Recovery of health-related quality of life in a United Kingdom XXXX population: the Warwick Hip Trauma Evaluation - a prospective cohort study.

@entity1 @entity174 @entity73 @entity173 @entity130
@entity173 is a global public health problem. The National Hip Fracture Database provides a framework for service evaluation in this group of @entity1 in the United Kingdom, but does not collect @entity1 -reported outcome data and is unable to provide meaningful data about the recovery of quality of life. We report one-year @entity1 -reported outcomes of a prospective cohort of @entity1 treated at a single major @entity130 centre in the United Kingdom who sustained a @entity173 between January 2012 and March 2014. There was an initial marked decline in quality of life from baseline measured using the EuroQol 5 Dimensions score (EQ-5D). It was followed by a significant improvement to 120 days for all @entity1 . Although their quality of life improved during the year after the @entity174 , it was still significantly lower than before injury irrespective of age group or @entity73 (mean reduction EQ-5D 0.22; 95% confidence interval (CI) 0.17 to 0.26). There was strong evidence that quality of life was lower for @entity1 with @entity73 . There was a mean reduction in EQ-5D of 0.28 (95% CI 0.22 to 0.35) in @entity1 <  80 years of age. This difference was consistent (and fixed) throughout follow-up. Quality of life does not improve significantly during recovery from @entity173 in @entity1 over 80 years of age (p = 0.928). Secondary measures of function showed similar trends. @entity173 marks a step down in the quality of life of a @entity1 : it accounts for approximately 0.22 disability adjusted life years in the first year after @entity174 . This is equivalent to serious neurological conditions for which extensive funding for research and treatment is made available. Cite this article: Bone Joint J 2015;97-B:372-82.
