dc.contributor.author | Rohde, Gudrun | |
dc.contributor.author | Haugeberg, Glenn | |
dc.contributor.author | Mengshoel, Anne M | |
dc.contributor.author | Moum, Torbjorn | |
dc.contributor.author | Wahl, Astrid K | |
dc.date.accessioned | 2015-10-09T02:14:15Z | |
dc.date.available | 2015-10-09T02:14:15Z | |
dc.date.issued | 2010 | |
dc.identifier.citation | BMC Musculoskeletal Disorders. 2010 Sep 29;11(1):226 | |
dc.identifier.uri | http://hdl.handle.net/10852/46823 | |
dc.description.abstract | Background
The long-term effect of hip fracture on health-related quality of life (HRQOL) and global quality of life (GQOL) has not been thoroughly studied in prospective case-control studies.
Aims
a)
to explore whether patients with low-energy hip fracture regain their pre-fracture levels in HRQOL and GQOL compared with changes in age- and sex-matched controls over a two year period;
b)
to identify predictors of changes in HRQOL and GQOL after two years.
Methods
We examined 61 patients (mean age = 74 years, SD = 10) and 61 matched controls (mean age = 73 years, SD = 8). The Short Form 36 assessed HRQOL and the Quality of Life Scale assessed GQOL. Paired samples t tests and multiple linear regression analyses were applied.
Results
HRQOL decreased significantly between baseline and one-year follow-up in patients with hip fractures, within all the SF-36 domains (p < 0.04), except for social functioning (p = 0.091). There were no significant decreases within the SF-36 domains in the controls. Significantly decreased GQOL scores (p < 0.001) were observed both within patients and within controls between baseline and one-year follow-up. The same pattern persisted between baseline and two-year follow-up, except for the HRQOL domain mental health (p = 0.193). The patients with hip fractures did not regain their HRQOL and GQOL. Worsened physical health after two years was predicted by being a patient with hip fracture (B = -5.8, p < 0.001) and old age (B = -1.0, p = 0.015), while worsened mental health was predicted by co-morbidity (B = -2.2, p = 0.029). No significant predictors of differential changes in GQOL were identified.
Conclusion
A hip fracture has a long-term impact on HRQOL and is a strong predictor of worsened physical health. Our data emphasize the importance of preventing hip fracture in the elderly to maintain physical health. This knowledge should be included in decision-making and health care plans. | |
dc.language.iso | eng | |
dc.rights | Rohde et al; licensee BioMed Central Ltd. | |
dc.rights | Attribution 2.0 Generic | |
dc.rights.uri | http://creativecommons.org/licenses/by/2.0/ | |
dc.title | Two-year changes in quality of life in elderly patients with low-energy hip fractures. A case-control study | |
dc.type | Journal article | |
dc.date.updated | 2015-10-09T02:14:15Z | |
dc.creator.author | Rohde, Gudrun | |
dc.creator.author | Haugeberg, Glenn | |
dc.creator.author | Mengshoel, Anne M | |
dc.creator.author | Moum, Torbjorn | |
dc.creator.author | Wahl, Astrid K | |
dc.identifier.doi | http://dx.doi.org/10.1186/1471-2474-11-226 | |
dc.identifier.urn | URN:NBN:no-51003 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/46823/1/12891_2010_Article_972.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 226 | |