Maria Antonia Rosanna G Pena
University of the Philippines – Philippine General Hospital, PhilippinesTitle: Functional outcomes among geriatric fragility hip fracture patients in a developing country: A comparative study between formal and informal post-operative rehabilitation
Abstract
This is an ambispective cohort study of 50
acute fragility hip fractures over a 40-
month period (October 2017 to November
2020) treated with either arthroplasty or
internal fixation under the UP-PGH
Orthogeriatric Fracture Liaison Service
(FLS). Patients were contacted and
interviewed through Telemedicine. They
were asked to answer two questionnaires
– the Modified Harris Hip Score (MHHS)
and the EuroQol-5D-5L (EQ-5D-5L). The
scores were tallied and used to describe
and compare the post-operative functional
outcomes between the two rehabilitation
pathways.
Among the 50 patients included in this
study, twenty-three (46%) patients
underwent complete rehabilitation, while
27 (54%) underwent incomplete
rehabilitation. The average corrected
MHHS was at 82.5 suggesting good
outcomes among all patients, with a
higher-than-average outcome of 83.6
among patients who underwent complete
rehabilitation, and an outcome of 75.9
among patients who underwent
incomplete rehabilitation. Results to the
EQ-5D—5L survey showed that a
majority of patients who underwent
complete rehabilitation reported having
‘no problems’ in terms of self-care, and
anxiety or depression. However, the same
group had more patients reporting ‘any
problems’ in terms of mobility. On the
other hand, a bigger proportion of patients
from the incomplete rehabilitation group
presented with ‘any problems’ in terms of
usual activities. Proportions were similar
for both groups in terms of pain or
discomfort, with neither group having
patients who reported extreme pain or
discomfort.
In spite of the heterogeneous nature of the
hip fracture population, functional
outcome measures show generally good
outcomes of patients under the UP-PGH
Orthogeriatric FLS, with no significant
difference among patients who receive
complete rehabilitation from those who
undergo incomplete rehabilitation.
Continuing this study may better describe
and differentiate the functional outcomes
in order to pave the way for evidence based protocols dedicated to providing the
highest quality of care for acute fragility
fracture patients.
Biography
Maria Antonia Rosanna G. Pena
graduated with an MD-MBA at the
Ateneo School of medicine and public
health (ASMPH) in 2018. She then
pursued her 4-year orthopedic surgery
residency training at the premier tertiary
hospital of the Philippines, the UP Philippine General Hospital, from which
she just graduated. In 2022, She
underwent a short-course fellowship
training in Nice, France for Hip and Knee
Arthroplasty, and has plans of pursuing
further training focusing on arthroplasty
in the near future.