Factors affecting exercise program adherence in patients with acute hip fracture and impact on one-year survival.
Braz J Phys Ther
; 24(6): 479-487, 2020.
Article
en En
| MEDLINE
| ID: mdl-31378633
ABSTRACT
OBJECTIVE:
To study the adherence of an Early Inpatient Exercise Program in patients with acute hip fracture, identify variables associated with its performance, and its association to one-year survival.METHODS:
Observational longitudinal study of a cohort of 509 patients, admitted consecutively with a hip fracture in La Paz University Hospital (Madrid, Spain). Data included sociodemographic variables, pre-fracture physical functioning, cognitive impairment, comorbidities, measure of exercise adherence (pre-surgery exercise, post-surgery exercise, and rehabilitation sessions) and vital status at follow-up. One year after the fracture, either patients or relatives were contacted by telephone to ascertain their vital status. Data were analyzed using logistic regressions and multivariate Cox proportional hazards regression.RESULTS:
Three quarters of patients (76.0%) were able to comply with the Early Inpatient Exercise Program. Factors associated with adherence were living at home (Odds Ratio (OR)=3.39; 95% Confidence Interval (CI) 2.03, 5.64), absence of pre-fracture disability (OR=3.78; 95% CI 2.21, 6.47), absence of pre-fracture cognitive impairment (OR=2.36; 95% CI 1.36, 4.07) and comorbidities (OR=1.66; 95% CI 1.03, 2.67). Early Inpatient Exercise Program adherence was associated with one-year survival (HR=1.62; 95% CI 1.06, 2.49).CONCLUSIONS:
The adherence with an Early Inpatient Exercise Program is high and is associated with 1-year survival. It is important to make a stronger effort to encourage participation in Early Inpatient Exercise Program in the 24% currently non-compliant, and in those with cognitive and physical impairments.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
6_ODS3_enfermedades_notrasmisibles
Problema de salud:
6_mental_health_behavioral_disorders
Asunto principal:
Disfunción Cognitiva
/
Fracturas de Cadera
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Implementation_research
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Braz J Phys Ther
Asunto de la revista:
MEDICINA FISICA
/
REABILITACAO
Año:
2020
Tipo del documento:
Article