Diabetic neuropathies influence recovery from hip-fracture surgery in older persons with diabetes

To explore the impact of diabetic peripheral neuropathy (DPN) on the recovery of older persons with diabetes mellitus (DM) after hip-fracture surgery. Secondary data for this study came from a clinical trial on the effectiveness of a DM-specific care model for 176 older persons (age ≥ 60) with DM ov...

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Bibliographic Details
Published in:Experimental gerontology 2019-05, Vol.119, p.168-173
Main Authors: Tseng, Ming-Yueh, Huang, Yueh-Fang, Liang, Jersey, Wang, Jong-Shyan, Yang, Ching-Tzu, Wu, Chi-Chuan, Cheng, Huey-Shinn, Chen, Ching-Yen, Lin, Yueh-E, Wang, Woan-Shyuan, Shyu, Yea-Ing L.
Format: Article
Language:English
Subjects:
Diabetic peripheral neuropathy
Health-related quality of life
Hip fracture
Older persons
Self-care ability
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Summary:To explore the impact of diabetic peripheral neuropathy (DPN) on the recovery of older persons with diabetes mellitus (DM) after hip-fracture surgery. Secondary data for this study came from a clinical trial on the effectiveness of a DM-specific care model for 176 older persons (age ≥ 60) with DM over 2 years following hip-fracture surgery at a medical center in Taiwan. In the original trial, the experimental group (n = 88) received DM-specific care comprising diabetes care plus subacute care, and the control group (n = 88) received only usual care. DPN was assessed using the Michigan Neuropathy Screening Instrument. Outcomes of self-care ability in activities of daily living (ADL), health-related quality of life (HRQoL), and depressive symptoms were assessed 1, 3, 6, 12, 18, 24 months following hospital discharge using the Chinese Barthel Index and Chinese-version instrumental ADL (IADL) scale; the SF-36 Taiwan version; and the Chinese-version Geriatric Depression Scale, short form, respectively. After controlling for covariates, participants with DPN had 8.38 fewer points in ADL performance, 0.49 fewer points in IADL performance, and 2.33 fewer points in the physical component summary (PCS) of HRQoL than participants without DPN at 3 months following discharge. During the first year following discharge, the rate of improvement increased less for PCS (β = −0.45, p 
ISSN:0531-5565
1873-6815
DOI:10.1016/j.exger.2019.02.004