Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation
Objectives: Evaluation of the functional status one year after a hip fracture surgery and the influence of sarcopenia and other clinical factors at the time of admission. Method: Prospective observational study with 135 patients over 65 years of age. Functional status of basic (modified Katz) and in...
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MDPI AG
2023-05-01
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| Online Access: | https://www.mdpi.com/2227-9032/11/10/1520 |
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| author | Pablo A. Marrero-Morales Enrique González-Dávila María Fernanda Hernández-Gutiérrez Eva M. Gallego-González Martina Jiménez-Hernández Emilio J. Sanz-Álvarez Natalia Rodríguez-Novo Yurena M. Rodríguez-Novo |
| author_facet | Pablo A. Marrero-Morales Enrique González-Dávila María Fernanda Hernández-Gutiérrez Eva M. Gallego-González Martina Jiménez-Hernández Emilio J. Sanz-Álvarez Natalia Rodríguez-Novo Yurena M. Rodríguez-Novo |
| author_sort | Pablo A. Marrero-Morales |
| collection | DOAJ |
| description | Objectives: Evaluation of the functional status one year after a hip fracture surgery and the influence of sarcopenia and other clinical factors at the time of admission. Method: Prospective observational study with 135 patients over 65 years of age. Functional status of basic (modified Katz) and instrumental activities (Lawton and Brody) and walking ability (Functional Ambulation Classification, FAC) was measured on admission, at discharge, and telephonically one year later. The risk or positive screening of sarcopenia (SARC-F) and cognitive status (Pfeiffer), as well as clinical variables, were evaluated. Results: 72% of patients are women; 36% have a risk of sarcopenia (Sarc-F ≥ 4), and 43% have moderate–severe cognitive impairment (Pfeiffer ≥ 5). Walking capacity at one year was closer to the values at admission more often in women than in men (0.2 ± 1.3 points vs. 0.9 ± 1.6; <i>p</i> = 0.001), as well as in patients without risk of sarcopenia versus sarcopenic patients (0.3 ± 1.2 points vs. 0.7 ± 1.7; <i>p</i> = 0.001), although their evolution did not show significant differences (<i>p</i> = 0.183). Instrumental activities after one year have not been recovered (1.7 ± 2.5 points; <i>p</i> = 0.032), and patients at risk of sarcopenia showed worse values (1.7 ± 1.9 points vs. 3.7 ± 2.7; <i>p</i> < 0.001) and worse evolution (<i>p</i> = 0.012). The evolution of basic activities varied according to the risk of sarcopenia (0.6 ± 1.4 points vs. 1.4 ± 2.1; <i>p</i> = 0.008). Conclusions: Functional status at one year is related to the functional status at admission, the positive screening of sarcopenia, sex, and cognitive impairment of the patient. Knowing at the time of admission an estimate of the functional status at one year will help to reinforce the individual treatment of patients with a worse prognosis. |
| first_indexed | 2024-03-11T03:41:33Z |
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| language | English |
| last_indexed | 2024-03-11T03:41:33Z |
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| spelling | doaj.art-6a41e08d328c4153b678346a82bc8ad82023-11-18T01:33:33ZengMDPI AGHealthcare2227-90322023-05-011110152010.3390/healthcare11101520Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the OperationPablo A. Marrero-Morales0Enrique González-Dávila1María Fernanda Hernández-Gutiérrez2Eva M. Gallego-González3Martina Jiménez-Hernández4Emilio J. Sanz-Álvarez5Natalia Rodríguez-Novo6Yurena M. Rodríguez-Novo7Department of Physical Medicine and Pharmacology, Faculty of Health Sciences, University of La Laguna, 38320 Santa Cruz de Tenerife, SpainDepartment of Matemáticas, Estadística e Investigación Operativa, Instituto IMAULL, University of La Laguna, 38320 La Laguna, SpainDepartment of Physical Medicine and Pharmacology, Faculty of Health Sciences, University of La Laguna, 38320 Santa Cruz de Tenerife, SpainTraumatology Service, Complejo Hospitalario Universitario de Canarias, 38320 La Laguna, SpainMedicine Section, University of La Laguna, 38320 La Laguna, SpainClinical Pharmacology Service, Complejo Hospitalario Universitario de Canarias, University of La Laguna, 38320 La Laguna, SpainNursing Section, Faculty of Health Sciences, University of La Laguna, 38200 Santa Cruz de Tenerife, SpainNursing Section, Faculty of Health Sciences, University of La Laguna, 38200 Santa Cruz de Tenerife, SpainObjectives: Evaluation of the functional status one year after a hip fracture surgery and the influence of sarcopenia and other clinical factors at the time of admission. Method: Prospective observational study with 135 patients over 65 years of age. Functional status of basic (modified Katz) and instrumental activities (Lawton and Brody) and walking ability (Functional Ambulation Classification, FAC) was measured on admission, at discharge, and telephonically one year later. The risk or positive screening of sarcopenia (SARC-F) and cognitive status (Pfeiffer), as well as clinical variables, were evaluated. Results: 72% of patients are women; 36% have a risk of sarcopenia (Sarc-F ≥ 4), and 43% have moderate–severe cognitive impairment (Pfeiffer ≥ 5). Walking capacity at one year was closer to the values at admission more often in women than in men (0.2 ± 1.3 points vs. 0.9 ± 1.6; <i>p</i> = 0.001), as well as in patients without risk of sarcopenia versus sarcopenic patients (0.3 ± 1.2 points vs. 0.7 ± 1.7; <i>p</i> = 0.001), although their evolution did not show significant differences (<i>p</i> = 0.183). Instrumental activities after one year have not been recovered (1.7 ± 2.5 points; <i>p</i> = 0.032), and patients at risk of sarcopenia showed worse values (1.7 ± 1.9 points vs. 3.7 ± 2.7; <i>p</i> < 0.001) and worse evolution (<i>p</i> = 0.012). The evolution of basic activities varied according to the risk of sarcopenia (0.6 ± 1.4 points vs. 1.4 ± 2.1; <i>p</i> = 0.008). Conclusions: Functional status at one year is related to the functional status at admission, the positive screening of sarcopenia, sex, and cognitive impairment of the patient. Knowing at the time of admission an estimate of the functional status at one year will help to reinforce the individual treatment of patients with a worse prognosis.https://www.mdpi.com/2227-9032/11/10/1520sarcopeniahip fracturefunctional physical performancefunctional statusgeriatrics |
| spellingShingle | Pablo A. Marrero-Morales Enrique González-Dávila María Fernanda Hernández-Gutiérrez Eva M. Gallego-González Martina Jiménez-Hernández Emilio J. Sanz-Álvarez Natalia Rodríguez-Novo Yurena M. Rodríguez-Novo Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation Healthcare sarcopenia hip fracture functional physical performance functional status geriatrics |
| title | Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation |
| title_full | Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation |
| title_fullStr | Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation |
| title_full_unstemmed | Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation |
| title_short | Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation |
| title_sort | functional status of patients over 65 years old intervened on for a hip fracture one year after the operation |
| topic | sarcopenia hip fracture functional physical performance functional status geriatrics |
| url | https://www.mdpi.com/2227-9032/11/10/1520 |
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