A critical review of the long-term disability outcomes following hip fracture.
A critical review of the long-term disability outcomes following hip fracture.
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DOI：
10.1186/s12877-016-0332-0
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发表时间：
2016-09-02
期刊：
影响因子：
4.1
通讯作者：
Fragility Fracture Network (FFN) Rehabilitation Research Special Interest Group
中科院分区：
文献类型：
--
作者：
Dyer SM;Crotty M;Fairhall N;Magaziner J;Beaupre LA;Cameron ID;Sherrington C;Fragility Fracture Network (FFN) Rehabilitation Research Special Interest Group
髋部骨折是老年人跌倒的一个越来越常见的后果，与死亡和功能下降的高风险相关。本综述旨在量化髋部骨折对老年人能力和生活质量的长期影响。研究是通过 PubMed 和 Scopus 搜索以及与专家联系确定的。报告骨折后 3 个月或更长时间结果的髋部骨折患者队列研究也纳入审查。流动性、参与家庭和社区活动、健康、住宿或生活质量的结果根据世界卫生组织的国际功能分类进行分类，并进行叙述性综合。根据加强流行病学观察研究报告 (STROBE) 声明中的四项评估偏倚风险。来自 42 份出版物的 38 项研究被纳入审查。大多数人都遵循从骨折时起明确定义的样本。与年龄匹配的对照组相比，髋部骨折幸存者的活动能力、功能独立性、健康状况、生活质量和住院率均明显较差。步行能力和日常生活活动的大部分恢复发生在骨折后 6 个月内。 40% 至 60% 的研究参与者恢复了骨折前的活动能力和进行日常生活工具性活动的能力，而 40-70% 的人恢复了进行基本日常生活活动的独立水平。对于骨折前能够独立进行自我护理的人来说，20-60% 的人在骨折后 1 到 2 年内需要帮助来完成各种任务。生活在寄宿护理中的人恢复功能水平的人数少于生活在社区中的人。在西方国家，10-20% 的髋部骨折患者在骨折后被送往收容机构。很少有研究报告对参与家庭、社区、社会和公民生活的影响。髋部骨折对老年人的中长期能力、功能、生活质量和适应能力产生重大影响。这些研究表明了当前结果的范围，而不是不同干预方法的潜在改善。未来的研究应该衡量对生活参与的影响，并确定恢复骨折前功能水平的人的比例，以研究改善这些重要结果的策略。本文的在线版本 (doi:10.1186/s12877-016-0332-0) 包含补充材料，可供授权用户使用。
Hip fractures are an increasingly common consequence of falls in older people that are associated with a high risk of death and reduced function. This review aims to quantify the impact of hip fracture on older people’s abilities and quality of life over the long term. Studies were identified through PubMed and Scopus searches and contact with experts. Cohort studies of hip fracture patients reporting outcomes 3 months post-fracture or longer were included for review. Outcomes of mobility, participation in domestic and community activities, health, accommodation or quality of life were categorised according to the World Health Organization’s International Classification of Functioning and synthesised narratively. Risk of bias was assessed according to four items from the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Thirty-eight studies from 42 publications were included for review. Most followed a clearly defined sample from the time of fracture. Hip fracture survivors experienced significantly worse mobility, independence in function, health, quality of life and higher rates of institutionalisation than age matched controls. The bulk of recovery of walking ability and activities for daily living occurred within 6 months after fracture. Between 40 and 60 % of study participants recovered their pre-fracture level of mobility and ability to perform instrumental activities of daily living, while 40–70 % regained their level of independence for basic activities of daily living. For people independent in self-care pre-fracture, 20–60 % required assistance for various tasks 1 and 2 years after fracture. Fewer people living in residential care recovered their level of function than those living in the community. In Western nations, 10–20 % of hip fracture patients are institutionalised following fracture. Few studies reported impact on participation in domestic, community, social and civic life. Hip fracture has a substantial impact on older peoples’ medium- to longer-term abilities, function, quality of life and accommodation. These studies indicate the range of current outcomes rather than potential improvements with different interventional approaches. Future studies should measure impact on life participation and determine the proportion of people that regain their pre-fracture level of functioning to investigate strategies for improving these important outcomes. The online version of this article (doi:10.1186/s12877-016-0332-0) contains supplementary material, which is available to authorized users.
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髋部骨折的流行病学：全球地理变化。
影响因子：
1
作者：
Dhanwal DK;Dennison EM;Harvey NC;Cooper C
通讯作者：
Cooper C
影响因子：
5.3
作者：
Holt, G.;Smith, R.;Gregori, A.
通讯作者：
Gregori, A.
DOI：
10.3109/17453679008993550
发表时间：
1990-10-01
期刊：
ACTA ORTHOPAEDICA SCANDINAVICA
影响因子：
--
作者：
BORGQUIST, L;CEDER, L;THORNGREN, KG
通讯作者：
THORNGREN, KG
影响因子：
2.3
作者：
Doshi, Hitendra K.;Ramason, Rani;Naidu, Ganesan
通讯作者：
Naidu, Ganesan
影响因子：
4
作者：
Abimanyi-Ochom, J.;Watts, J. J.;Borgstrom, F.;Nicholson, G. C.;Shore-Lorenti, C.;Stuart, A. L.;Zhang, Y.;Iuliano, S.;Seeman, E.;Prince, R.;March, L.;Cross, M.;Winzenberg, T.;Laslett, L. L.;Duque, G.;Ebeling, P. R.;Sanders, K. M.
通讯作者：
Sanders, K. M.