Author(s):
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Sprague, S.; Bhandari, M.; Heetveld, M.J.; Liew, S.; Scott, T.; Bzovsky, S.; Heels-Ansdell, D.; Zhou, Q.;
Kampen, A. van
;
Biert, J.
;
Vugt, A.B. van
;
Edwards, M.J.R.
;
Blokhuis, T.J.
;
Frolke, J.P.M.
;
Geeraedts, L.M.G.
;
Gardeniers, J.W.M.
;
Tan, E.C.T.H.
; Poelhekke, L.M.S.J.;
Waal Malefijt, M.C. de
;
Schreurs, B.W.
; Swiontkowski, M.; Schemitsch, E.H.
|
Subject:
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Radboudumc 10: Reconstructive and regenerative medicine RIHS: Radboud Institute for Health Sciences Radboudumc 10: Reconstructive and regenerative medicine RIMLS: Radboud Institute for Molecular Life Sciences |
Organization:
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Orthopaedics Surgery Emergency Medicine |
Abstract:
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Aims: The primary aim of this prognostic study was to identify baseline factors associated with physical health-related quality of life (HRQL) in patients after a femoral neck fracture. The secondary aims were to identify baseline factors associated with mental HRQL, hip function, and health utility. Patients and Methods: Patients who were enrolled in the Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH) trial completed the 12-item Short Form Health Survey (SF-12), Western Ontario and McMaster Universities Arthritis Index, and EuroQol 5-Dimension at regular intervals for 24 months. We conducted multilevel mixed models to identify factors potentially associated with HRQL. Results: The following were associated with lower physical HRQL: older age (-1.42 for every ten-year increase, 95% confidence interval (CI) -2.17 to -0.67, p < 0.001); female gender (-1.52, 95% CI -3.00 to -0.05, p = 0.04); higher body mass index (-0.69 for every five-point increase, 95% CI -1.36 to -0.02, p = 0.04); American Society of Anesthesiologists class III ( versus class I) (-3.19, 95% CI -5.73 to -0.66, p = 0.01); and sustaining a displaced fracture (-2.18, 95% CI -3.88 to -0.49, p = 0.01). Additional factors were associated with mental HRQL, hip function, and health utility. Conclusion: We identified several baseline factors associated with lower HRQL, hip function, and utility after a femoral neck fracture. These findings may be used by clinicians to inform treatment and outcomes. Cite this article: Bone Joint J 2018;100-B:361-9.
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