Skip to main content
SpringerLink
Log in

Consequences of hip fracture on activities of daily life and residential needs

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

The aim of this study was to describe the consequences of hip fracture with respect to changes in residential needs and the ability to perform activities of daily life. Patients 50 years and older admitted to the two largest hospitals of Oslo with a hip fracture during the period May 1996 through April 1997 were identified. In November 1997 a questionnaire on residential needs, activities of daily life, hip pain and health status was sent to the patients still alive (n=767). After reminders, the questionnaires of 593 patients (77%) were included. Logistic regression analysis was applied to assess items associated with functional limitation and need for residential care. The proportion of patients living in nursing homes increased from 15% before to 30% after the hip fracture, and men were twice as likely to move into a nursing home than women. Of the patients living in their own homes before the hip fracture, 6% of those <75 years compared with 33% of those >85 years had to move to nursing home after hip fracture. The proportion of patients walking without any aid decreased from 76 to 36%, and 43% of the patients lost their pre-fracture ability to move outside on their own. More than a fourth of the patients (28%) lost their ability to cook their own dinner after sustaining hip fracture. The probability of these events increased with increasing age. The probability of reporting inferior health status and for having hip pain that affected sleep after the fracture was unrelated to age. Many patients sustaining a hip fracture, and in particular the oldest patients, have reduced ability to perform activities of daily life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.

Similar content being viewed by others

References

  1. Cumming RG, Nevitt MC, Cummings SR (1997) Epidemiology of hip fractures. Epidemiol Rev 19:244–257

    CAS  PubMed  Google Scholar 

  2. Lofthus CM, Osnes EK, Falch JA, Kaastad TS, Kristiansen IS, Nordsletten L, Stensvold I, Meyer HE (2001) Epidemiology of hip fractures in Oslo, Norway. Bone 29:413–418

    Article  CAS  PubMed  Google Scholar 

  3. Melton LJ, III (1996) Epidemiology of hip fractures: implications of the exponential increase with age. Bone 18:121S–125S

    Article  PubMed  Google Scholar 

  4. Cooper C, Campion G, Melton LJ III (1992) Hip fractures in the elderly: a world-wide projection. Osteoporos Int 2:285–289

    CAS  PubMed  Google Scholar 

  5. Keene GS, Parker MJ, Pryor GA (1993) Mortality and morbidity after hip fractures. Br Med J 307:1248–1250

    CAS  Google Scholar 

  6. Forsen L, Sogaard AJ, Meyer HE, Edna T, Kopjar B (1999) Survival after hip fracture: short- and long-term excess mortality according to age and gender. Osteoporos Int 10:73–78

    Article  CAS  PubMed  Google Scholar 

  7. Sernbo I, Johnell O (1993) Consequences of a hip fracture: a prospective study over 1 year. Osteoporos Int 3:148–153

    Google Scholar 

  8. van Balen R, Steyerberg EW, Polder JJ, Ribbers TL, Habbema JD, Cools HJ (2001) Hip fracture in elderly patients: outcomes for function, quality of life, and type of residence. Clin Orthop:232–243

    Google Scholar 

  9. Norton R, Butler M, Robinson E, Lee-Joe T, Campbell AJ (2000) Declines in physical functioning attributable to hip fracture among older people: a follow-up study of case-control participants. Disabil Rehabil 22:345–351

    Article  CAS  PubMed  Google Scholar 

  10. Jonsson B, Johnell O, Redlund-Johnell I, Sernbo I (1993) Function 10 years after hip fracture. 74 patients after internal fixation. Acta Orthop Scand 64:645–646

    CAS  PubMed  Google Scholar 

  11. Finsen V, Borset M, Rossvoll I (1995) Mobility, survival and nursing-home requirements after hip fracture. Ann Chir Gynaecol 84:291–294

    CAS  PubMed  Google Scholar 

  12. Marottoli RA, Berkman LF, Cooney LM Jr (1992) Decline in physical function following hip fracture. J Am Geriatr Soc 40:861–866

    Google Scholar 

  13. Meyer HE, Tverdal A, Falch JA, Pedersen JI (2000) Factors associated with mortality after hip fracture. Osteoporos Int 11:228–232

    Article  CAS  PubMed  Google Scholar 

  14. Dolan P, Kind P (1996) Inconsistency and health state valuations. Soc Sci Med 42:609–615

    Article  CAS  PubMed  Google Scholar 

  15. Myers AM, Holliday PJ, Harvey KA, Hutchinson KS (1993) Functional performance measures: Are they superior to self-assessments? J Gerontol 48:M196–206

    CAS  PubMed  Google Scholar 

  16. Todorov A, Kirchner C (2000) Bias in proxies’ reports of disability: data from the National Health Interview Survey on disability. Am J Public Health 90:1248–1253

    CAS  PubMed  Google Scholar 

  17. Shaw C, McColl E, Bond S (2000) Functional abilities and continence: the use of proxy respondents in research involving older people. Qual Life Res 9:1117–1126

    Article  CAS  PubMed  Google Scholar 

  18. Kaastad TS, Meyer HE, Falch JA (1998) Incidence of hip fracture in Oslo, Norway: differences within the city. Bone 22:175–178

    Article  CAS  PubMed  Google Scholar 

  19. Rognerud M, Stensvold I (1997) Health in Oslo: the report of health, environmental and social differences in the parts of the city. Ullevål Hospital, Clinic of Preventive Medicine, Oslo

    Google Scholar 

  20. Roos NP, Montgomery P, Roos LL (1987) Health care utilization in the years prior to death. Milbank Q 65:231–254

    CAS  PubMed  Google Scholar 

  21. Lubitz JD, Riley GF (1993) Trends in Medicare payments in the last year of life. N Engl J Med 328:1092–1096

    Article  CAS  PubMed  Google Scholar 

  22. Rockwood K, Stolee P, Robertson D, Shillington ER (1989) Response bias in a health status survey of elderly people. Age Ageing 18:177–182

    CAS  PubMed  Google Scholar 

  23. Hoeymans N, Feskens EJ, Van Den Bos GA, Kromhout D (1998) Non-response bias in a study of cardiovascular diseases, functional status and self-rated health among elderly men. Age Ageing 27:35–40

    CAS  Google Scholar 

  24. Bruce DG, Devine A, Prince RL (2002) Recreational physical activity levels in healthy older women: the importance of fear of falling. J Am Geriatr Soc 50:84–89

    Article  PubMed  Google Scholar 

  25. Mossey JM, Knott E, Craik K (1989) Determinants of recovery 12 months after hip fracture: the importance of psychosocial factors. Am J Public Health 79:279–286

    CAS  PubMed  Google Scholar 

  26. Yardley L, Smith H (2002) A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. Gerontologist 42:17–23

    PubMed  Google Scholar 

  27. Magaziner J, Simonsick EM, Kashner TM, Hebel JR, Kenzora JE (1990) Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study. J Gerontol 45:M101–M107

    CAS  PubMed  Google Scholar 

  28. Ceder L, Thorngren KG, Wallden B (1980) Prognostic indicators and early home rehabilitation in elderly patients with hip fractures. Clin Orthop:173–184

    Google Scholar 

  29. Thorngren KG, Ceder L, Svensson K (1993) Predicting results of rehabilitation after hip fracture. A ten-year follow-up study. Clin Orthop:76–81

    Google Scholar 

  30. Hannan EL, Magaziner J, Wang JJ, Eastwood EA, Silberzweig SB, Gilbert M, Morrison RS, McLaughlin MA, Orosz GM, Siu AL (2001) Mortality and locomotion 6 months after hospitalization for hip fracture: risk factors and risk-adjusted hospital outcomes. J Am Med Assoc 285:2736–2742

    Article  CAS  Google Scholar 

  31. Rogmark C, Carlsson A, Johnell O, Sernbo I (2002) A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years. J Bone Joint Surg (Br) 84:183–188

    Article  Google Scholar 

  32. Osnes EK, Lofthus CM, Falch JA, Meyer HE, Stensvold I, Kristiansen IS, Nordsletten L (2001) More postoperative femoral fractures with the Gamma nail than the sliding screw plate in the treatment of trochanteric fractures. Acta Orthop Scand 72:252–256

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgement

Eli Lilly and the Norwegian Society for Osteoporosis supported the data collection financially by unrestricted educational grants.

Author information

Authors and Affiliations

  1. Orthopaedic Centre, Ullevål University Hospital, 0407, Oslo, Norway

    E. K. Osnes & L. Nordsletten

  2. Department of Medicine, Aker University Hospital, Oslo, Norway

    C. M. Lofthus & J. A. Falch

  3. Norwegian Institute of Public Health, Oslo, Norway

    H. E. Meyer & I. Cappelen

  4. Institute of Public Health—Health Economics, University of Southern Denmark, Odense, Denmark

    I. S. Kristiansen

Authors
  1. E. K. Osnes
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. M. Lofthus
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. E. Meyer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. A. Falch
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. L. Nordsletten
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. I. Cappelen
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. I. S. Kristiansen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. K. Osnes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Osnes, E.K., Lofthus, C.M., Meyer, H.E. et al. Consequences of hip fracture on activities of daily life and residential needs. Osteoporos Int 15, 567–574 (2004). https://doi.org/10.1007/s00198-003-1583-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-003-1583-0

Keywords

Search

Navigation