Predicting outcomes after hip fracture repair

Hitoshi Kagaya, Hitomi Takahashi, Keiyu Sugawara, Mayumi Dobashi, Noritaka Kiyokawa, Hazuki Ebina

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

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™ 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.

Original languageEnglish
Pages (from-to)46-51
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume84
Issue number1
DOIs
Publication statusPublished - 01-01-2005

Fingerprint

Hip Fractures
Walking
Social Mobility
Statistical Models
Cognition
Activities of Daily Living
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Kagaya, Hitoshi ; Takahashi, Hitomi ; Sugawara, Keiyu ; Dobashi, Mayumi ; Kiyokawa, Noritaka ; Ebina, Hazuki. / Predicting outcomes after hip fracture repair. In: American Journal of Physical Medicine and Rehabilitation. 2005 ; Vol. 84, No. 1. pp. 46-51.
@article{3f0913eadc574148bcd8f53f8dfac0c7,
title = "Predicting outcomes after hip fracture repair",
abstract = "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™ 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.",
author = "Hitoshi Kagaya and Hitomi Takahashi and Keiyu Sugawara and Mayumi Dobashi and Noritaka Kiyokawa and Hazuki Ebina",
year = "2005",
month = "1",
day = "1",
doi = "10.1097/01.PHM.0000150793.30261.82",
language = "English",
volume = "84",
pages = "46--51",
journal = "American Journal of Physical Medicine and Rehabilitation",
issn = "0894-9115",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

Predicting outcomes after hip fracture repair. / Kagaya, Hitoshi; Takahashi, Hitomi; Sugawara, Keiyu; Dobashi, Mayumi; Kiyokawa, Noritaka; Ebina, Hazuki.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 84, No. 1, 01.01.2005, p. 46-51.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Predicting outcomes after hip fracture repair

AU - Kagaya, Hitoshi

AU - Takahashi, Hitomi

AU - Sugawara, Keiyu

AU - Dobashi, Mayumi

AU - Kiyokawa, Noritaka

AU - Ebina, Hazuki

PY - 2005/1/1

Y1 - 2005/1/1

N2 - 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™ 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.

AB - 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™ 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.

UR - http://www.scopus.com/inward/record.url?scp=11144242439&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=11144242439&partnerID=8YFLogxK

U2 - 10.1097/01.PHM.0000150793.30261.82

DO - 10.1097/01.PHM.0000150793.30261.82

M3 - Article

C2 - 15632488

AN - SCOPUS:11144242439

VL - 84

SP - 46

EP - 51

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

SN - 0894-9115

IS - 1

ER -