Prediction of Ambulatory Status After Hip Fracture Surgery in Patients Over 60 Years Old
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Objective To predict ambulatory capacity, 1 month after physical therapy following hip fracture surgery. Methods A retrospective chart review was carried out. Patients more than 60 years old, who underwent hip fracture surgery and received physical therapies, were selected (n=548). Age, gender, presence of cognitive dysfunction, combined medical diseases, combined fractures, previous history of hip surgery, prefracture ambulatory capacity, days from the fracture to surgery, type of fracture, type of surgery, presence of postoperative complications, days from the surgery to physical therapy, and total admission period, were collected. Prefracture ambulatory capacity and postoperative ambulatory capacity were classified into non-ambulatory status (NA), ambulation with assistive device (AA), and independent-ambulation without any assistive device (IA). Multiple-logistic regression analysis was performed for the prediction of postoperative ambulatory capacity.Results Age (odds ratio [OR]=0.94 for IA and 0.96 for IA or AA), gender (OR=1.64 for IA and 0.98 for IA or AA), prefracture ambulatory capacity (OR of IA=19.17 for IA; OR of IA=16.72 for IA or AA; OR of AA=1.26 for IA, OR of AA=9.46 for IA or AA), and combined medical disease (OR=2.02) were found to be the factors related to postoperative ambulatory capacity and the prediction model was set up using these four factors.Conclusion Using this model, we can predict the ambulatory capacity following hip fracture surgery. Further prospective studies should be constructed to improve postoperative ambulatory capacity.
Abstract
Objective To predict ambulatory capacity, 1 month after physical therapy following hip fracture surgery. Methods A retrospective chart review was carried out. Patients more than 60 years old, who underwent hip fracture surgery and received physical therapies, were selected (n=548). Age, gender, presence of cognitive dysfunction, combined medical diseases, combined fractures, previous history of hip surgery, prefracture ambulatory capacity, days from the fracture to surgery, type of fracture, type of surgery, presence of postoperative complications, days from the surgery to physical therapy, and total admission period, were collected. Prefracture ambulatory capacity and postoperative ambulatory capacity were classified into non-ambulatory status (NA), ambulation with assistive device (AA), and independent-ambulation without any assistive device (IA). Multiple-logistic regression analysis was performed for the prediction of postoperative ambulatory capacity.Results Age (odds ratio [OR]=0.94 for IA and 0.96 for IA or AA), gender (OR=1.64 for IA and 0.98 for IA or AA), prefracture ambulatory capacity (OR of IA=19.17 for IA; OR of IA=16.72 for IA or AA; OR of AA=1.26 for IA, OR of AA=9.46 for IA or AA), and combined medical disease (OR=2.02) were found to be the factors related to postoperative ambulatory capacity and the prediction model was set up using these four factors.Conclusion Using this model, we can predict the ambulatory capacity following hip fracture surgery. Further prospective studies should be constructed to improve postoperative ambulatory capacity.
참고문헌 (22)
- Fuller GF, "Falls in the elderly", Am Fam Physician, 61, pp.2159~2174 (2000)
- Rose S, "Hip fractures: an epidemiological review", Bull Hosp Jt Dis, 58, pp.197~201 (1999)
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", Annals of geriatric medicine and research, 14(1), pp.8~17 (2010), 대한노인병학회
- Cooper C, "The crippling consequences of fractures and their impact on quality of life", Am J Med, 103, pp.12S~19S (1997)
- Dubljanin-Raspopovic E, "Use of early indicators in rehabilitation process to predict one-year mortality in elderly hip fracture patients", Hip Int, 22, pp.661~667 (2012)
- Van Hook FW, "Ambulatory devices for chronic gait disorders in the elderly", Am Fam Physician, 67, pp.1717~1724 (2003)
- Levin P, "Ambulatory assistive devices in orthopaedics:uses and modifications", J Am Acad Orthop Surg, 18, pp.315~316 (2010)
- Kristensen MT, "Factors affecting functional prognosis of patients with hip fracture", Eur J Phys Rehabil Med, 47, pp.257~264 (2011)
- Hershkovitz A, "Factors affecting short-term rehabilitation outcomes of disabled elderly patients with proximal hip fracture", Arch Phys Med Rehabil, 88, pp.916~921 (2007)
- Folden S, "Factors influencing function and recovery following hip repair surgery", Orthop Nurs, 26, pp.234~241 (2007)
- Foss NB, "Prediction of postoperative morbidity, mortality and rehabilitation in hip fracture patients: the cumulated ambulation score", Clin Rehabil, 20, pp.701~708 (2006)
- Semel J, "Predictors of outcome following hip fracture rehabilitation", PM R, 2, pp.799~805 (2010)
- Bellelli G, "A prognostic model predicting recovery of walking independence of elderly patients after hipfracture surgery: an experiment in a rehabilitation unit in Northern Italy", Osteoporos Int, 23, pp.2189~2200 (2012)
- Mungas D, "In-office mental status testing: a practical guide", Geriatrics, 46, pp.54~66 (1991)
- Bohannon RW, "Scoring transfer and locomotion independence of home care patients: Barthel versus functional independence measure", Int J Rehabil Res, 22, pp.65~66 (1999)
- Holt G, "Gender differences in epidemiology and outcome after hip fracture: evidence from the Scottish Hip Fracture Audit", J Bone Joint Surg Br, 90, pp.480~483 (2008)
- Dae Gu Lee, "Prognostic Factors Predicting Early Recovery of Pre-fracture Functional Mobility in Elderly Patients With Hip Fracture", Annals of Rehabilitation Medicine, 38(6), pp.827~835 (2014), 대한재활의학회
- Lieberman D, "Factors related to successful rehabilitation after hip fracture: a case-control study", Disabil Rehabil, 18, pp.224~230 (1996)
- Keevil VL, "The physical capability of communitybased men and women from a British cohort: the European Prospective Investigation into Cancer (EPIC)-Norfolk study", BMC Geriatr, 13, pp.93~ (2013)
- Haentjens P, "Survival and functional outcome according to hip fracture type: a one-year prospective cohort study in elderly women with an intertrochanteric or femoral neck fracture", Bone, 41, pp.958~964 (2007)
- Mathew RO, "Effect of comorbidity on functional recovery after hip fracture in the elderly", Am J Phys Med Rehabil, 92, pp.686~696 (2013)
- Kenzora JE, "Hip fracture mortality: relation to age, treatment, preoperative illness, time of surgery, and complications", Clin Orthop Relat Res, (186), pp.45~56 (1984)