Predicting risk of extended inpatient rehabilitation after hip or knee arthroplasty

被引:156
作者
Oldmeadow, LB
McBurney, H
Robertson, VJ
机构
[1] La Trobe Univ, Austin & Repatriat Med Ctr, Bundoora, Vic, Australia
[2] La Trobe Univ, Sch Physiotherapy, Bundoora, Vic, Australia
关键词
rehabilitation; risk; hip; knee; arthroplasty;
D O I
10.1016/S0883-5403(03)00151-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study developed and validated an easily administered method of predicting a patient's risk of needing extended inpatient rehabilitation after hip or knee arthroplasty. Seven factors generated by experts and from the literature were shown to be statistically significantly related to discharge destination (Pless than or equal to.001). Factor weightings derived from a logistic regression equation and tested on the first 520 cases were used to devise a scoring method. This method was validated using a further 130 cases and the Risk Assessment and Predictor Tool (RAPT) was formulated. The RAPT identified 3 levels of risk of needing extended inpatient rehabilitation after hip or knee arthroplasty, with an accuracy rate of 89% for those most at risk. (C) 2003 Elsevier Inc. All rights reserved.
引用
收藏
页码:775 / 779
页数:5
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