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 |
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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 |
format | Article |
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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.</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 & Sons Ltd</rights><rights>2016 John Wiley & 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.
Conclusions
These results can help develop preventive actions needed to avoid or reduce the consequences of these falls.</description><subject>Accidental Falls</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Clinical outcomes</subject><subject>Emergency Service, Hospital</subject><subject>Falls</subject><subject>Female</subject><subject>Fractures</subject><subject>Fractures, Bone - etiology</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Spain</subject><subject>Wrist - physiopathology</subject><subject>Wrist Injuries - etiology</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1DAUhS0Eoi82_ABkiQ1CSvEzdpZ0REthVKqqFUvLcW7A07ywHU3n39clbRcs8ObY8neOrs5F6C0lxzSfT37jpmPKtCYv0D5VghWUCfoy33mpC0k43UMHMW4IYVJq8hrtMaVVfpT76PbUujSGiAN0NkGD04gtbsB1fgDsBzxPEwQMdylA79MOt_Pgkh8HbPtx-IUnmzwMKeKtT7-zcxt8TLgNOXUOgJsZlsTWdt0RepUlwptHPUQ3p1-uV1-L9Y-z89XndeEEp6RQShAhuaqYLWlWx13NyvzVllVFawUtq50SwC0D2dQCcgeSyUor7lpNHT9EH5bcKYx_ZojJ9D466Do7wDhHQ7VgUlSVEBl9_w-6Gecw5OkyxXOVWiiZqY8L5cIYY4DWTMH3NuwMJeZhBeZhBebvCjL87jFyrntontGnzjNAF2DrO9j9J8qcf1tdPoUWiye3C3fPHhtuTam4kubnxZlRVyfX39cX1Gh-D2nLnwE</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>González, Nerea</creator><creator>Antón-Ladislao, Ane</creator><creator>Orive, Miren</creator><creator>Zabala, Jon</creator><creator>García-Gutiérrez, Susana</creator><creator>Las Hayas, Carlota</creator><creator>Quintana, Jose Maria</creator><general>Blackwell Publishing Ltd</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201611</creationdate><title>Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall</title><author>González, Nerea ; 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 & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González, Nerea</au><au>Antón-Ladislao, Ane</au><au>Orive, Miren</au><au>Zabala, Jon</au><au>García-Gutiérrez, Susana</au><au>Las Hayas, Carlota</au><au>Quintana, Jose Maria</au><aucorp>OFF (Older Falls Fracture)-IRYSS Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors related to a decline in upper extremity function among patients with a wrist fracture due to a fall</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2016-11</date><risdate>2016</risdate><volume>70</volume><issue>11</issue><spage>930</spage><epage>939</epage><pages>930-939</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>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.</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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