https://he02.tci-thaijo.org/index.php/hscr <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p> en-US <p><em><strong>The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.</strong></em></p> hscreditor@gmail.com (Dr. Thitipong Pooprasert) manager.hscr@gmail.com (Suphawan khumchoo) Fri, 06 Mar 2026 14:13:01 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 https://he02.tci-thaijo.org/index.php/hscr/article/view/280232 <p><strong>Objective:</strong> Hip fracture in older adults is a major public health concern and a leading cause of functional decline and loss of independence. This study aimed to examine pre-fracture factors associated with basic activities of daily living (ADLs) at hospital discharge among older patients undergoing surgical treatment for fragility hip fracture.<br /><strong>Methods:</strong> This retrospective cohort study included patients aged 60 years and older who underwent surgical treatment for fragility hip fracture between January 2024 and December 2025. A total of 361 patients were analyzed. Associations between pre-fracture factors and Barthel Index scores at discharge were evaluated using descriptive statistics, univariable analysis, and multivariable linear regression to identify independent predictors<br /><strong>Results:</strong> Most patients were female, with a mean age of 77.43 years. The mean Barthel Index score at discharge (51.55 ± 19.87) was significantly lower than the pre-fracture score (91.33 ± 18.69; p &lt; 0.001). In univariable analysis, age, pre-fracture Barthel Index score, cognitive impairment or dementia, and serum 25-hydroxyvitamin D level were significantly associated with Barthel Index at discharge (p &lt; 0.05). In the final multivariable linear regression model, older age (B = −0.42; 95% CI −0.61 to −0.23; p &lt; 0.001) and higher pre-fracture Barthel Index score (B = 0.55; 95% CI 0.46–0.64; p &lt; 0.001) remained independently associated with Barthel Index at discharge. Comorbidities and 25-hydroxyvitamin D level were not independently associated with the outcome in the adjusted model. The final model explained 31.7% of the variance in Barthel Index at discharge (adjusted R² = 0.317).<br /><strong>Conclusions:</strong> Older age and pre-fracture functional status were key factors associated with basic ADLs at hospital discharge in older adults after hip fracture surgery. Early assessment of these factors may help guide care planning and rehabilitation.</p> Tanachonnanee Lohitkupt; Pornkanok Nimnoi Copyright (c) 2026 Health Science Clinical Research https://creativecommons.org/licenses/by-nc-nd/4.0 https://he02.tci-thaijo.org/index.php/hscr/article/view/280232 Fri, 06 Mar 2026 00:00:00 +0700