ArticleOrthopaedic surgery2019
Risk Factors for Functional Outcomes of the Elderly with Intertrochanteric Fracture: A Retrospective Cohort Study.
Article in Orthopaedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 30 citations in OpenAlex.
- Hip biomechanics, health-related quality of life and walking ability after intramedullary fixation in intertrochanteric fracture: a prospective cohort study.International journal of burns and trauma · 2025Article
- Functional Outcomes and Quality of Life in Elderly Patients Following Intertrochanteric Femur Fracture: A One-Year Follow-Up Study.Bulletin of emergency and trauma · 2025Article
- Exploring Quality of Life and Mortality in Pertrochanteric Fragility Hip Fractures in Northern Greece: A Single Tertiary Center Study.Journal of clinical medicine · 2024Article
- Prognostic Factors for Functional Recovery at 1-Year Following Fragility Hip Fractures.Clinics in orthopedic surgery · 2024Article
- Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study.Journal of clinical medicine · 2023Article
- Clinical Effectiveness of Home-Based Telerehabilitation Program for Geriatric Hip Fracture Following Total Hip Replacement.Orthopaedic surgery · 2023Article
- Evaluation of quality of life and associated factors in patients with intertrochanteric femoral fracture.PloS one · 2023Article
- Physiotherapy Rehabilitation to Recuperate a Patient From an Intertrochanteric Fracture: A Case Report.Cureus · 2022Article
- Effect of Home-based Telerehabilitation on the Postoperative Rehabilitation Outcome of Hip Fracture in the Aging Population.Orthopaedic surgery · 2022Article
- Determinants of Lack of Recovery from Dependency and Walking Ability Six Months after Hip Fracture in a Population of People Aged 65 Years and Over.Journal of clinical medicine · 2022Article
- Risk factors for postoperative mortality at 30 days in elderly Chinese patients with hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Development of Clinical Prediction Rules for One-Year Postoperative Functional Outcome in Patients with Intertrochanteric Fractures: The Intertrochanteric Fracture Ambulatory Prediction (IT-AP) Tool.International journal of environmental research and public health · 2021Article
- Prognostic factors related to ambulation deterioration after 1-year of geriatric hip fracture in a Chinese population.Scientific reports · 2021Article
- Predictive factors associated with the clinical outcome of intertrochanteric hip fracture in high-risk elderly patients treated with total hip arthroplasty versus percutaneous external fixation.Annals of translational medicine · 2021Article
- Prognostic Implications of Preoperative Pneumonia for Geriatric Patients Undergoing Hip Fracture Surgery or Arthroplasty.Orthopaedic surgery · 2020Article
- Loss of Reduction after Cephalomedullary Nail Fixation of Intertrochanteric Femoral Fracture: A Brief Report.Orthopaedic surgery · 2020Article
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3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo identify baseline factors relevant to functional outcomes and health-related quality of life in the elderly with intertrochanteric fractures.
methodsFor the present study, 168 patients with intertrochanteric fracture who were assigned to different treatments between January 2016 and December 2017 were retrospectively selected. Hip function was assessed by Harris hip score (HHS), and health-related quality of life was evaluated by Barthel index (BI) of activities of daily living (ADL) and EuroQol 5-dimensions (EQ-5D) score, respectively. Data were analyzed by t-test, ANOVA, Pearson's correlation, χ
resultsA total of 164 (97.6%) patients completed the follow-up, with an average follow-up time of 15.7 ± 6.9 months; 39 (23.8%) patients died during the follow-up period and 125 (76.2%) patients were eligible for the functional analysis. HHS at final follow-up of 125 patients was 71.8 ± 13.1, and the following were associated with hip functional recovery: age (-0.45, 95% confidence interval (CI) -0.73 to -0.18, P < 0.01), serum albumin (0.65, 95% CI 0.04 to 1.27, P < 0.05), and ADL at discharge (0.18, 95% CI 0.01 to 0.33, P < 0.05). The Barthel index at final follow up in this cohort was 80.2 ± 18.1, and multivariable linear regression analysis showed that age (-0.49, 95% CI -0.85 to -0.12; P < 0.05), ADL score at discharge (0.29, 95% CI 0.07 to 0.51; P < 0.05) and internal fixation (16.3, 95% CI 3.3 to 29.3; P < 0.05) were associated with ADL at final follow-up. EQ-5D at final follow-up was 0.74 ± 0.2, with which HHS (0.012, 95% CI 0.011 to 0.013; P < 0.01) was positively associated.
conclusionWe identify several baseline factors associated with hip functional outcome, health utility, and ADL in the elderly after an intertrochanteric fracture, of which we could modify mutable factors to achieve better outcomes. These findings could help to inform treatment and functional prognosis.
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