Predicting outcomes after hip fracture repair

被引:24
作者
Kagaya, H [1 ]
Takahashi, H [1 ]
Sugawara, K [1 ]
Dobashi, M [1 ]
Kiyokawa, N [1 ]
Ebina, H [1 ]
机构
[1] Akita City Hosp, Dept Rehabil, Akita 0100933, Japan
关键词
hip fracture; activities of daily living; statistical model; predictive accuracy;
D O I
10.1097/01.PHM.0000150793.30261.82
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To compare the activities of daily living before and after hip fracture and construct a statistical model for discharge destination and independent walking. The classification accuracy of the model was determined from an independent sample. Design: Prospective study: FIM(TM) prefracture, at discharge, and at 6-mo follow-up were obtained from 63 patients who underwent operations for acute hip fractures. A statistical model for discharge destination and independent walking was made and classification accuracy was checked using 78 independent samples. Results: The motor FIM scores at prefracture decreased significantly at discharge (P < 0.0001) and at 6-mo follow-up (P < 0.0001), but at 6-mo follow-up, they had increased significantly compared with those at discharge (P = 0.0103). A mobility subscale was used to predict discharge destination, and mobility and social cognition subscales were related to independent walking. The predictive accuracy was 87%. Conclusions: Motor FIM scores increase for at least 6 mos after hip fracture, and discharge destination and independent walking were highly predictable from FIM mobility and social cognition subscales.
引用
收藏
页码:46 / 51
页数:6
相关论文
共 14 条
[1]   Functional gain of hip fracture patients in different cognitive and functional groups [J].
Beloosesky, Y ;
Grinblat, J ;
Epelboym, B ;
Weiss, A ;
Grosman, B ;
Hendel, D .
CLINICAL REHABILITATION, 2002, 16 (03) :321-328
[2]  
CEDER L, 1980, CLIN ORTHOP RELAT R, P185
[3]   PROGNOSTIC FACTORS AND PROGRESS FOR AMBULATION IN ELDERLY PATIENTS AFTER HIP FRACTURE [J].
CHENG, CL ;
LAU, S ;
HUI, PW ;
CHOW, SP ;
PUN, WK ;
NG, J ;
LEONG, JCY .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1989, 68 (05) :230-233
[4]   An investigation of factors predictive of independence in transfers and ambulation after hip fracture [J].
Duke, RG ;
Keating, JL .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (02) :158-164
[5]   Functional outcome of cognitively impaired hip fracture patients on a geriatric rehabilitation unit [J].
Goldstein, FC ;
Strasser, DC ;
Woodard, JL ;
Roberts, VJ .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1997, 45 (01) :35-42
[6]   Cognitive status at admission: Does it affect the rehabilitation outcome of elderly patients with hip fracture? [J].
Heruti, RJ ;
Lusky, A ;
Barell, V ;
Ohry, A ;
Adunsky, A .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1999, 80 (04) :432-436
[7]   TREATMENT OF HIP FRACTURE IN FINLAND AND SWEDEN - PROSPECTIVE COMPARISON OF 788 CASES IN 3 HOSPITALS [J].
JALOVAARA, P ;
BERGLUNDRODEN, M ;
WINGSTRAND, H ;
THORNGREN, KG .
ACTA ORTHOPAEDICA SCANDINAVICA, 1992, 63 (05) :531-535
[8]   Evaluation of rehabilitation outcomes in older patients with hip fractures [J].
Jones, GR ;
Miller, TA ;
Petrella, RJ .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2002, 81 (07) :489-497
[9]  
Kitamura S, 1998, CLIN ORTHOP RELAT R, P29
[10]  
Koval KJ, 1998, CLIN ORTHOP RELAT R, P22