spain - epidemiology
Stress, Psychological - epidemiology
Treatment Outcome
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Summary:Objective: To identify the patient- and fracture-related determinants that influence performance-oriented mobility in hip fracture patients as measured by the Performance-Oriented Mobility Assessment (POMA) score. Method: A prospective study was conducted. Patients aged 65 or older (n = 186) were prospectively recruited. Patients were assessed for mobility (Tinetti POMA), level of independence (Modified Barthel Index), emotional distress (Goldberg General Health Questionnaire), comorbidities (Charlson Comorbidity Index), and Perceived Health (categorical scale). Results: The study revealed that patient age, type of fracture, length of hospital stay, level of emotional distress, and level of independence were significant predictors of performance-oriented mobility. When combined, these factors explained 44.3% of the variance in performance-oriented mobility (r2 = .443; r2 adjusted = .414; F = 15.46; p < .001). Discussion: Patients who are older, spend more days in hospital, have worse pre-fracture independence level or higher emotional distress levels at discharge, and sustain subtrochanteric or intertrochanteric fractures seem to have poorer performance-oriented mobility after hip fracture.
ISSN:0898-2643
1552-6887
DOI:10.1177/0898264315569451