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Introduction <p>Fragility hip fracture (FHF) has been frequently seen in trauma of older people, resulted in decreased mobility and a loss of independence.</p> Materials and methods <p>This study retrospectively assessed the long-term health-related quality of life (HRQOL) and living arrangement in older patients following FHF, and evaluated the factors associating with long-term EuroQol 5D (EQ5D) for 5&#xa0;years or more. This study included 203 Japanese patients (male 26, female 177) with FHF over the age of 60&#xa0;years. We examined the long-term EQ5D and life style at final follow-up, and identified the factors affecting with EQ5D.</p> Results <p>The mean age at baseline of 79&#xa0;years, the mean observation duration was 6&#xa0;years, and the average value of EQ5D at final follow-up was 0.65. Multivariate analysis presented that EQ5D at final follow-up was significantly predicted by serum albumin, trochanteric fracture, comorbidity stroke, higher BI at post-admission, less length of stay hospital, and living at home at final follow-up. The people living at home at final follow-up (148/203 [72.9%]) was less than the people at baseline (190/203 [93.6%]). In multivariate analysis, the people living at home at final follow-up were younger age at baseline, and higher BI at post-admission.</p> Discussion <p>In conclusion the long-term EQ5D after FHF was decreased in patients with lower serum albumin at baseline, with trochanteric fracture, with stroke comorbidity, and with lower BI at post-admission. The people living at home after FHF were young age at baseline and high BI at post-admission.</p>

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Long-term assessment of quality of life in the older patients with fragility hip fracture

  • 期刊论文

  • 发表日期：

    2025年7月2日

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  • Tomoko Tsutsui,
  • Toshifumi Fujiwara,
  • Yoshihiro Matsumoto,
  • Atsushi Kimura,
  • Masaya Kanahori,
  • Shinkichi Arisumi,
  • Akiko Oyamada,
  • Masanobu Ohishi,
  • Ko Ikuta,
  • Kuniyoshi Tsuchiya,
  • Naohisa Tayama,
  • Shinji Tomari,
  • Hisaaki Miyahara,
  • Takao Mae,
  • Toshihiko Hara,
  • Taichi Saito,
  • Takeshi Arizono,
  • Tsutomu Kawano,
  • Taro Mawatari,
  • Masami Fujiwara,
  • Minoru Takasaki,
  • Kunichika Shin,
  • Kenichi Ninomiya,
  • Kazutoshi Nakaie,
  • Yasuaki Antoku,
  • Yukihide Iwamoto,
  • Yasuharu Nakashima

摘要

Introduction

Fragility hip fracture (FHF) has been frequently seen in trauma of older people, resulted in decreased mobility and a loss of independence.

Materials and methods

This study retrospectively assessed the long-term health-related quality of life (HRQOL) and living arrangement in older patients following FHF, and evaluated the factors associating with long-term EuroQol 5D (EQ5D) for 5 years or more. This study included 203 Japanese patients (male 26, female 177) with FHF over the age of 60 years. We examined the long-term EQ5D and life style at final follow-up, and identified the factors affecting with EQ5D.

Results

The mean age at baseline of 79 years, the mean observation duration was 6 years, and the average value of EQ5D at final follow-up was 0.65. Multivariate analysis presented that EQ5D at final follow-up was significantly predicted by serum albumin, trochanteric fracture, comorbidity stroke, higher BI at post-admission, less length of stay hospital, and living at home at final follow-up. The people living at home at final follow-up (148/203 [72.9%]) was less than the people at baseline (190/203 [93.6%]). In multivariate analysis, the people living at home at final follow-up were younger age at baseline, and higher BI at post-admission.

Discussion

In conclusion the long-term EQ5D after FHF was decreased in patients with lower serum albumin at baseline, with trochanteric fracture, with stroke comorbidity, and with lower BI at post-admission. The people living at home after FHF were young age at baseline and high BI at post-admission.