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What Factors Are Associated With the Recovery of Autonomy After a Hip Fracture? A Prospective, Multicentric Cohort Study

Published:February 10, 2018DOI:https://doi.org/10.1016/j.apmr.2018.01.021

      Abstract

      Objective

      To identify the factors associated with recovering autonomy in activities of daily living (ADL) in patients who have had a hip fracture.

      Design

      A prospective cohort study.

      Setting

      The orthopedic and orthogeriatric departments of 2 regional hospitals.

      Participants

      Patients (N=742) aged ≥65 years with a diagnosis of fragility hip fracture.

      Main Outcome Measures

      The level of autonomy at 4 months was assessed using the ADL scale.

      Results

      The median score on the ADL scale at 4 months was 3 (interquartile range, 5). Half of the population was unable to recover their prefracture autonomy levels. The following were found to be risk factors: increasing age (B=.02, P<.001); an elevated number of comorbidities (B=.044, P=.005); a lower level of prefracture autonomy (B=.087, P<.001); more frequent use of an antidecubitus mattress (B=.211, P<.001); an increased number of days with disorientation (B=.002, P=.012); failure to recover deambulation (B=.199, P<.001); an increased number of days with diapers (B=.003, P<.001), with a urinary catheter (B=.03, P<.001), and with bed rails (B=.001, P=.014); and a nonintensive care pathway (B=.199, P=.014).

      Conclusions

      Recovery of deambulation, treatment of disorientation and management of incontinence are modifiable factors significantly associated with the functional recovery of autonomy.

      Keywords

      List of abbreviations:

      ADL (activities of daily living), IQR (interquartile range)
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      • Correction
        Archives of Physical Medicine and RehabilitationVol. 101Issue 3
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          In the article by Morri et al, What Factors Are Associated With the Recovery of Autonomy After a Hip Fracture? A Prospective, Multicentric Cohort Study, published in Archives of Physical Medicine and Rehabilitation 2018;99:893-899 ( https://doi.org/10.1016/j.apmr.2018.01.021 ), an author’s name was misspelled. The seventh author’s name should have been spelled Lorenzo Marcato.
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