Mendonça Tânia Maria da Silva, Silva Carlos Henrique Martins da, Canto Roberto Sérgio de Tavares, Morales Nívea de Macedo Oliveira, Pinto Rogério de Melo Costa, Morales Rogério de Rizo
Grupo de Pesquisa QVRS, Faculdade de Medicina, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Clinics (Sao Paulo). 2008 Oct;63(5):607-12. doi: 10.1590/s1807-59322008000500007.
To evaluate the effect the type of hip fracture (femoral neck or trochanteric) has on the Health-Related Quality of Life of elderly subjects.
Forty-five patients with hip fractures (mean 74.30 +/- 7.12 years), 24 with a femoral neck fracture and 21 with a trochanteric fracture, completed the 36-item Short Form Health Survey (SF-36) at baseline and four months after fracture. The Health-Related Quality of Life scores were compared according to fracture type, undisplaced and displaced femoral neck fractures, and stable and unstable trochanteric fractures.
Compared to baseline, all patients scored lower in the physical functioning, role limitation-physical, bodily pain and vitality categories four months after the fracture had occurred. The SF-36 scores for all the scales did not differ significantly between patients with femoral neck versus trochanteric fractures, or between patients with displaced versus undisplaced femoral neck fractures and stable versus unstable trochanteric fractures.
The mental and physical quality of life of elderly patients with a hip fracture is severely impaired one month after fracture, with partial recovery by the end of the fourth month. The negative impact on the Health-Related Quality of Life did not differ significantly according to fracture type.
评估髋部骨折类型（股骨颈骨折或转子间骨折）对老年患者健康相关生活质量的影响。
45例髋部骨折患者（平均年龄74.30±7.12岁），其中24例为股骨颈骨折，21例为转子间骨折，在基线期及骨折后4个月完成36项简明健康调查问卷（SF-36）。根据骨折类型、无移位和移位的股骨颈骨折以及稳定和不稳定的转子间骨折比较健康相关生活质量得分。
与基线相比，所有患者在骨折发生4个月后的身体功能、角色限制-身体、身体疼痛和活力类别得分均较低。股骨颈骨折患者与转子间骨折患者之间，以及移位与未移位股骨颈骨折患者和稳定与不稳定转子间骨折患者之间，所有量表的SF-36得分均无显著差异。
髋部骨折老年患者的心理和身体生活质量在骨折后1个月严重受损，在第4个月末部分恢复。根据骨折类型，对健康相关生活质量的负面影响无显著差异。
