Related Experiment Video
Updated: Jun 7, 2025
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Factors associated with physical dependency in adults with hip fracture]
Martha Irazema Cárdenas-Rojas1, Carmen Areli Román-Jiménez2, Jorge Alberto Contreras-Córdova2
1Instituto Mexicano del Seguro Social, Coordinación de Investigación en Salud, Unidad de Investigación de Epidemiología Clínica. Villa de Álvarez, Colima, México.
Background:
Hip fractures impact the quality of life and can lead to physical dependency, particularly in older adults.
Objective:
To determine whether surgical treatment and other factors are associated with dependency in performing activities of daily living in elderly patients with hip fractures.
Material And Methods:
A cross-sectional analytical study was conducted at a regional general hospital from January 2019 to December 2021. Surgically treated patients with hip fractures were included. Follow-up was conducted for 6 months after surgery, and the Barthel Index and EQ-5D questionnaires were administered. Summary statistics and association measures were used for data analysis.
Results:
A total of 126 patients with an average age of 78 ± 9 years were included. Patients with subcapital and basicervical fracture treated with hemiarthroplasty showed greater dependency compared to those treated with total hip arthroplasty with statistically significant differences. It was demonstrated that the greater the age the greater the dependency (p < 0.001), as well as prolonged hospital stay (p = 0.018). Cardiac disease was the comorbidity associated with increased dependency (p = 0.006).
Conclusion:
The type of surgery emerged as a factor associated with dependency in patients with subcapital and basicervical fractures treated with hemiarthroplasty. The length of hospital stay and the presence of cardiac disease were also associated with physical dependency.
More Related Videos
06:58Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
Related Concept Videos
01:29Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:17Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
01:19Restorative Care
01:29Factors Affecting Protein-Drug Binding: Patient-Related Factors
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...