Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall

Summary Aims The aim of this study was to identify factors related to a decline in function following a wrist fracture. Methods 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...

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Veröffentlicht in:International journal of clinical practice (Esher) 2016-11, Vol.70 (11), p.930-939
Hauptverfasser: González, Nerea, Antón-Ladislao, Ane, Orive, Miren, Zabala, Jon, García-Gutiérrez, Susana, Las Hayas, Carlota, Quintana, Jose Maria
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container_end_page 939
container_issue 11
container_start_page 930
container_title International journal of clinical practice (Esher)
container_volume 70
creator González, Nerea
Antón-Ladislao, Ane
Orive, Miren
Zabala, Jon
García-Gutiérrez, Susana
Las Hayas, Carlota
Quintana, Jose Maria
description Summary Aims The aim of this study was to identify factors related to a decline in function following a wrist fracture. Methods 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. Results 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. Discussion Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture. Conclusions These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.
doi_str_mv 10.1111/ijcp.12880
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Methods 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. Results 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. Discussion Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture. Conclusions These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.12880</identifier><identifier>PMID: 27870256</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Accidental Falls ; Aged ; Aged, 80 and over ; Clinical outcomes ; Emergency Service, Hospital ; Falls ; Female ; Fractures ; Fractures, Bone - etiology ; Humans ; Linear Models ; Logistic Models ; Male ; Multivariate Analysis ; Prospective Studies ; Quality of Life ; Spain ; Wrist - physiopathology ; Wrist Injuries - etiology</subject><ispartof>International journal of clinical practice (Esher), 2016-11, Vol.70 (11), p.930-939</ispartof><rights>2016 John Wiley &amp; Sons Ltd</rights><rights>2016 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4310-7740453792a61537c3cb26431f6991b7ef2bc74e3a2e5db4e1115259873cf81c3</citedby><cites>FETCH-LOGICAL-c4310-7740453792a61537c3cb26431f6991b7ef2bc74e3a2e5db4e1115259873cf81c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.12880$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.12880$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27870256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González, Nerea</creatorcontrib><creatorcontrib>Antón-Ladislao, Ane</creatorcontrib><creatorcontrib>Orive, Miren</creatorcontrib><creatorcontrib>Zabala, Jon</creatorcontrib><creatorcontrib>García-Gutiérrez, Susana</creatorcontrib><creatorcontrib>Las Hayas, Carlota</creatorcontrib><creatorcontrib>Quintana, Jose Maria</creatorcontrib><creatorcontrib>OFF (Older Falls Fracture)-IRYSS Group</creatorcontrib><title>Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary Aims The aim of this study was to identify factors related to a decline in function following a wrist fracture. Methods 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. Results 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. Discussion Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture. 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Antón-Ladislao, Ane ; Orive, Miren ; Zabala, Jon ; García-Gutiérrez, Susana ; Las Hayas, Carlota ; Quintana, Jose Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4310-7740453792a61537c3cb26431f6991b7ef2bc74e3a2e5db4e1115259873cf81c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Accidental Falls</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Clinical outcomes</topic><topic>Emergency Service, Hospital</topic><topic>Falls</topic><topic>Female</topic><topic>Fractures</topic><topic>Fractures, Bone - etiology</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Spain</topic><topic>Wrist - physiopathology</topic><topic>Wrist Injuries - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González, Nerea</creatorcontrib><creatorcontrib>Antón-Ladislao, Ane</creatorcontrib><creatorcontrib>Orive, Miren</creatorcontrib><creatorcontrib>Zabala, Jon</creatorcontrib><creatorcontrib>García-Gutiérrez, Susana</creatorcontrib><creatorcontrib>Las Hayas, Carlota</creatorcontrib><creatorcontrib>Quintana, Jose Maria</creatorcontrib><creatorcontrib>OFF (Older Falls Fracture)-IRYSS Group</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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Methods 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. Results 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. Discussion Two different models identified several parameters related to declines in upper extremity function 6 and 18 months after the fracture. Conclusions These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>27870256</pmid><doi>10.1111/ijcp.12880</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Accidental Falls
Aged
Aged, 80 and over
Clinical outcomes
Emergency Service, Hospital
Falls
Female
Fractures
Fractures, Bone - etiology
Humans
Linear Models
Logistic Models
Male
Multivariate Analysis
Prospective Studies
Quality of Life
Spain
Wrist - physiopathology
Wrist Injuries - etiology
title Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall
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