Activities of daily living and determinant factors among older adult subjects with lower body fracture after discharge from hospital: A prospective study

Nurul Izzah Ibrahim, Mohd Sharkawi Ahmad, Mohamed S. Zulfarina, Sharifah Nurul Aqilah Sayed Mohd Zaris, Isa Naina Mohamed, Norazlina Mohamed, Sabarul Afian Mokhtar, Ahmad Nazrun Shuid

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient’s ADL was assessed at pre‐fracture, ward admission and post‐discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre‐fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that ‘age’ and ‘ability to walk before fracture’ were the determinant factors of dependent for ‘bathing’, ‘dressing’ and ‘toileting’. The ‘ability to walk before fracture’ was the determinant factor of dependent for ‘transferring’. ‘Age’ and ‘gender’ were the determinant factors of dependent for ‘continence’, while ‘age’ was the determinant factor of dependent for ‘feeding’. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than 50 years old after 3 months of being discharged from the hospital. In conclusion, age, being female, having a hip fracture and using a walking aid before fracture were the determinants identified in this study.

Original languageEnglish
Article number1002
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number5
DOIs
Publication statusPublished - 16 May 2018

Fingerprint

Activities of Daily Living
Prospective Studies
Logistic Models
Hip Fractures
Bandages
Walking
Health
Wounds and Injuries

Keywords

  • ADL
  • Assessment
  • Disability
  • Fracture
  • Older adult
  • Osteoporosis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

@article{abb2d428461349e88118499a7a47a708,
title = "Activities of daily living and determinant factors among older adult subjects with lower body fracture after discharge from hospital: A prospective study",
abstract = "Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient’s ADL was assessed at pre‐fracture, ward admission and post‐discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre‐fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that ‘age’ and ‘ability to walk before fracture’ were the determinant factors of dependent for ‘bathing’, ‘dressing’ and ‘toileting’. The ‘ability to walk before fracture’ was the determinant factor of dependent for ‘transferring’. ‘Age’ and ‘gender’ were the determinant factors of dependent for ‘continence’, while ‘age’ was the determinant factor of dependent for ‘feeding’. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than 50 years old after 3 months of being discharged from the hospital. In conclusion, age, being female, having a hip fracture and using a walking aid before fracture were the determinants identified in this study.",
keywords = "ADL, Assessment, Disability, Fracture, Older adult, Osteoporosis",
author = "Ibrahim, {Nurul Izzah} and Ahmad, {Mohd Sharkawi} and Zulfarina, {Mohamed S.} and Zaris, {Sharifah Nurul Aqilah Sayed Mohd} and {Naina Mohamed}, Isa and Norazlina Mohamed and Mokhtar, {Sabarul Afian} and Shuid, {Ahmad Nazrun}",
year = "2018",
month = "5",
day = "16",
doi = "10.3390/ijerph15051002",
language = "English",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "5",

}

TY - JOUR

T1 - Activities of daily living and determinant factors among older adult subjects with lower body fracture after discharge from hospital

T2 - A prospective study

AU - Ibrahim, Nurul Izzah

AU - Ahmad, Mohd Sharkawi

AU - Zulfarina, Mohamed S.

AU - Zaris, Sharifah Nurul Aqilah Sayed Mohd

AU - Naina Mohamed, Isa

AU - Mohamed, Norazlina

AU - Mokhtar, Sabarul Afian

AU - Shuid, Ahmad Nazrun

PY - 2018/5/16

Y1 - 2018/5/16

N2 - Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient’s ADL was assessed at pre‐fracture, ward admission and post‐discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre‐fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that ‘age’ and ‘ability to walk before fracture’ were the determinant factors of dependent for ‘bathing’, ‘dressing’ and ‘toileting’. The ‘ability to walk before fracture’ was the determinant factor of dependent for ‘transferring’. ‘Age’ and ‘gender’ were the determinant factors of dependent for ‘continence’, while ‘age’ was the determinant factor of dependent for ‘feeding’. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than 50 years old after 3 months of being discharged from the hospital. In conclusion, age, being female, having a hip fracture and using a walking aid before fracture were the determinants identified in this study.

AB - Fracture is a type of musculoskeletal injury that contributes to an inability to perform daily activities. The objective of this study was to evaluate activities of daily living (ADL) of older adult patients with lower body fracture and to determine factors influencing ADL. Patient’s ADL was assessed at pre‐fracture, ward admission and post‐discharge phases using the Katz ADL questionnaire. There were 129 subjects at pre‐fracture and ward phases and 89 subjects at discharge phase. There were four independent variables; age, gender, type of fracture and ability to walk before fracture. Logistic regression models showed that ‘age’ and ‘ability to walk before fracture’ were the determinant factors of dependent for ‘bathing’, ‘dressing’ and ‘toileting’. The ‘ability to walk before fracture’ was the determinant factor of dependent for ‘transferring’. ‘Age’ and ‘gender’ were the determinant factors of dependent for ‘continence’, while ‘age’ was the determinant factor of dependent for ‘feeding’. The ADL score changes were significant across the phases with a reduction in ADL score in the ward admission phase and partial increment during the post-discharge phase. There were improvements in the health outcomes of subjects aged more than 50 years old after 3 months of being discharged from the hospital. In conclusion, age, being female, having a hip fracture and using a walking aid before fracture were the determinants identified in this study.

KW - ADL

KW - Assessment

KW - Disability

KW - Fracture

KW - Older adult

KW - Osteoporosis

UR - http://www.scopus.com/inward/record.url?scp=85047266783&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047266783&partnerID=8YFLogxK

U2 - 10.3390/ijerph15051002

DO - 10.3390/ijerph15051002

M3 - Article

VL - 15

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 5

M1 - 1002

ER -