Abstract
BackgroundQuality of life has become a key outcome in assessing the effectiveness of treatments and interventions in health.MethodsAccordingly, this research study aimed to measure quality of life using the EQ-5D-3L instrument for patients from the Jamil Haddad National Institute of Traumatology and Orthopedics (Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad – INTO) with femoral fractures, hospitalized between 11/2015 and 10/2016.ResultsA total of 165 orthopedic trauma patients with femoral fractures, aged 18 years or older, who were hospitalized and operated upon in the INTO were assessed. The assessment instruments were applied at admission and in the first and second follow-up visits to the outpatient clinic. Most study subjects were women and older than 60 years. Proximal femoral fracture was the most commonly found fracture. The Visual Analog Scale (VAS) assessments over the study period showed an increasing gain in self-assessed quality of life. Similarly, the EQ-5D-3L showed significant improvements in quality of life assessed in the five dimensions of the instrument: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.ConclusionThis type of assessment may help in decision-making and cost-utility assessments related to orthopedic trauma.
Highlights
Quality of life has become a key outcome in assessing the effectiveness of treatments and interventions in health
This research study aimed to compare the measurements of quality of life taken at different times of the femoral fracture treatment; to identify sociodemographic, clinical and surgical factors related to quality of life during the study period; and, lastly, to calculate the utility measures associated with the different fracture types of the sample
Sample profile according to sociodemographic and health indicators Over 11 months of data collection, 165 patients were included in the study, generating the sample profile of this research study outlined below in Tables 1 and 2
Summary
Quality of life has become a key outcome in assessing the effectiveness of treatments and interventions in health. In addition to the economic and social damage caused by femoral fractures, this type of fracture has a negative impact on the quality of life of patients and causes a high mortality rate due to post-fracture or postoperative complications. Another worrying factor regarding femoral fractures among the elderly is the large number of associated chronic diseases. Femoral fractures remain an important public health problem and one of the most common and devastating traumatic lesions among the geriatric population [4] They mainly occur in the proximal region and may be associated with high- and low-energy trauma, usually resulting from falls, which are more common among elderly people. These fractures affect more women than men and, even when they are well consolidated, are associated with high morbidity and mortality rates [5, 6]
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