Hip Fracture and Disabilities among Elderly in Gaza Governorates, Palestine

Ashraf Y. El-jedi, Atef A. Mousa, Fadel N. Naim

Abstract


Hip fracture is the most common fracture in the elderly people and causes many disabilities for people who don't receive appropriate rehabilitation after fracture or surgery.

Objective: The general objective of this study is to recognize the disabilities arising as a result of hip fracture among the elderly in Gaza Strip.

Methods: a descriptive correlation cross sectional design was used. Face to face structured questionnaire and international Barthel index tool were used to determine the disabilities among hip fracture population. One hundred one patients with old hip fracture were included. Sixty patients were from Khan Younis city and forty-one patients from Rafah city. Descriptive statistics, ANOVA test, t-test, correlation coefficient and Scheffe Multiple Comparisons test were used to analyze results in the study.

Results: the results revealed that 82.2% of patients complaint from disability. 15.8% had total disability, 30.7% had severe disability, 19.8% had moderate disability, 9.9% had mild disability and 5.9% had minimal disability. Eighty-five percent of patients suffered from pain. 24.8% had mild pain, 36.6% had moderate pain, 17.8% had severe pain and 5.9% suffered from intolerable pain. The most common cause of hip fracture was falling down (81.2%). Also, the most common complications were failure of operation (32.3%), wound infection (29%) and bed sores (29%). The most common type of hip fracture operation was Plate & screw fixation which represented 63.1% from the operated patients. There were significant statistical differences between age and pain slope with development of disability.

Conclusion: hip fractures among the elderly caused a high percent of disability, complications and pain which can be reduced by improving operation's techniques and good rehabilitation programs.


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References


Graham, J., Bowen, T. R., Strohecker, K. A., Irgit, K., Smith, W. R. Reducing mortality in hip fracture patients using a perioperative approach and "Patient- Centered Medical Home" model: a prospective cohort study. Patient Saf Surg., 8(1), (2014) 7.

Chie, W., Yang, R., Liu, J., Tsai, K. High incidence rate of hip fracture in Taiwan: estimated from a nationwide health insurance database. Osteoporos International journal, 15(12), (2004) 998-1002.

Online medical health information (Right Diagnosis), 2014. http://www.rightdiagnosis.com/crtop/aboutus.htm. Retrieved Feb 2014

Ramirez-Perez, E., Clark, P., Carlos, F., Camacho A., Franco-Marina, F. Health-related quality of life after surgery for hip fracture: a multicentric study in Mexican population. Medwave, 14(5), (2014) e5972.

Yoon, HK., Park, C., Jang, S., Lee, YK., and Ha, YC. Incidence and mortality following hip fracture in Korea. J Korean Med Sci., Vol. 26, (2011) 1087–92.

Chiang, C. H., Liu, C. J., Chen, P. J., Huang, C. C., Hsu, C. Y., Chen, Z. Y., and Chan, W. L. Hip fracture and risk of acute myocardial infarction: a nationwide study. J Bone Miner Res., 28(2), (2013) 404-11.

Bentler, S. E., Liu, L., Obrizan, M., Cook, E. A., and Wright, K. B. The aftermath of hip fracture: discharge placement, functional status change, and mortality. Am J Epidemiol, 170(10), (2009) 1290–9.

Kapicioglu, M., Ersen, A., Saglam, Y., Akgul, T., Kizilkurt, T., and Yazicioglu, O. Hip fractures in extremely old patients. J Orthop., 11(3), (2014) 136-41.

Tsai, C. H., Lin, C. L., Hsu, H. C., and Chung, W. S. Increased risk of stroke among hip fracture patients: a nationwide cohort study. Osteoporos Int., 2014 Oct 10. [Epub ahead of print]

Kannegaard, P. N., van der Mark S., Eiken, P., and Abrahamsen, B. Excess mortality in men compared with women following a hip fracture. National analysis of comedications, comorbidity and survival. Age Ageing, 39(2), (2010) 203-9.

Williams, L. J., Berk, M., Henry, M. J., Stuart, A. L., Brennan, S. L., Jacka, F. N., and Pasco, J. A. Depression following fracture in women: a study of age-matched cohorts. BMJ Open, 4(2), (2014) 4226.

International Classification of Diseases (ICD), 2010. World Health Organization, 2014. http://www.who.int/classifications/icd/en/. Accessed Feb, 2014.

Dittmar, S., and Qreshan, G. Functional assessment and outcome measures for the rehabilitation health professional. Aspen publication, (1997) 114-117.

Wade, D.T., and Collin C. Measurement in neurological rehabilitation. Oxford, England, Oxford University Press (1992).

Gresham, G., and Labi, M. Functional assessment for documenting outcomes in rehabilitation medicine (1984).

Bentur, N., and Eldar, R. Quality of rehabilitation care in two inpatient geriatric setting. Quality Assurance in health care, 5(3), (1993) 127-242.

Ahmadi, S., Moayyeri, A., and Abolhassani, F. Burden of hip fracture in Iran. ePUB journal, 80(3), (2007) 147-53.

Baddoura, R., Hebel, JR., Felsenthal, G., Clark, M., Zimmerman, S., Kenzora, J., and Magaziner, J. Incidence of fractures after the age of 50 years in Lebanese population and implication in terms of osteoporosis. Rev Epidemiol Sante publique, 49(1), (2001) 27-32.

Holt, G., Smith, R., Duncan, K., Hutchison, J., and Gregori, A. Gender differences in epidemiology and outcome after hip fracture: Evidence from the Scottish hip fracture audit. The journal of bone and joint surgery, 90(4), (2008) 480-3.

Casaletto, J., and Gatt, R. Post-operative mortality related to waiting time for hip fracture surgery. Journal of Injury, 36(8), (2004) 984.

Novack, V., Jotkowitz, A., Etzion, O., and Porath, A. Does delay in surgery after hip fracture lead to worse outcomes? A multicenter survey. International journal of quality health care, 19(3), (2007) 170-6.

Bonnaire, F., Lein, T., and Engler, K. Treatment of femoral neck fractures. Chirurg journal, 79(6), (2008) 595-616.

University of Pittsburgh Medical Center (2008). Available at web site: http://www.upmc.com/healthlibrary/Pages/ADAM.aspx?GenContentId=003179&ProjectId=1&ProductId=115 (Retrieved Feb 4014).

Shakhatreh, H. S. Analysis of fractures of the proximal femur in the Jordanian population. Israel Medical Association Journal, 3(1), (2001) 28-31.

Hasegawa, Y., Suzuki, S., and Wingstrand, H. Risk of mortality following hip fracture in Japan. Journal Orthop. Sci., 12(2), (2007) 113-7.

Shyu, Y. I., Liang, J., Wu, CC., Su, JY., Cheng, H.S., Chou, S.W., Chen, M. C. and Yang, C. T. Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year. J Gerontol A Biol Sci Med Sci., 63(1), (2008) 92-7.

Soveid, M., Serati, A. R., and Masoompoor, M. Incidence of hip fracture in Shiraz, Iran. Osteoporosis Int, 16(11), (2005) 1412.

Becker, C., Fleischer, S., Hack, A., Hinderer, J., Horn, A., Scheible, S., Can, H., Muche, R., Gebhard, F., Kinzl, L., and Nikolaus, T. Disabilities and handicaps due to hip fractures in the elderly. Z Gerontol Geriatr, 32(5), (1999) 305-6.

Joan, D., Kenneth, S., Ann, L., Edward, L., Ethan, A., Stacey, B., Gretchen, M., Kenneth, J., and Albert, L. Physical Therapy and Mobility 2 and 6 Months After Hip Fracture. Journal of the American Geriatrics Society, 52(7), (2004) 1114-1120.

Binder, E., Brown, M., Sinacore, D., Steger-May, K., Yarasheski, K., and Schechtman, K. Effects of extended outpatient rehabilitation after hip fracture: a randomized controlled trial. JAMA., 292(7), (2004) 837-46.

Hauer, K., Specht, N., Schuler, M., Bartsch, P., and Oster, P. Intensive physical training in geriatrics patients after severe falls and hip surgery. Age Ageing, 31(1), (2002) 49-57.

Jonathan, C. (2014). Complications of Hip Fractures. Available at web site: http://orthopedics.about.com/cs/hipsurgery/a/brokenhip_4.htm

Robert, R., Scott, C., and Steven, J. Emergency medicine the extremities. Fifth edition, The McGraw-Hill Companies (2007).

Lin, P.C., and Chang, S.Y. Functional recovery among elderly people one year after hip fracture surgery. Journal Nurs Res, 12(1), (2004) 72-82.

Cree, M., Carriere, K., Soskolne, C., Suarez-Almazor, M. Functional dependence after hip fracture. Am J Phys Med Rehabil 80(10), (2001) 736–743

Van Balen, R. S., Oskolne, C. L., Belseck, E., Hornig, J., McElhaney, J. E., Brant, R., and Suarez-Almazor, M. Quality of life after hip fracture. Disable Rehabil, 25(10), (2003) 507-19.


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