EPIDEMIOLOGY--DETERMINANTS OF RECOVERY FROM HIP FRACTURE

流行病学——髋部骨折康复的决定因素

• 批准号: 3117290
• 负责人: JAY MAGAZINER
• 金额: $ 30.25万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-01-01 至 1992-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3117290
• 关键词: balance; body physical activity; coping; disease /disorder prevention /control; emotional adjustment; epidemiology; health behavior; health care quality; hip fractures; hip prosthesis; hip surgery; human mortality; human old age (65+); human subject; interpersonal relations; interview; person with disability; postoperative complications; postoperative state; preoperative state; self help; social support network; statistics /biometry

Hip fracture represents a major health problem facing the aged. The burdens of hip fracture to the elderly, their families and the health care system are great. Still, many individuals fracturing a hip recover, though some more fully than others. Furthermore, many medical and psychosocial factors are believed to influence survival and recovery following a hip fracture, though prior research in this area is seriously lacking. The purpose of the proposed project is to determine the influence of medical and psychosocial factors on survival and on recovery in physical capacity, functional independence and social interaction during the year following a hip fracture in community dwellers aged 65+. While many medical factors influence recovery, this project will focus on potentially modifiable determinants of recovery such as: preoperative medical and cognitive status; peri and post- operative complications; postfracture cognitive, affective and attitudinal status; family and friend involvement in recovery; and therapeutic interventions. These issues will be addressed through a prospective epidemiological investigation of approximately 500 hip fracture patients over age 65. Information on pre and post-fracture status will be obtained from significant others, hospital nurses and medical records. Surviving patients will be assessed at their place of residence at 1, 3, 6, and 12 months post-fracture by an individual trained in physical assessment techniques. During this examination, the evaluator will assess physical capacity {range of motion, gait, balance}, functional independence in ability to perform tasks of daily living, and will obtain information needed to evaluate mental and social functioning. Data will be analyzed using multivariate techniques which will enable an understanding of how medical and psychosocial factors impact on survival and recovery in physical capacity, functional independence and social interaction during the year following the injury.

髋部骨折是老年人面临的一个主要健康问题。 髋部骨折对老年人、家庭和老年人的负担 医疗保健系统很棒。 尽管如此，许多人还是在 髋关节恢复，虽然有些人比其他人更充分。 此外，委员会认为， 许多医学和心理社会因素被认为会影响 髋部骨折后的生存和恢复，尽管之前 这方面的研究严重缺乏。 拟议项目的目的是确定影响 医疗和心理社会因素对生存和康复的影响 身体能力、功能独立性和社会互动 在社区居民髋部骨折后的一年内， 65+。 虽然许多医疗因素影响恢复，该项目 将侧重于潜在的可改变的复苏决定因素， 作为：术前医疗和认知状态;手术后和手术后 手术并发症;骨折后认知、情感和 态度状况;家人和朋友参与康复;以及 治疗干预。 这些问题将通过一个前瞻性的 近500例髋部骨折流行病学调查 65岁以上的患者。 骨折前和骨折后状态信息 将从重要的其他人，医院护士和 医疗记录 存活患者将在其 骨折后1、3、6和12个月的居住地， 接受过身体评估技术培训的个人。 在此 考试时，评估员将评估身体能力（ 运动，步态，平衡}，功能独立的能力， 执行日常生活任务，并将获得所需的信息 来评估心理和社会功能 将对数据进行分析 使用多变量技术， 医学和心理社会因素如何影响生存， 恢复身体能力、功能独立性和社会 受伤后一年内的互动。