Article ; Online: Perceived Health Status and Capability after Hip Fracture: Secondary Outcomes from an Randomized Controlled Trial.
2024 Volume 70, Issue 3, Page(s) 235–240
Abstract: Introduction: Hip fractures can have a significant impact on the lives of older people and their families. We conducted a pragmatic randomized controlled trial of post-discharge comprehensive geriatric care (CGC) for community-dwelling older adults ... ...
| Abstract | Introduction: Hip fractures can have a significant impact on the lives of older people and their families. We conducted a pragmatic randomized controlled trial of post-discharge comprehensive geriatric care (CGC) for community-dwelling older adults after a surgically repaired hip fracture. The objective of this study was to conduct a secondary analysis to compare changes in health status and perceived capability from baseline to 12 months after randomization with: the EuroQol 5-Dimension (EQ-5D-5L) (1) utility score and (2) visual analog scale (VAS); and (3) well-being as measured by participants' perceptions of their ability (or capability) toward completing life activities using the ICEpop Capability Measure for Older People (ICECAP-O). Methods: We tested the effect of usual care (control) versus usual care and an outpatient CGC clinic (intervention) on mobility after hip fracture in community-dwelling older adults (65 years+). In this secondary analysis, we report the following outcomes: EQ-5D-5L utility score and VAS collected monthly via telephone and ICECAP-O collected in person three times at baseline, 6 months, and 12 months. Data were analyzed using area under the curve and regression adjusted for baseline values for utility scores and capability, and constrained longitudinal data analysis for VAS. Results: We enrolled 53 older adults, including 34 women and 19 men, with mean (SD) age of 80 (8) years. There were no statistical or clinically meaningful differences between groups (control group - intervention group values) for all variables: utility score = -0.028 (95% CI: -0.071, 0.014; p = 0.18); VAS: -0.03 (95% CI: -0.39 to 0.33; p = 0.86); and capability = -0.021 (95% CI: -0.090, 0.046; p = 0.54). Conclusions: There were no differences in outcomes between groups over 12 months, but values remained constant, contrary to a potential decline for this age group, especially after a major life event like a hip fracture. |
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| MeSH term(s) | Male ; Humans ; Female ; Aged ; Aged, 80 and over ; Aftercare ; Patient Discharge ; Hip Fractures/surgery ; Health Status ; Activities of Daily Living ; Quality of Life ; Surveys and Questionnaires |
| Language | English |
| Publishing date | 2024-01-05 |
| Publishing country | Switzerland |
| Document type | Randomized Controlled Trial ; News |
| ZDB-ID | 193798-4 |
| ISSN | 1423-0003 ; 0304-324X |
| ISSN (online) | 1423-0003 |
| ISSN | 0304-324X |
| DOI | 10.1159/000536131 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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