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      Risk Factors for Functional Outcomes of the Elderly with Intertrochanteric Fracture: A Retrospective Cohort Study


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          To identify baseline factors relevant to functional outcomes and health‐related quality of life in the elderly with intertrochanteric fractures.


          For the present study, 168 patients with intertrochanteric fracture who were assigned to different treatments between January 2016 and December 2017 were retrospectively selected. Hip function was assessed by Harris hip score (HHS), and health‐related quality of life was evaluated by Barthel index (BI) of activities of daily living (ADL) and EuroQol 5‐dimensions (EQ‐5D) score, respectively. Data were analyzed by t‐test, ANOVA, Pearson's correlation, χ 2‐test, and multivariate linear regression.


          A total of 164 (97.6%) patients completed the follow‐up, with an average follow‐up time of 15.7 ± 6.9 months; 39 (23.8%) patients died during the follow‐up period and 125 (76.2%) patients were eligible for the functional analysis. HHS at final follow‐up of 125 patients was 71.8 ± 13.1, and the following were associated with hip functional recovery: age (−0.45, 95% confidence interval ( CI) −0.73 to −0.18, P < 0.01), serum albumin (0.65, 95% CI 0.04 to 1.27, P < 0.05), and ADL at discharge (0.18, 95% CI 0.01 to 0.33, P < 0.05). The Barthel index at final follow up in this cohort was 80.2 ± 18.1, and multivariable linear regression analysis showed that age (−0.49, 95% CI −0.85 to −0.12; P < 0.05), ADL score at discharge (0.29, 95% CI 0.07 to 0.51; P < 0.05) and internal fixation (16.3, 95% CI 3.3 to 29.3; P < 0.05) were associated with ADL at final follow‐up. EQ‐5D at final follow‐up was 0.74 ± 0.2, with which HHS (0.012, 95% CI 0.011 to 0.013; P < 0.01) was positively associated.


          We identify several baseline factors associated with hip functional outcome, health utility, and ADL in the elderly after an intertrochanteric fracture, of which we could modify mutable factors to achieve better outcomes. These findings could help to inform treatment and functional prognosis.

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          Most cited references32

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          EuroQol: the current state of play.

          R. Brooks (1996)
          The EuroQol Group first met in 1987 to test the feasibility of jointly developing a standardised non-disease-specific instrument for describing and valuing health-related quality of life. From the outset the Group has been multi-country, multi-centre, and multi-disciplinary. The EuroQol instrument is intended to complement other forms of quality of life measures, and it has been purposefully developed to generate a cardinal index of health, thus giving it considerable potential for use in economic evaluation. Considerable effort has been invested by the Group in the development and valuation aspects of health status measurement. Earlier work was reported upon in 1990; this paper is a second 'corporate' effort detailing subsequent developments. The concepts underlying the EuroQol framework are explored with particular reference to the generic nature of the instrument. The valuation task is reviewed and some evidence on the methodological requirements for measurement is presented. A number of special issues of considerable interest and concern to the Group are discussed: the modelling of data, the duration of health states and the problems surrounding the state 'dead'. An outline of some of the applications of the EuroQol instrument is presented and a brief commentary on the Group's ongoing programme of work concludes the paper.
            • Record: found
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            Chinese time trade-off values for EQ-5D health states.

            To generate a Chinese general population-based three-level EuroQol five-dimensios (EQ-5D-3L) social value set using the time trade-off method.
              • Record: found
              • Abstract: found
              • Article: not found

              Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial.

              Reoperation rates are high after surgery for hip fractures. We investigated the effect of a sliding hip screw versus cancellous screws on the risk of reoperation and other key outcomes.

                Author and article information

                Orthop Surg
                Orthop Surg
                Orthopaedic Surgery
                John Wiley & Sons Australia, Ltd (Melbourne )
                28 August 2019
                August 2019
                : 11
                : 4 ( doiID: 10.1111/os.v11.4 )
                : 643-652
                [ 1 ] Department of Orthopaedics and Traumatology Peking University People's Hospital Beijing China
                Author notes
                [*] [* ] Address for correspondence Pei‐xun Zhang, MD, Department of Orthopaedics and Traumatology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, China 100044 Tel: (+86) 013611237628; Email: zhangpeixun@ 123456bjmu.edu.cn
                © 2019 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                Page count
                Figures: 3, Tables: 8, Pages: 10, Words: 6486
                Funded by: National Natural Science Foundation of China
                Award ID: 31271284
                Award ID: 31571235
                Award ID: 31571236
                Funded by: Major R&D Program of National Ministry of Science and Technology
                Award ID: 2018YFB1105504
                Funded by: Beijing Municipal Science and Technology Commission Science and Technology Nova Cross Project
                Award ID: 2018019
                Funded by: R&D Foundation of PKUPH
                Award ID: 2018‐01
                Award ID: 2017‐01
                Clinical Article
                Clinical Articles
                Custom metadata
                August 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.7 mode:remove_FC converted:28.08.2019

                health‐related quality of life,hip functional outcome,intertrochanteric fracture


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