Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study
After a hip fracture, 50% of senior patients are left with permanent functional decline and 30% lose their autonomy. The aim of this prospective study was to evaluate whether seniors who are in a caregiver role have better functional recovery after hip fracture compared with noncaregivers. Prospecti...
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| Veröffentlicht in: | Journal of the American Medical Directors Association 2018-02, Vol.19 (2), p.122-129 |
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| creator | Nardi, Marlis Fischer, Karina Dawson-Hughes, Bess Orav, Endel J. Meyer, Otto W. Meyer, Ursina Beck, Sacha Simmen, Hans-Peter Pape, Hans-Christoph Egli, Andreas Willett, Walter C. Theiler, Robert Bischoff-Ferrari, Heike A. |
| description | After a hip fracture, 50% of senior patients are left with permanent functional decline and 30% lose their autonomy. The aim of this prospective study was to evaluate whether seniors who are in a caregiver role have better functional recovery after hip fracture compared with noncaregivers.
Prospective observational study.
A total of 107 Swiss patients with acute hip fracture age 65 years and older (84% women; 83.0 ± 6.9 years; 87% community-dwelling).
At baseline, participants were asked if they were caregivers for a person, a pet, or a plant. Lower-extremity mobility was measured using the Timed Up and Go (TUG) test at baseline during acute care (day 1–12 after hip fracture surgery) and at 6 and 12 months follow-up. Subjective physical functioning (SPF) was rated for prefracture values and at 6 and 12 months follow-up using the Short Form 36 Health Survey questionnaire. Differences in TUG performance or SPF between caregivers and noncaregivers at 6 and 12 months were assessed using multivariable repeated-measures analysis adjusted for age, sex, body mass index, Charlson comorbidity index, Mini-Mental State Examination, living condition, baseline TUG, and treatment (vitamin D, home exercise program as part of the original trial).
At baseline, adjusted TUG performance was better in caregivers of any kind compared with noncaregivers (40.9 vs 84.4 seconds, P |
| doi_str_mv | 10.1016/j.jamda.2017.08.009 |
| format | Article |
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Prospective observational study.
A total of 107 Swiss patients with acute hip fracture age 65 years and older (84% women; 83.0 ± 6.9 years; 87% community-dwelling).
At baseline, participants were asked if they were caregivers for a person, a pet, or a plant. Lower-extremity mobility was measured using the Timed Up and Go (TUG) test at baseline during acute care (day 1–12 after hip fracture surgery) and at 6 and 12 months follow-up. Subjective physical functioning (SPF) was rated for prefracture values and at 6 and 12 months follow-up using the Short Form 36 Health Survey questionnaire. Differences in TUG performance or SPF between caregivers and noncaregivers at 6 and 12 months were assessed using multivariable repeated-measures analysis adjusted for age, sex, body mass index, Charlson comorbidity index, Mini-Mental State Examination, living condition, baseline TUG, and treatment (vitamin D, home exercise program as part of the original trial).
At baseline, adjusted TUG performance was better in caregivers of any kind compared with noncaregivers (40.9 vs 84.4 seconds, P < .0001). At 6 months, and after adjustment for baseline TUG performance and other covariates, TUG was better in caregivers of any kind (−6.4 seconds, P = .007) and caregivers of plants (−6.6 seconds, P = .003) compared with noncaregivers. At 12 months, only caregivers of persons had better TUG performance compared with noncaregivers (−7.3 seconds, P = .009). Moreover, at 12 months, SPF was better in caregivers of persons (58.9 vs 45.6, P = .01) and caregivers of any kind (50.8 vs 39.3, P = .02) compared with noncaregivers.
Senior hip fracture patients who have a caregiver role of any kind, and especially of plants, had better short-term recovery after hip fracture assessed with the TUG. For long-term recovery, senior hip fracture patients who are caregivers for other persons appeared to have a significant benefit. These benefits were independent of baseline function and all other covariates.</description><identifier>ISSN: 1525-8610</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/j.jamda.2017.08.009</identifier><identifier>PMID: 28974464</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>caregiver role ; functional recovery ; Hip fracture ; outcome ; timed up and go test</subject><ispartof>Journal of the American Medical Directors Association, 2018-02, Vol.19 (2), p.122-129</ispartof><rights>2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine</rights><rights>Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-15e1f032ac5295fdfc7a77fa7550d540acf9343e1b4e57bfc9cd409aa390cf63</citedby><cites>FETCH-LOGICAL-c359t-15e1f032ac5295fdfc7a77fa7550d540acf9343e1b4e57bfc9cd409aa390cf63</cites><orcidid>0000-0002-0040-2988</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525861017304632$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28974464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nardi, Marlis</creatorcontrib><creatorcontrib>Fischer, Karina</creatorcontrib><creatorcontrib>Dawson-Hughes, Bess</creatorcontrib><creatorcontrib>Orav, Endel J.</creatorcontrib><creatorcontrib>Meyer, Otto W.</creatorcontrib><creatorcontrib>Meyer, Ursina</creatorcontrib><creatorcontrib>Beck, Sacha</creatorcontrib><creatorcontrib>Simmen, Hans-Peter</creatorcontrib><creatorcontrib>Pape, Hans-Christoph</creatorcontrib><creatorcontrib>Egli, Andreas</creatorcontrib><creatorcontrib>Willett, Walter C.</creatorcontrib><creatorcontrib>Theiler, Robert</creatorcontrib><creatorcontrib>Bischoff-Ferrari, Heike A.</creatorcontrib><title>Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study</title><title>Journal of the American Medical Directors Association</title><addtitle>J Am Med Dir Assoc</addtitle><description>After a hip fracture, 50% of senior patients are left with permanent functional decline and 30% lose their autonomy. The aim of this prospective study was to evaluate whether seniors who are in a caregiver role have better functional recovery after hip fracture compared with noncaregivers.
Prospective observational study.
A total of 107 Swiss patients with acute hip fracture age 65 years and older (84% women; 83.0 ± 6.9 years; 87% community-dwelling).
At baseline, participants were asked if they were caregivers for a person, a pet, or a plant. Lower-extremity mobility was measured using the Timed Up and Go (TUG) test at baseline during acute care (day 1–12 after hip fracture surgery) and at 6 and 12 months follow-up. Subjective physical functioning (SPF) was rated for prefracture values and at 6 and 12 months follow-up using the Short Form 36 Health Survey questionnaire. Differences in TUG performance or SPF between caregivers and noncaregivers at 6 and 12 months were assessed using multivariable repeated-measures analysis adjusted for age, sex, body mass index, Charlson comorbidity index, Mini-Mental State Examination, living condition, baseline TUG, and treatment (vitamin D, home exercise program as part of the original trial).
At baseline, adjusted TUG performance was better in caregivers of any kind compared with noncaregivers (40.9 vs 84.4 seconds, P < .0001). At 6 months, and after adjustment for baseline TUG performance and other covariates, TUG was better in caregivers of any kind (−6.4 seconds, P = .007) and caregivers of plants (−6.6 seconds, P = .003) compared with noncaregivers. At 12 months, only caregivers of persons had better TUG performance compared with noncaregivers (−7.3 seconds, P = .009). Moreover, at 12 months, SPF was better in caregivers of persons (58.9 vs 45.6, P = .01) and caregivers of any kind (50.8 vs 39.3, P = .02) compared with noncaregivers.
Senior hip fracture patients who have a caregiver role of any kind, and especially of plants, had better short-term recovery after hip fracture assessed with the TUG. For long-term recovery, senior hip fracture patients who are caregivers for other persons appeared to have a significant benefit. These benefits were independent of baseline function and all other covariates.</description><subject>caregiver role</subject><subject>functional recovery</subject><subject>Hip fracture</subject><subject>outcome</subject><subject>timed up and go test</subject><issn>1525-8610</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kEFv2yAYQFG1qe3a_oJJE8dd7IEBYybtEEXLOinSpjZ3ROCjI7JNBnaq_PuRpttxJ77De3zwEHpPSU0JbT_t6p0ZnKkbQmVNupoQdYGuqWBdpZgUb05zI6qupeQKvct5R0hBVXuJrppOSc5bfo2eFzlHG8wU4oi3MD0DjHhpEjyFAyT8EHvAZnT48VdMU_UyruP4VG0gDXg1j_Ykmh4_gI1FOGLjp-Ldhz1eJWOnOcFnvMA_U8x7KPAB8OM0u-MteutNn-Hu9bxBm9XXzfK-Wv_49n25WFeWCTVVVAD1hDXGikYJ77yVRkpvpBDECU6M9YpxBnTLQcitt8o6TpQxTBHrW3aDPp6v3af4e4Y86SFkC31vRohz1lRxSVTHpSwoO6O2vDUn8HqfwmDSUVOiT8H1Tr8E16fgmnS6BC_Wh9cF83YA98_5W7gAX84AlF8eAiSdbYDRggupBNEuhv8u-AP2-JPS</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Nardi, Marlis</creator><creator>Fischer, Karina</creator><creator>Dawson-Hughes, Bess</creator><creator>Orav, Endel J.</creator><creator>Meyer, Otto W.</creator><creator>Meyer, Ursina</creator><creator>Beck, Sacha</creator><creator>Simmen, Hans-Peter</creator><creator>Pape, Hans-Christoph</creator><creator>Egli, Andreas</creator><creator>Willett, Walter C.</creator><creator>Theiler, Robert</creator><creator>Bischoff-Ferrari, Heike A.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0040-2988</orcidid></search><sort><creationdate>201802</creationdate><title>Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study</title><author>Nardi, Marlis ; Fischer, Karina ; Dawson-Hughes, Bess ; Orav, Endel J. ; Meyer, Otto W. ; Meyer, Ursina ; Beck, Sacha ; Simmen, Hans-Peter ; Pape, Hans-Christoph ; Egli, Andreas ; Willett, Walter C. ; Theiler, Robert ; Bischoff-Ferrari, Heike A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-15e1f032ac5295fdfc7a77fa7550d540acf9343e1b4e57bfc9cd409aa390cf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>caregiver role</topic><topic>functional recovery</topic><topic>Hip fracture</topic><topic>outcome</topic><topic>timed up and go test</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nardi, Marlis</creatorcontrib><creatorcontrib>Fischer, Karina</creatorcontrib><creatorcontrib>Dawson-Hughes, Bess</creatorcontrib><creatorcontrib>Orav, Endel J.</creatorcontrib><creatorcontrib>Meyer, Otto W.</creatorcontrib><creatorcontrib>Meyer, Ursina</creatorcontrib><creatorcontrib>Beck, Sacha</creatorcontrib><creatorcontrib>Simmen, Hans-Peter</creatorcontrib><creatorcontrib>Pape, Hans-Christoph</creatorcontrib><creatorcontrib>Egli, Andreas</creatorcontrib><creatorcontrib>Willett, Walter C.</creatorcontrib><creatorcontrib>Theiler, Robert</creatorcontrib><creatorcontrib>Bischoff-Ferrari, Heike A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Medical Directors Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nardi, Marlis</au><au>Fischer, Karina</au><au>Dawson-Hughes, Bess</au><au>Orav, Endel J.</au><au>Meyer, Otto W.</au><au>Meyer, Ursina</au><au>Beck, Sacha</au><au>Simmen, Hans-Peter</au><au>Pape, Hans-Christoph</au><au>Egli, Andreas</au><au>Willett, Walter C.</au><au>Theiler, Robert</au><au>Bischoff-Ferrari, Heike A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study</atitle><jtitle>Journal of the American Medical Directors Association</jtitle><addtitle>J Am Med Dir Assoc</addtitle><date>2018-02</date><risdate>2018</risdate><volume>19</volume><issue>2</issue><spage>122</spage><epage>129</epage><pages>122-129</pages><issn>1525-8610</issn><eissn>1538-9375</eissn><abstract>After a hip fracture, 50% of senior patients are left with permanent functional decline and 30% lose their autonomy. The aim of this prospective study was to evaluate whether seniors who are in a caregiver role have better functional recovery after hip fracture compared with noncaregivers.
Prospective observational study.
A total of 107 Swiss patients with acute hip fracture age 65 years and older (84% women; 83.0 ± 6.9 years; 87% community-dwelling).
At baseline, participants were asked if they were caregivers for a person, a pet, or a plant. Lower-extremity mobility was measured using the Timed Up and Go (TUG) test at baseline during acute care (day 1–12 after hip fracture surgery) and at 6 and 12 months follow-up. Subjective physical functioning (SPF) was rated for prefracture values and at 6 and 12 months follow-up using the Short Form 36 Health Survey questionnaire. Differences in TUG performance or SPF between caregivers and noncaregivers at 6 and 12 months were assessed using multivariable repeated-measures analysis adjusted for age, sex, body mass index, Charlson comorbidity index, Mini-Mental State Examination, living condition, baseline TUG, and treatment (vitamin D, home exercise program as part of the original trial).
At baseline, adjusted TUG performance was better in caregivers of any kind compared with noncaregivers (40.9 vs 84.4 seconds, P < .0001). At 6 months, and after adjustment for baseline TUG performance and other covariates, TUG was better in caregivers of any kind (−6.4 seconds, P = .007) and caregivers of plants (−6.6 seconds, P = .003) compared with noncaregivers. At 12 months, only caregivers of persons had better TUG performance compared with noncaregivers (−7.3 seconds, P = .009). Moreover, at 12 months, SPF was better in caregivers of persons (58.9 vs 45.6, P = .01) and caregivers of any kind (50.8 vs 39.3, P = .02) compared with noncaregivers.
Senior hip fracture patients who have a caregiver role of any kind, and especially of plants, had better short-term recovery after hip fracture assessed with the TUG. For long-term recovery, senior hip fracture patients who are caregivers for other persons appeared to have a significant benefit. These benefits were independent of baseline function and all other covariates.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28974464</pmid><doi>10.1016/j.jamda.2017.08.009</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0040-2988</orcidid></addata></record> |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | caregiver role functional recovery Hip fracture outcome timed up and go test |
| title | Association between Caregiver Role and Short- and Long-Term Functional Recovery after Hip Fracture: A Prospective Study |
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