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Type: Artigo de periódico
Title: Functional Outcomes And Quality Of Life One Year After Surgical Management Of Trochanteric Fractures [avaliação Da Qualidade De Vida Em Pacientes Idosos Um Ano Após O Tratamento Cirúrgico De Fraturas Transtrocanterianas Do Fêmur]
Author: Guimaraes F.D.A.M.
De Lima R.R.
Souza A.D.C.
Livani B.
Belangero W.D.
Abstract: Objective: Evaluate the impact that trochanteric hip fractures produce on life quality of elderly patients, treated surgically, during one year of monitoring. Methods: Were selected 73 elderly with transtrochanteric femur fracture, aged equal or over than 65 years and of both sexes. All participants underwent a standardized questionnaire which obtained information on lifestyle habits, functionality, physical activity, ambulation and cognitive state. Were excluded patients who died, not walking, with neurological diseases and pathological fractures. Results: The average age was 80.17 ± 7.2 years and 75% was female. When comparing the summation of activities of daily living (p = 0.04) and instrumental daily living (p = 0.004) obtained before and after fracture, the patients become more dependent after fracture. Activities of daily living that worsened after fracture were bathing (p = 0.04), toileting (p = 0.02) and dressing (p = 0.04). All instrumental activities of daily living showed a significant difference, with functional dependence after fracture, increased need for walking aid (p = 0.00002), aged (p = 0.01) and not doing housework (p = 0.01). The low score on the test Minimental was associated with a greater dependence to perform activities of daily living before (p = 0.00002) and after (p = 0.01) fracture. Conclusion: After a year, activities of daily living that depended on the lower limbs worsened significantly, all instrumental activities of daily living were significantly worse in more than 50% of patients and more than half of patients who walked without support lost this ability.
Citation: Revista Brasileira De Ortopedia. , v. 46, n. SUPPL. 1, p. 48 - 54, 2011.
Rights: aberto
Identifier DOI: 10.1590/S0102-36162011000700012
Date Issue: 2011
Appears in Collections:Unicamp - Artigos e Outros Documentos

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