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2. Advanced prediction of functional outcomes in hip fracture patients using premorbid functional assessments

Author

Leong-Pan Hung, Hoi-Yee Lam, Wai-Ha Fung, Kam-Tim Samuel Ngan, Chiu-Tai Yip, and Yim-Kwan Fung

Subjects
Orthopedic surgery, RD701-811
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
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3. Advanced prediction of functional outcomes in hip fracture patients using premorbid functional assessments

Author

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

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