1. Advanced prediction of functional outcomes in hip fracture patients using premorbid functional assessments
- Author
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Wai-Ha Fung, Yim-Kwan Fung, Hoi-Yee Lam, Chiu-Tai Yip, Leong-Pan Hung, and Kam-Tim Samuel Ngan
- Subjects
030506 rehabilitation ,medicine.medical_specialty ,Hip fracture ,Activities of daily living ,business.industry ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease ,lcsh:RD701-811 ,03 medical and health sciences ,0302 clinical medicine ,lcsh:Orthopedic surgery ,Physical therapy ,medicine ,Orthopedics and Sports Medicine ,Functional status ,Functional decline ,0305 other medical science ,business ,030217 neurology & neurosurgery ,Historical Cohort - Abstract
Purpose: This historical cohort study aims to determine the relationship between premorbid functional status and functional decline in hip fracture patients. Methods: Eighty-two hip fracture patients were divided into Group A (good rehabilitation potential) and Group B (fair rehabilitation potential) based on four premorbid functional assessments: Modified Functional Ambulation Category (MFAC), Modified Barthel Index (MBI), Hong Kong Montreal Cognitive Assessment 5-Minute and functional prognosis predictive score. Declines in MFAC and MBI after rehabilitation were compared. Results: Sixty-seven percent of patients in Group A had up to one category decline in final MFAC, whereas 66% in Group B had more than one category decline. Similarly, median decline in final MBI was seven in Group A versus 22 in Group B. Conclusion: Hip fracture patients with good rehabilitation potential have significantly fewer functional declines. It is possible for them to be directly discharged from acute hospital for outpatient rehabilitation.
- Published
- 2019