Document Type : Original Article
Authors
- Elaheh Mianehsaz 1
- Fateme Aghaei 2
- Seyed Mohammadreza Tabatabaee 3
- Babak Haghpanah 4
- Mohammad Javad Azadchehr 5
- khadijeh kalanfarmanfarma 6
1 Associate Professor, Department of Physical Medicine and Rehabilitation, Kashan University of Medical Sciences, Kashan, Iran
2 Student of Medicine, Kashan University of Medical Sciences, Kashan, Iran
3 Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
4 Assistant Professor, Department of Orthopedic Surgery. Kashan University of Medical Sciences, Kashan, Iran
5 MSc biostatistics, infectious diseases research center Kashan University of Medical Sciences, Kashan, Iran
6 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
Abstract
Objectives: Intertrochanteric femur fractures are prevalent injuries among the elderly, significantly affecting their quality of life and functional status. This study evaluates the function and quality of life (QOL)in elderly patients one year after sustaining an intertrochanteric femur fracture.
Methods: This retrospective observational study, conducted at Shahid Beheshti Hospital in Kashan, Iran, the function and QOL of 79 elderly patients with intertrochanteric femur fractures who were at least one year post-injury were assessed between february 2020 to february 2021.
The necessary information was collected from the patients' files, which included sociodemographic and clinical data at the time of admission, as well as the shortened form of the SF-36 questionnaire and the Barthel questionnaire.
Results:The study found that 60.8% of the patients were women, with a mean age of 79.81 ± 7.07 years. The mean Barthel index score was 11.49 ± 2.22, indicating that participants achieved approximately 60% of the maximum function score. The mean overall QOL score was 50.59 ± 9.54, suggesting that patients attained approximately 51% of the maximum QOL score. Furthermore, the final linear regression model indicated that as patients' age increased, their QOL and functional abilities significantly declined. (R-square for functioning =0.53, and QOL=0.39, p<0.001 )Additionally, patients receiving physiotherapy demonstrated significantly better function compared to those who did not receive it.
Conclusion: This study highlights the significant impact of intertrochanteric femur fractures on the functional status and QOL of older adults. The findings emphasize the importance of rehabilitation services and the need for further research on comorbidities to improve patient outcomes.
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