Health Sciences School, University of Zaragoza, Zaragoza, Spain.
Department of Mechanical Engineering, University of Zaragoza, Zaragoza, Spain.
PLoS One. 2019 Feb 7;14(2):e0212000. doi: 10.1371/journal.pone.0212000. eCollection 2019.
The Barthel index evolution was analyzed in a sample of older people with osteoporotic hip fracture in order to verify the influence of comorbidities and cognitive impairment on the physical recovery of those patients, during the first year following the fracture. A prospective observational study was carried out between October 1, 2012 and March 31, 2013. A sample of 247 individuals was initially selected. After a primary revision, 39 participants were excluded (clearly not meeting inclusion criteria, lack of data, or not agree to participate in the study), and finally a total of 208 participants were included in the analysis, 166 women, with an average age of 84.59 years, and 42 men, with an average age of 82.05. 54.80% of all cases were older than 85 years. The mean Barthel index value prior to fracture was 76.63, decreasing to 64.91 at one-year follow-up. Only 22.12% of patients achieved a full recovery for activities of daily living. A statistical analysis was performed by comparing Barthel index recovery depending on the values of Charlson and Pfeiffer indexes, respectively. The mean differences in Barthel index drop between the one-year follow-up and the hospital admission values were found statistical significant (p<0.01). These findings indicate that Charlson and Pfeiffer indexes clearly influence the Barthel index recovery. Low values of Charlson and Pfeiffer indexes resulted in better Barthel index recovery. In conclusion, the Barthel index is a good tool to evaluate the physical recovery after osteoporotic hip fracture.
对患有骨质疏松性髋部骨折的老年人样本进行了巴氏指数演变分析，以验证合并症和认知障碍对这些患者骨折后第一年身体恢复的影响。这是一项 2012 年 10 月 1 日至 2013 年 3 月 31 日之间进行的前瞻性观察研究。最初选择了 247 名个体的样本。经过初步修订，排除了 39 名参与者（明显不符合纳入标准、缺乏数据或不同意参与研究），最终共有 208 名参与者纳入分析，其中 166 名女性，平均年龄为 84.59 岁，42 名男性，平均年龄为 82.05 岁。所有病例中有 54.80%年龄超过 85 岁。骨折前巴氏指数的平均得分为 76.63，随访一年时降至 64.91。仅有 22.12%的患者日常生活活动完全恢复。通过比较 Charlson 和 Pfeiffer 指数的巴氏指数恢复值，对数据进行了统计学分析。在一年随访和住院期间，巴氏指数下降的平均差异具有统计学意义（p<0.01）。这些发现表明，Charlson 和 Pfeiffer 指数明显影响巴氏指数的恢复。Charlson 和 Pfeiffer 指数低值导致更好的巴氏指数恢复。总之，巴氏指数是评估骨质疏松性髋部骨折后身体恢复的良好工具。
