Is global quality of life reduced before fracture in patients with low-energy wrist or hip fracture A comparison with matched controlsReportar como inadecuado

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Health and Quality of Life Outcomes

, 6:90

First Online: 03 November 2008Received: 16 May 2008Accepted: 03 November 2008


BackgroundThe aims of the study were i to examine global quality of life GQOL before fracture in patients with low-energy wrist or hip fracture compared with an age- and sex-matched control group, and ii to identify relationships between demographic variables, clinical fracture variables, and health- and global-focused quality of life QOL prior to fracture.

MethodsPatients with a low-energy fracture of the wrist n = 181 or hip n = 97 aged ≥ 50 years at a regional hospital in Norway and matched controls n = 226 were included. The participants answered retrospectively, within two weeks after the fracture, a questionnaire on their GQOL before the fracture occurred using the Quality of Life Scale QOLS, and health-focused QOL using the Short Form-36, physical component summary, and mental component summary scales. A broad range of clinical data including bone density was also collected. ANOVA and multiple linear regression analysis were used to analyse the data.

ResultsOsteoporosis was identified in 59% of the hip fracture patients, 33% of the wrist fracture patients, and 16% of the controls. After adjusting GQOL scores and the three sub-dimensions for known covariates sociodemographics, clinical fracture characteristics, and health-focused QOL, the hip patients reported significantly lower scores compared with the controls, except for the sub-dimension of personal, social, and community commitment p = 0.096. Unadjusted and adjusted GQOL scores did not differ between the wrist fracture patients and controls. Sociodemographics age, sex, education, marital status, clinical fracture variables osteoporosis, falls, fracture group and health-focused QOL explained 51.4% of the variance in the QOLS, 35.2% of the variance in relationship and marital well-being, 59.3% of the variance in health and functioning, and 24.9% of the variance of personal, social, and community commitment.

ConclusionThe hip fracture patients had lower GQOL before the fracture occurred than did controls, even after adjusting for known factors such as sociodemographics, clinical variables and health-focused QOL. The findings suggest that by identifying patients with low GQOL, in addition to other known risk factors for hip fracture, may raise the probability to target preventive health care activities.

AbbreviationsBMDbone mineral density

BMIbody mass index

DXAdual-energy X-ray, absorptiometry

GQOLglobal quality of life

MCSmental component summary

PCSphysical component summary

SF-36Short Form-36

QOLquality of life

QOLSQuality of Life Scale

WHOWorld Health Organization

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7525-6-90 contains supplementary material, which is available to authorized users.

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Autor: Gudrun Rohde - Glenn Haugeberg - Anne Marit Mengshoel - Torbjorn Moum - Astrid K Wahl


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