Predictors of Health-Related to Quality of Life after Hip Surgery in Elderly Patients after Acute Care

Purpose: The purpose of the study was to identify if patient characteristics, cognitive impairment, vision impairment, incontinence, pain, depression, fatigue, fear of falling, functional states were predictors of health-related quality of life during the post-surgical period.

Methods: This was a descriptive study. Sixty-four patients of 65 years and older, with a diagnosis of hip fractures, and be admitted for surgery were recruited between June 2014 and January 2015. Interviews and medical records were used to obtain data. Quality of life was evaluated at 5th day post-surgical period.

Results: Forty-three of participants were female (67.2%) with mean age 78.25 ± 7.82 years and 28.1% (18/64) screened positive for delirium on 1st post-operative date. Level of quality of life was good with the health status part scored 0.71 ± 0.24 (range 0.05-1.00) and the visual analogue scale was 64.58 ± 18.36 (range 10- 100). Activity of daily living before fracture (β=0.71, p=<0.001) and frailty (β=-0.22, p=0.007) explained 66.6% of the variance in the quality of life. For visual analogue scale, 59.4% of the variance was explained by pre-fracture activity of daily living (β=0.50, p<0.001), depression (β=-0.28, p=0.003), and frailty (β=-0.24, p=0.010).

Conclusions: After hip replacement, quality of life might improve if activity of daily living limitations, frailty, and depression were identified and treated.

Author(s): Sunee Suwanpasu

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