Article

PURPOSE: To explore the relationship between prefracture sociodemographic and
health characteristics, basic activities of daily living, instrumental activities
of daily living and perceived health 3 months after a hip fracture aged 65 or
older. METHODS: Age, sex, living alone or not, use of walking aids and whether
they had experienced another fall during the previous 6 months, were recorded in
hospital and at a three-month follow-up. A total of 277 patients were included.
The Barthel Index, the Nottingham Extended ADL Index, the Short Form-12
questionnaire, and the Mini Mental State Examination were used. RESULTS:
Prefracture use of a walking aid outdoors was a predictor of postfracture
dependency in basic activities of daily living: odds ratio (OR) 2.0, 95%
confidence intervals (CI 1.1-3.6), reduced score in instrumental activities of
daily living (OR 1.8; 95% CI 1.0-3.2) and reduced perceived physical health (p =
0.04). Prefracture instrumental activity of daily living was a predictor for
dependency in basic activities of daily living (OR 3.3; 95% CI 1.7-6.3).
Cognitive dysfunction was a risk factor for dependency in basic activities of
daily living (OR 0.1; 95% CI 0.01-0.7). CONCLUSIONS: Prefracture use of outdoor
walking aids, perceived physical health, cognitive function, instrumental
activity of daily living and female gender were all predictors explaining the
three-month outcomes for basic activities of daily living and instrumental
activity of daily living.

Langue : ANGLAIS