Factors Influencing Performance-Oriented Mobility After Hip Fracture

Bibliographic Data

ID12797935
AuthorsLydia Martín‐Martín (0000-0003-4117-8262, Universidad de Granada, corresponding author), Lydia Ma Martín-Martín (Universidad de Granada), Manuel Arroyo‐Morales (0000-0003-3552-8051, Universidad de Granada), Manuel Arroyo-Morales (Universidad de Granada), José Juan Sánchez-Cruz (Escuela Andaluza de Salud Pública, Granada, Spain), Gerald Valenza‐Demet (Universidad de Granada), Gerald Valenza-Demet (Universidad de Granada), Maríe Carmen Valenza (0000-0003-2368-1307, Universidad de Granada), José Juan Jiménez-Moleón (CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain), José Juan Jiménez‐Moleón (0000-0001-7917-6145, Universidad de Granada)
Year2015
Volume27
Issue5
Pages827-842
Publication date2015-02-02
Open AccessYes
TypeARTICLE
VenueJournal of Aging and Health (JOURNAL)
Journal identifiersISSN: 1552-6887 • E-ISSN: 0898-2643
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0898264315569451
PMID25649676
OpenAlexW1980469310
LanguageEN
References cited35

Objective: To identify the patient- and fracture-related determinants that influence performance-oriented mobility in hip fracture patients as measured by the Performance-Oriented Mobility Assessment (POMA) score. Method: A prospective study was conducted. Patients aged 65 or older ( n = 186) were prospectively recruited. Patients were assessed for mobility (Tinetti POMA), level of independence (Modified Barthel Index), emotional distress (Goldberg General Health Questionnaire), comorbidities (Charlson Comorbidity Index), and Perceived Health (categorical scale). Results: The study revealed that patient age, type of fracture, length of hospital stay, level of emotional distress, and level of independence were significant predictors of performance-oriented mobility. When combined, these factors explained 44.3% of the variance in performance-oriented mobility ( r 2 = .443; r 2 adjusted = .414; F = 15.46; p < .001). Discussion: Patients who are older, spend more days in hospital, have worse pre-fracture independence level or higher emotional distress levels at discharge, and sustain subtrochanteric or intertrochanteric fractures seem to have poorer performance-oriented mobility after hip fracture

Activities of daily living · Anxiety · Barthel index · Comorbidity · Distress · Emotional distress · Gait · Hip fracture · Osteoporosis · Physical therapy · Psychiatry · Tinetti test · Chronic Disease Management Strategies · Clinical Psychology · Emergency and Acute Care Studies · Hip and Femur Fractures · Medicine · Gerontology · Internal Medicine

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