AbstractThe objective of the study

Abstract
The objective of the study is to determine basic activities of daily living (Barthel Index) and instrumental activities of daily living (Lawton-Brody Index) before and after hip fracture. Follow-up study of patients (n = 100) with hip fracture, operated at Complejo Hospitalario Universitario de A Coruña (Spain). Period January/2009–December/2011. Demographic characteristic of the patients, Charlson Index, Glomerular filtration rate, Barthel index, Lawton index, type of proximal femur fracture and surgical treatment delay were recorded. Multivariate regression was performed. Informed patient consent and ethical review approval were obtained. Before fracture were independent for activities of daily living (ADL) a 38.0%, at 90 days were 15.4%. The Barthel index score decreased from 75.2 ± 28.2 to 56.5 ± 31.8) (p < 0.0001). If we consider the age, gender, comorbidity (Charlson index), renal function, fracture type and surgical delay objectify the only independent variable to predict dependency effect is age. If we also consider the Barthel score objectify the variable that significantly modifies that score at 90 days is the baseline value of the index. The prevalence of independence for instrumental activities of daily living (IADL) at the baseline moment is 11% and at 90 days is decreased to 2.2%. There is a decrease in the independence effect in all activities. The variable predictor of independence for all activities after taking into consideration age, sex, comorbidity, fracture type, surgical delay and renal function is the baseline score of the Barthel and Lawton index.

ผลลัพธ์ (แอฟริกา) 1:

Abstract
Die doel van die studie is om die basiese aktiwiteite van daaglikse lewe (Barthel indeks) en Instrumentale aktiwiteite van daaglikse lewe (Lawton-Brody Index) om te bepaal voor en na Hip fraktuur. Opvolg studie van pasiënte (n = 100) met heup fraktuur, bedryf op Complejo Hospita Universitario de A Coruña (Spanje). Tydperk Januarie / 2009-Desember / 2011. Demografiese eienskap van die pasiënte, Charlson indeks, glomerulêre filtrasie koers, Barthel indeks, Lawton indeks tipe proksimale femur fraktuur en chirurgiese behandeling vertraging is aangeteken. Meerveranderlike regressie is uitgevoer. Ingelig pasiënt toestemming en etiese beoordeling goedkeuring is verkry. Voordat fraktuur was onafhanklik aktiwiteite van die daaglikse lewe (ADL) 'n 38.0%, op 90 dae was 15,4%. Die Barthel indeks telling afgeneem van 75,2 ± 28,2-56,5 ± 31.8) (p <0.0001). As ons kyk na die ouderdom, geslag, comorbiditeit (Charlson indeks), nierfunksie, fraktuur tipe en chirurgiese vertraging objektiveer die enigste onafhanklike veranderlike te voorspel afhanklikheid effek is ouderdom. As ons dit ook oorweeg om die Barthel telling objektiveer die veranderlike wat aansienlik verander daardie telling op 90 dae is die basislyn waarde van die indeks. Die voorkoms van onafhanklikheid vir instrumentale aktiwiteite van die daaglikse lewe (IADL) by die basislyn oomblik is 11% en op 90 dae verminder tot 2,2%. Daar is 'n afname in die onafhanklikheid effek in alle aktiwiteite. Die veranderlike voorspeller van onafhanklikheid vir alle aktiwiteite na inagneming van ouderdom, geslag, comorbiditeit, fraktuur tipe, chirurgiese vertraging en nierfunksie is die basislyn telling van die Barthel en Lawton indeks.