Background Femoral neck fracture is considered as one of the most severe consequence of osteoporosis (OP) due to its high mortality and morbidity, affecting patients’ Health Related Quality of Life (HRQoL) physically, psychologically and socially1.
Objectives To evaluate HRQoL and impact of femoral neck fracture in subjects lives in a high risk of fracture (HRF) population with and without self-reported OP.
Methods HRQoL was assessed by SF12 scale and subjects perception on their HRQoL before and after the fracture. Cross-sectional survey including a convenience sample of HRF population selected randomly from nursing homes and long-term care facilities in Portugal. Inclusion criteria for subjects were age ≥50 years, history of a low impact femoral neck fracture on the 24 months prior, absence of cognitive limitations. Confidence intervals (CI) of 95% will be determined and calculations were performed assuming a 5% significance level.
419 HRF subjects were included, mean age 78.3±7.8, 70.4% female. From these 37.5% (n=157;CI: 32.9%>42.2%) self-reported OP. Mean age for occurrence of a femoral neck fracture was 77.2±8.1, with no significant differences between subjects with and without self-reported OP (77.3±9.6 vs. 76.9±7.4; p=0.656). In a scale of 1 (worst possible) to 10 (better possible), significant differences were found for subjects’ perception about their HRQoL before and after femoral neck fracture (7.0±2.4 vs. 4.2±2.3; p<0.001) and between subjects with and without OP before and after the fracture (With OP: 7.9±1.7 vs. 4.9±2.2; p<0.001; Without OP: 6.8±2.6 vs. 4.1±2.3; p<0.001). In these groups, significant differences were observed before and after fracture (p=0.038).
Conclusions Subject’s perceptions of their HRQoL change after a femoral fracture. Lower HRQoL levels are reported by individuals after experiencing a femoral neck fracture. Fracture is a life altering event on people’s lives diminishing their QoL.
Randell AG, Nguyen TV, Bhalerao N, Silverman SL, Sambrook PN, Eisman JA. Deterioration in quality of life following hip fracture: a prospective study. Osteoporos Int 2000;11(5):460-6
Disclosure of Interest None Declared