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Multicentre prospective cohort study to assess the quality of life of patients undergoing surgery for subcapital femoral fracture

Abstract:

Objective: To describe health-related quality of life (HRQoL) in patients with subcapital femur fracture. Patients and methods: Multicenter cohorts study within a randomized clinical trial, evaluating the efficacy of different hemostatic treatments in patients undergoing surgery for subcapital femur fracture. The primary endpoint was HRQoL after five days of surgery using the generic EQ-5D -5L and EQ-VAS questionnaire. One hundred one patients were included, who were, in average, 84 (8) years of age and of which 78.2% were women. Results: Prior to fracture, 67.9% and 65.5% of patients had some limitation in mobility and performance of everyday activities; the EQ-VAS was 66.6 (18.8). After fracture, HRQoL scores decreased significantly, especially in the dimensions of mobility, self-care, and performance of everyday activities; the EQ-VAS was 30.5 (16.0). The HRQoL of patients after surgery improved significantly (p <0.001), although basal levels were not reached. The EQ-VAS was 42.6 (13.7) five days after surgery and 53.7 (14.7) thirty days after surgery, with no significant differences between intervention groups. Conclusion: Subcapital femoral fractures that require partial or total arthroplasty significantly alters the quality of life of patients. After surgery, patients' HRQoL improve progressively, although in the short term they do not reach basal levels.