Wrist fractures and their impact in daily living functionality on elderly people: a prospective cohort study

Vista sencilla de ítem
dc.contributor.authorVergara, Itziar
dc.contributor.authorVrotsou, Kalliopi
dc.contributor.authorOrive Calzada, Miren
dc.contributor.authorGarcía Gutiérrez, Susana
dc.contributor.authorGonzález, Nerea
dc.contributor.authorLas Hayas Rodríguez, Carlota
dc.contributor.authorQuintana, José María
dc.date.accessioned2026-03-09T08:30:52Z
dc.date.available2026-03-09T08:30:52Z
dc.date.issued2016-01-14
dc.date.updated2026-03-09T08:30:52Z
dc.description.abstractBackground: Wrist fractures are the most common arm fractures in older adults. The impact of wrist fractures on daily functionality has been less studied than that of other types and so, less is known about the complexity of factors related to the functional impact of these fractures. This study is aimed to assess the role of individual and health care factors and its association with daily living functional changes after a wrist fracture. Methods: A prospective cohort of patients aged 65 or more, affected by a fracture due to a fall, was conducted. These patients were identified at the emergency rooms of the six participating hospitals. As independent factors, the following were studied: socio-demographic data, characteristics of the fracture, health-related quality of life, wrist function and provided treatment. The main outcome was functional status measured by the Barthel Index for daily living basic activities and the Lawton Instrumental Activities of Daily Living (IADL) Scale for daily living instrumental activities. Data were collected at baseline just after the fall and after six months of follow-up. Patients were considered to have deteriorated if their functional status as measured by Barthel Index or Lawton IADL scores decreased in a significant way during the six months of follow up. Results: Barthel Index and/or Lawton IADL scores fell at six months after the fracture in 33 % of participants. This functional decline was more frequent in patients with comorbidity (p < 0.0001), polypharmacy (p < 0.0001), low health-related quality of life prior to the fall (p < 0.0001) and lower educational level (p = 0.009). The derived multivariate models show that patients that become dependent six months after the fall, have advanced age, severe chronic diseases, low functional performance prior to the fracture, and repeated episodes of accidental falls. This profile is consistent with a frailty phenotype. Conclusions: Wrist fractures are associated to the occurrence of dependence, especially in frail patients. These patients could benefit from being identified at the time the fracture is treated, in order to tackle their complex needs and so, prevent some of the burden of dependence generated by these fractures.en
dc.description.sponsorshipThis work was supported in part by grants from the Spanish Fund for Health Research (PI 061010, PI 061017, PI060323, and PI060664); the Department of Health of the Basque Country (2008111016); the Spanish Network for Health and Health Service Outcomes Research (Red IRYSS); the Center of Research Excellence in Chronicity (KRONIKGUNE) (KRONIK 11/005); and the European Regional Development Funden
dc.identifier.citationVergara, I., Vrotsou, K., Orive, M., Garcia-Gutierrez, S., Gonzalez, N., Las Hayas, C., & Quintana, J. M. (2016). Wrist fractures and their impact in daily living functionality on elderly people: a prospective cohort study. BMC Geriatrics, 16(1). https://doi.org/10.1186/S12877-015-0176-Z
dc.identifier.doi10.1186/S12877-015-0176-Z
dc.identifier.eissn1471-2318
dc.identifier.urihttps://hdl.handle.net/20.500.14454/5364
dc.language.isoeng
dc.publisherBioMed Central
dc.rights© 2016 Vergara et al.
dc.subject.otherCohort study
dc.subject.otherElderly
dc.subject.otherProspective study
dc.subject.otherWrist fractures
dc.titleWrist fractures and their impact in daily living functionality on elderly people: a prospective cohort studyen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue1
oaire.citation.titleBMC Geriatrics
oaire.citation.volume16
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
Archivos
Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
vergara_wrist_2016.pdf
Tamaño:
539.46 KB
Formato:
Adobe Portable Document Format
Descargar
Colecciones
Artículos