Factors affecting health-related quality of life in patients after femoral neck fracture

Rasa Valavičienė,Jūratė Macijauskienė,Alfredas Smailys,Ami Hommel

doi:10.3390/medicina46120112

Rasa Valavičienė, Jūratė Macijauskienė + Show 2 more

Open Access

https://doi.org/10.3390/medicina46120112

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Abstract

Quality of life in patients with femoral neck fracture is an issue frequently discussed in the literature. There is ongoing research on identifying factors that have an impact on quality of life in this particular group of patients. A great variety of factors affecting quality of life and lack of information on their importance encouraged us to perform a systematic literature review analyzing quality of life of patients who sustained femoral neck fracture. The search was performed in the PubMed and Medline databases according to the selected key words. In our systematic review, we included clinical and clinical randomized trials investigating patients with femoral neck fracture and their quality of life. Our analysis showed that treatment of femoral neck fracture with hip replacement was superior to osteosynthesis with regard to patients' quality of life. The data regarding the impact of different rehabilitation programs on quality of life were controversial; a few reports showed that special rehabilitation programs were associated with better health-related quality life. However, other studies did not report any differences in patients' quality of life when different rehabilitation programs were applied. Patient's nutrition may be an important factor affecting the quality of life in patients with femoral neck fractures; however, data supporting this fact are insufficient.

Highlights

The majority of femoral neck fractures occur due to osteoporosis [1, 2]
Rehabilitation and health-related quality of life Our literature analysis discovered six reports, meeting the requirements to be included in the literature review and studying different rehabilitation programs and their effect on HRQL in patients with femoral neck fracture [6, 7, 10,11,12,13]
The results of this study clearly indicated the benefits of appropriate discharge planning – patients receiving interventional postoperative program showed better HRQL (P

Summary

Introduction

The majority of femoral neck fractures occur due to osteoporosis [1, 2]. The cumulative risk to sustain a femoral neck fracture for a person at the age of 80 years reaches 20%, and at the age of 90 years, this risk increases to 90% [3]. Investigating the reports meeting our requirements for this literature review, we analyzed factors affecting HRQL and estimated methods used for HRQL assessment in patients with femoral neck fracture. Other report compared unipolar with bipolar hip replacement in patients with femoral neck fractures and impact of treatment method on HRQL [15].

Results

Conclusion