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
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