Effect of fracture type on health-related quality of life among older women in Taiwan

Ming Huang Chiu, Hei Fen Hwang, Hsin Dai Lee, Ding Kuo Chien, Chih Yi Chen, Mau Roung Lin

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To investigate changes in health-related quality of life (HRQOL) during the first year after injury in elderly Taiwanese women who had fractured a hip, vertebra, distal forearm, or multiple sites. Design: Longitudinal cohort study. Setting: Personal or telephone interviews of patients from 3 teaching hospitals. Participants: Women (N=347; mean age ± SD, 78.0±6.6y) who had sustained a fracture of the hip, vertebra, or distal forearm due to a fall participated in the baseline assessment, in which both current and prefracture HRQOL data were collected. At 6 and 12 months after the fracture, 285 and 254 women, respectively, completed the follow-up assessments. Interventions: Not applicable. Main Outcome Measure: The 4 domains of physical capacity, psychological well-being, social relationships, and environment of the brief version of the World Health Organization Quality of Life questionnaire were assessed. Results: After adjusting for prefracture HRQOL scores and baseline characteristics, women with a hip fracture showed a significant improvement in physical capacity (3.5 points) and a significant decline in social relationships (-3.7 points). Relative to women with a hip fracture at 12 months after injury, those with a vertebral fracture exhibited significantly greater improvement (5.2 points) in physical capacity; those with a distal forearm fracture had significantly greater improvements in physical capacity (11.5 points), psychological well-being (8.4 points), social relationships (7.2 points), and environment (10.9 points), while those with multiple fractures displayed significantly greater improvement in physical capacity (16.5 points), psychological well-being (13.3 points), and environment (10.3 points). Conclusions: Among the 4 fracture types in elderly women, hip fractures may result in the smallest improvement in the physical domain and the greatest declines in the psychological, social, and environmental domains during the first year. The magnitude of the impact of each fracture type varied across different domains.

Original languageEnglish
Pages (from-to)512-519
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume93
Issue number3
DOIs
Publication statusPublished - Mar 2012

Fingerprint

Taiwan
Quality of Life
Hip Fractures
Forearm
Psychology
Spine
Social Environment
Wounds and Injuries
Teaching Hospitals
Longitudinal Studies
Hip
Cohort Studies
Outcome Assessment (Health Care)
Interviews

Keywords

  • Accidental falls
  • Fractures, bone
  • Frail elderly
  • Quality of life
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Effect of fracture type on health-related quality of life among older women in Taiwan. / Chiu, Ming Huang; Hwang, Hei Fen; Lee, Hsin Dai; Chien, Ding Kuo; Chen, Chih Yi; Lin, Mau Roung.

In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 3, 03.2012, p. 512-519.

Research output: Contribution to journalArticle

Chiu, Ming Huang ; Hwang, Hei Fen ; Lee, Hsin Dai ; Chien, Ding Kuo ; Chen, Chih Yi ; Lin, Mau Roung. / Effect of fracture type on health-related quality of life among older women in Taiwan. In: Archives of Physical Medicine and Rehabilitation. 2012 ; Vol. 93, No. 3. pp. 512-519.
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AU - Lin, Mau Roung

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N2 - Objective: To investigate changes in health-related quality of life (HRQOL) during the first year after injury in elderly Taiwanese women who had fractured a hip, vertebra, distal forearm, or multiple sites. Design: Longitudinal cohort study. Setting: Personal or telephone interviews of patients from 3 teaching hospitals. Participants: Women (N=347; mean age ± SD, 78.0±6.6y) who had sustained a fracture of the hip, vertebra, or distal forearm due to a fall participated in the baseline assessment, in which both current and prefracture HRQOL data were collected. At 6 and 12 months after the fracture, 285 and 254 women, respectively, completed the follow-up assessments. Interventions: Not applicable. Main Outcome Measure: The 4 domains of physical capacity, psychological well-being, social relationships, and environment of the brief version of the World Health Organization Quality of Life questionnaire were assessed. Results: After adjusting for prefracture HRQOL scores and baseline characteristics, women with a hip fracture showed a significant improvement in physical capacity (3.5 points) and a significant decline in social relationships (-3.7 points). Relative to women with a hip fracture at 12 months after injury, those with a vertebral fracture exhibited significantly greater improvement (5.2 points) in physical capacity; those with a distal forearm fracture had significantly greater improvements in physical capacity (11.5 points), psychological well-being (8.4 points), social relationships (7.2 points), and environment (10.9 points), while those with multiple fractures displayed significantly greater improvement in physical capacity (16.5 points), psychological well-being (13.3 points), and environment (10.3 points). Conclusions: Among the 4 fracture types in elderly women, hip fractures may result in the smallest improvement in the physical domain and the greatest declines in the psychological, social, and environmental domains during the first year. The magnitude of the impact of each fracture type varied across different domains.

AB - Objective: To investigate changes in health-related quality of life (HRQOL) during the first year after injury in elderly Taiwanese women who had fractured a hip, vertebra, distal forearm, or multiple sites. Design: Longitudinal cohort study. Setting: Personal or telephone interviews of patients from 3 teaching hospitals. Participants: Women (N=347; mean age ± SD, 78.0±6.6y) who had sustained a fracture of the hip, vertebra, or distal forearm due to a fall participated in the baseline assessment, in which both current and prefracture HRQOL data were collected. At 6 and 12 months after the fracture, 285 and 254 women, respectively, completed the follow-up assessments. Interventions: Not applicable. Main Outcome Measure: The 4 domains of physical capacity, psychological well-being, social relationships, and environment of the brief version of the World Health Organization Quality of Life questionnaire were assessed. Results: After adjusting for prefracture HRQOL scores and baseline characteristics, women with a hip fracture showed a significant improvement in physical capacity (3.5 points) and a significant decline in social relationships (-3.7 points). Relative to women with a hip fracture at 12 months after injury, those with a vertebral fracture exhibited significantly greater improvement (5.2 points) in physical capacity; those with a distal forearm fracture had significantly greater improvements in physical capacity (11.5 points), psychological well-being (8.4 points), social relationships (7.2 points), and environment (10.9 points), while those with multiple fractures displayed significantly greater improvement in physical capacity (16.5 points), psychological well-being (13.3 points), and environment (10.3 points). Conclusions: Among the 4 fracture types in elderly women, hip fractures may result in the smallest improvement in the physical domain and the greatest declines in the psychological, social, and environmental domains during the first year. The magnitude of the impact of each fracture type varied across different domains.

KW - Accidental falls

KW - Fractures, bone

KW - Frail elderly

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KW - Rehabilitation

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