Trajectories and prognostic factors for recovery after hip fracture: a longitudinal cohort study
Purpose The aim of this study was to determine recovery trajectories and prognostic factors for poor recovery in frail and non-frail patients after hip fracture. Methods Patients with a hip fracture aged 65 years and older admitted to a hospital in the Netherlands from August 2015 to November 2016 w...
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| Veröffentlicht in: | International orthopaedics 2022-12, Vol.46 (12), p.2913-2926 |
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| container_title | International orthopaedics |
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| creator | de Munter, Leonie van de Ree, Cornelis L. P. van der Jagt, Olav P. Gosens, Taco Maas, Huub A. A. M. de Jongh, Mariska A. C. |
| description | Purpose
The aim of this study was to determine recovery trajectories and prognostic factors for poor recovery in frail and non-frail patients after hip fracture.
Methods
Patients with a hip fracture aged 65 years and older admitted to a hospital in the Netherlands from August 2015 to November 2016 were asked to complete questionnaires at one week and one, three, six, 12, and 24 months after injury. The questionnaires included the ICEpop CAPability measure for older people, Health Utility Index, and the Hospital Anxiety Depression Scale. Latent class trajectory analysis was used to determine trajectories of recovery. Patient and injury characteristics for favourable and unfavourable outcome were compared with logistic regression.
Results
In total, 696 patients were included of which 367 (53%) patients were frail. Overall, recovery trajectories in frail patients were worse compared to trajectories in non-frail patients. In frail patients, poor recovery was significantly associated with dementia. Lower age was a prognostic factor for good recovery. Immobility, loneliness and weight loss were prognostic for respectively poor capability and symptoms of anxiety and depression. In non-frail patients, recovery after hip fracture was associated with loneliness and the type of hip fracture.
Conclusion
Although frailty is associated with poor recovery in older patients with hip fracture, a large proportion of frail patients show good recovery. Loneliness determines poor recovery with anxiety and depressive symptoms.
Trail registration
ClinicalTrials.gov identifier: NCT02508675 (July 27, 2015). |
| doi_str_mv | 10.1007/s00264-022-05561-4 |
| format | Article |
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The aim of this study was to determine recovery trajectories and prognostic factors for poor recovery in frail and non-frail patients after hip fracture.
Methods
Patients with a hip fracture aged 65 years and older admitted to a hospital in the Netherlands from August 2015 to November 2016 were asked to complete questionnaires at one week and one, three, six, 12, and 24 months after injury. The questionnaires included the ICEpop CAPability measure for older people, Health Utility Index, and the Hospital Anxiety Depression Scale. Latent class trajectory analysis was used to determine trajectories of recovery. Patient and injury characteristics for favourable and unfavourable outcome were compared with logistic regression.
Results
In total, 696 patients were included of which 367 (53%) patients were frail. Overall, recovery trajectories in frail patients were worse compared to trajectories in non-frail patients. In frail patients, poor recovery was significantly associated with dementia. Lower age was a prognostic factor for good recovery. Immobility, loneliness and weight loss were prognostic for respectively poor capability and symptoms of anxiety and depression. In non-frail patients, recovery after hip fracture was associated with loneliness and the type of hip fracture.
Conclusion
Although frailty is associated with poor recovery in older patients with hip fracture, a large proportion of frail patients show good recovery. Loneliness determines poor recovery with anxiety and depressive symptoms.
Trail registration
ClinicalTrials.gov identifier: NCT02508675 (July 27, 2015).</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-022-05561-4</identifier><identifier>PMID: 36066616</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anxiety - epidemiology ; Cohort Studies ; Hip Fractures - surgery ; Humans ; Longitudinal Studies ; Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics ; Prognosis</subject><ispartof>International orthopaedics, 2022-12, Vol.46 (12), p.2913-2926</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-5963953abaa4c5723f386496a7578ed48a83e9f791b94588bfdb3b9471119723</citedby><cites>FETCH-LOGICAL-c347t-5963953abaa4c5723f386496a7578ed48a83e9f791b94588bfdb3b9471119723</cites><orcidid>0000-0001-6573-2032</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-022-05561-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-022-05561-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36066616$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Munter, Leonie</creatorcontrib><creatorcontrib>van de Ree, Cornelis L. P.</creatorcontrib><creatorcontrib>van der Jagt, Olav P.</creatorcontrib><creatorcontrib>Gosens, Taco</creatorcontrib><creatorcontrib>Maas, Huub A. A. M.</creatorcontrib><creatorcontrib>de Jongh, Mariska A. C.</creatorcontrib><title>Trajectories and prognostic factors for recovery after hip fracture: a longitudinal cohort study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
The aim of this study was to determine recovery trajectories and prognostic factors for poor recovery in frail and non-frail patients after hip fracture.
Methods
Patients with a hip fracture aged 65 years and older admitted to a hospital in the Netherlands from August 2015 to November 2016 were asked to complete questionnaires at one week and one, three, six, 12, and 24 months after injury. The questionnaires included the ICEpop CAPability measure for older people, Health Utility Index, and the Hospital Anxiety Depression Scale. Latent class trajectory analysis was used to determine trajectories of recovery. Patient and injury characteristics for favourable and unfavourable outcome were compared with logistic regression.
Results
In total, 696 patients were included of which 367 (53%) patients were frail. Overall, recovery trajectories in frail patients were worse compared to trajectories in non-frail patients. In frail patients, poor recovery was significantly associated with dementia. Lower age was a prognostic factor for good recovery. Immobility, loneliness and weight loss were prognostic for respectively poor capability and symptoms of anxiety and depression. In non-frail patients, recovery after hip fracture was associated with loneliness and the type of hip fracture.
Conclusion
Although frailty is associated with poor recovery in older patients with hip fracture, a large proportion of frail patients show good recovery. Loneliness determines poor recovery with anxiety and depressive symptoms.
Trail registration
ClinicalTrials.gov identifier: NCT02508675 (July 27, 2015).</description><subject>Aged</subject><subject>Anxiety - epidemiology</subject><subject>Cohort Studies</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Prognosis</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAURS0EoqXwBxiQR5aAvx2zoYovqRJLd-M4dpsqjYudIPXf45LCyPT8dM-7sg4A1xjdYYTkfUKICFYgQgrEucAFOwFTzCgpOFb8FEwRZbggQvEJuEhpgxCWosTnYEIFEkJgMQUfy2g2zvYhNi5B09VwF8OqC6lvLPTmECToQ4TR2fDl4h4a37sI180O-pjzIboHaGAbulXTD3XTmRbasA6xhynv-0tw5k2b3NVxzsDy-Wk5fy0W7y9v88dFYSmTfcGVoIpTUxnDLJeEeloKpoSRXJauZqUpqVNeKlwpxsuy8nVF81NijFXGZ-B2rM3f_xxc6vW2Sda1relcGJImEiMlFJEqo2REbQwpRef1LjZbE_caI30Qq0exOovVP2I1y0c3x_6h2rr67-TXZAboCKQcdSsX9SYMMdtI_9V-A3kIhAw</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>de Munter, Leonie</creator><creator>van de Ree, Cornelis L. P.</creator><creator>van der Jagt, Olav P.</creator><creator>Gosens, Taco</creator><creator>Maas, Huub A. A. M.</creator><creator>de Jongh, Mariska A. C.</creator><general>Springer Berlin Heidelberg</general><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>7X8</scope><orcidid>https://orcid.org/0000-0001-6573-2032</orcidid></search><sort><creationdate>20221201</creationdate><title>Trajectories and prognostic factors for recovery after hip fracture: a longitudinal cohort study</title><author>de Munter, Leonie ; van de Ree, Cornelis L. P. ; van der Jagt, Olav P. ; Gosens, Taco ; Maas, Huub A. A. M. ; de Jongh, Mariska A. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-5963953abaa4c5723f386496a7578ed48a83e9f791b94588bfdb3b9471119723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Anxiety - epidemiology</topic><topic>Cohort Studies</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Munter, Leonie</creatorcontrib><creatorcontrib>van de Ree, Cornelis L. P.</creatorcontrib><creatorcontrib>van der Jagt, Olav P.</creatorcontrib><creatorcontrib>Gosens, Taco</creatorcontrib><creatorcontrib>Maas, Huub A. A. M.</creatorcontrib><creatorcontrib>de Jongh, Mariska A. C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Munter, Leonie</au><au>van de Ree, Cornelis L. P.</au><au>van der Jagt, Olav P.</au><au>Gosens, Taco</au><au>Maas, Huub A. A. M.</au><au>de Jongh, Mariska A. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trajectories and prognostic factors for recovery after hip fracture: a longitudinal cohort study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>46</volume><issue>12</issue><spage>2913</spage><epage>2926</epage><pages>2913-2926</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
The aim of this study was to determine recovery trajectories and prognostic factors for poor recovery in frail and non-frail patients after hip fracture.
Methods
Patients with a hip fracture aged 65 years and older admitted to a hospital in the Netherlands from August 2015 to November 2016 were asked to complete questionnaires at one week and one, three, six, 12, and 24 months after injury. The questionnaires included the ICEpop CAPability measure for older people, Health Utility Index, and the Hospital Anxiety Depression Scale. Latent class trajectory analysis was used to determine trajectories of recovery. Patient and injury characteristics for favourable and unfavourable outcome were compared with logistic regression.
Results
In total, 696 patients were included of which 367 (53%) patients were frail. Overall, recovery trajectories in frail patients were worse compared to trajectories in non-frail patients. In frail patients, poor recovery was significantly associated with dementia. Lower age was a prognostic factor for good recovery. Immobility, loneliness and weight loss were prognostic for respectively poor capability and symptoms of anxiety and depression. In non-frail patients, recovery after hip fracture was associated with loneliness and the type of hip fracture.
Conclusion
Although frailty is associated with poor recovery in older patients with hip fracture, a large proportion of frail patients show good recovery. Loneliness determines poor recovery with anxiety and depressive symptoms.
Trail registration
ClinicalTrials.gov identifier: NCT02508675 (July 27, 2015).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36066616</pmid><doi>10.1007/s00264-022-05561-4</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-6573-2032</orcidid></addata></record> |
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| ispartof | International orthopaedics, 2022-12, Vol.46 (12), p.2913-2926 |
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| source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Anxiety - epidemiology Cohort Studies Hip Fractures - surgery Humans Longitudinal Studies Medicine Medicine & Public Health Original Paper Orthopedics Prognosis |
| title | Trajectories and prognostic factors for recovery after hip fracture: a longitudinal cohort study |
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