Back to Search
Start Over
Efficient predictors for the decline of activities of daily living in patients with hip fracture one year after surgery: A multicenter prospective cohort study.
- Source :
-
Journal of Back & Musculoskeletal Rehabilitation . 2020, Vol. 33 Issue 4, p553-560. 8p. - Publication Year :
- 2020
-
Abstract
- BACKGROUND: Previous studies have examined when activities of daily living (ADL) recovery more than six months after surgery can be predicted, and how much accuracy the predictors have. OBJECTIVE: The purpose of this study was to determine the predictors of ADL decline and evaluate their accuracies one year post-operation for hip-fracture patients. METHODS: We studied patients who underwent hip fracture surgery and were able to walk independently pre-operatively. The predictors of ADL declined one year post-operation, as analyzed using data of the basic medical attributes of the patients, including pain, 30-s chair-stand test, dementia [using the Revised Hasegawa Dementia Scale (HDS-R)], and walking/mobility style [using Barthel Index (BI)]. Using a receiver operating curve (ROC) curve, the cut-off value for each significant predictor was determined in the logistic regression analysis. To calculate the cut-off values and diagnostic performances of each of the extraction factors. RESULTS: The data of 36 patients were collected over a period of one year. The prior probability of ADL decline at one year post-operation was 44.4%. The results of logistic regression analyses showed that the score of HDS-R at admission and the walking/mobility BI score at three weeks post-operation were significant predictors of the one year post-operative decline in ADL. The results of the ROC analyses showed that the cut-off value of the HDS-R score at admission was < 23 points. The posterior probability increased to 62.0%. In contrast, the cut-off value of the walking/mobility BI score was 0 points. The posterior probability increased to 91.0%. CONCLUSION: The ADL decline of the patients who underwent hip fracture surgery at one year after surgery can be predicted at three weeks post-operation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COGNITION disorder risk factors
*CONVALESCENCE
*DEMENTIA
*EXERCISE tests
*BONE fractures
*HIP joint injuries
*LIFE skills
*LONGITUDINAL method
*MEDICAL cooperation
*PATIENTS
*POSTOPERATIVE period
*RESEARCH
*RISK assessment
*STANDING position
*SURGERY
*TIME
*WALKING
*LOGISTIC regression analysis
*ACTIVITIES of daily living
*PAIN measurement
*RECEIVER operating characteristic curves
*DESCRIPTIVE statistics
*BARTHEL Index
Subjects
Details
- Language :
- English
- ISSN :
- 10538127
- Volume :
- 33
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Back & Musculoskeletal Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 144715188
- Full Text :
- https://doi.org/10.3233/BMR-181126