Association of Frailty Comorbidity with Incidence of Fractures among Elderly at Assiut Trauma University Hospital | ||||
| Assiut Scientific Nursing Journal | ||||
| Article 16, Volume 12, Issue 47 - Serial Number 1, November 2024, Page 167-197 PDF (1.66 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asnj.2024.331085.1940 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Aml Mahmoud Sadek  1; Osamaa Ahmed Farouk2; Saieda Abd El-hamed AbdELhamed3
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| 1Clinical Demonstrator In Gerontological Nursing Department-Faculty of Nursing, Assiut University, Egypt. | ||||
| 2Professor of Orthopedic Surgery, Faculty of Medicine, Assiut University, Egypt. | ||||
| 3Assistant Professor of Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt. | ||||
| Abstract | ||||
| Background: Frailty is a growing public health concern, impacts clinical care significantly. As the elderly population expands, frailty rates are expected to increase. Bone fractures are a public health issue especially in elderly people that lead to disability, impaired quality of life, and high health-care costs. Aim: To assess the association of frailty comorbidity with incidence of fractures among elderly. Research design: A descriptive cross-sectional research design. Setting: inpatient ward and outpatients' clinics in Trauma Hospital at Assiut University. Sample: A convenience sample of 321 older adult patients who had Fractures. Study tools: Three tools were selected I: Structured interviewing questionnaire II: Reported Edmonton Frail Scale to assess frailty for elderly patients with fractures and II: Charlson Comorbidity Index scale to assess level of comorbidity. Results: The proportions of falls as a cause of fracture were 81.7% for all fractures and 76.0% of the studied elderly patients fall in their home. The most common fractures in the total population was the hip fracture (48.6%), and femur fracture (22.4%). Most of studied elderly patients have severe frailty (52.7%), moderate frailty (17.4%). This study found statistical significant difference between patient’s comorbidities and frailty at p-value <0.000. Conclusion: The study highlights the association of frailty and incidence of fractures among elderly patients and level of comorbidities. Recommendation: Implement evidence-based rehabilitation programs to improve mobility and reduce complications after fractures. | ||||
| Keywords | ||||
| Elderly; Fracture & Frailty | ||||
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