We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall.
- Authors
González, Nerea; Antón‐Ladislao, Ane; Orive, Miren; Zabala, Jon; García‐Gutiérrez, Susana; Las Hayas, Carlota; Quintana, Jose Maria; López, María; Gutiérrez, Susana; Rodríguez, Carlota Las Hayas; Echenagusia, Jon Zabala; Calzada, Miren Orive; Hernández, Nerea González; Larracoechea, Urko Aguirre; Ladislao, Ane Anton; Guerrero, Iratxe Lafuente; González, Amaia Bilbao; Lampreave, Luis Angel Sanado; Iglesias, Ignacio Javier Gamilla; Sanzberro, Elena Urrutia
- Abstract
<bold>Aims: </bold>The aim of this study was to identify factors related to a decline in function following a wrist fracture.<bold>Methods: </bold>Observational, prospective cohort study done in five public hospitals of the Basque Health Service. We recruited adults aged 65 or older with a wrist fracture due to a fall who attended the emergency department (ED) of one of these hospitals. Sociodemographic and clinical data were collected, along with information about health-related quality of life (HRQoL) and functionality.<bold>Results: </bold>A decline in function 6 months after the fracture was more likely among women (OR=3.409; 95% CI=1.920-6.053), patients receiving institutional help before the fracture (OR=5.717; 95% CI=1.644-19.883), patients who developed fracture-related complications within 6 months of the fall (OR=5.015; 95% CI=1.377-18.268), patients who visited an ED within 6 months of the fall (OR=1.646; 95% CI=1.058-2.561), patients with a displaced fracture (OR=1.595; 95% CI=1.106-2.300), and patients who broke the dominant hand (OR=1.464; 95% CI=1.019-2.103). Better baseline HRQoL and function were associated with smaller declines in function 6 months after the fall. Eighteen months after the fall, decline in function was more likely among women (OR=2.172; 95% CI=1.138-4.144) and patients visiting an ED because of fracture-related complications (OR=1.722; 95% CI=1.113-2.663). Better HRQoL and dependency level at baseline were associated with less decline in function 18 months after the fracture.<bold>Discussion: </bold>Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture.<bold>Conclusions: </bold>These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.
- Subjects
SPAIN; COMPARATIVE studies; ACCIDENTAL falls; BONE fractures; HOSPITAL emergency services; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; MULTIVARIATE analysis; QUALITY of life; REGRESSION analysis; RESEARCH; WRIST; WRIST injuries; LOGISTIC regression analysis; EVALUATION research
- Publication
International Journal of Clinical Practice, 2016, Vol 70, Issue 11, p930
- ISSN
1368-5031
- Publication type
journal article
- DOI
10.1111/ijcp.12880