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Introduction:  Patient Reported Outcome Measures explore the view from the individuals´ perspective

Aim: The aim was to identify self-assessed factors that predict how patients recover after hip fracture surgery

Methods: A descriptive quality register-questionnaire study included 188 previous healthy, independent living adults aged 65 years and older stricken by a hip fracture in Sweden.  Data collection consisted of demographic data using the Swedish National Hip Fracture Register and Patient-reported assessment at the acute hospital, 2-5 days after surgery, and follow-up 4 months later. Following questionnaires were used: - EQ-5D, for assess health status - Falls Efficacy Scale, Swedish version (FES(S)), for assess perceived ability to perform common everyday tasks without fear of falling - Postoperative Recovery Profile (PRP), for assess patient-reported postoperative recovery including multidimensional items after surgical treatment.

Results: Based on patient reported assessment scores 21 percent reported themselves as fully or almost fully recovered at 4 months follow-up. In addition, 39 percent reported themselves slightly or not recovered at all. Different age groups experienced different challenges at different phases of the recovery process.

Discussion: Previously healthy adults who sustain a hip fracture are heterogeneous, and this heterogeneity means that their recovery process will likely differ. Using patient reported assessment provide improvement and integrated care. It is important to gain more knowledge from the individuals´ perspective of the difficulties when recover after a hip fracture. 

Implication for practice: Previous healthy, independently living older adults should be able to recover to the previous standard of everyday life after a hip fracture. The recovery process includes the entire continuum of fundamentals of care. The promotion of patient-valued outcomes for shaping clinical practice could be compatible with the outcomes that the patients value highest: to regain previous function capability and to regain independence after a hip fracture.