AMBULATION RECOVERY PREDICTION AFTER HIP FRACTURE SURGERY USING THE HIP FRACTURE SHORT-TERM AMBULATION PREDICTION TOOL
Issued Date
2024-01-01
Resource Type
ISSN
16501977
eISSN
16512081
Scopus ID
2-s2.0-85208754655
Journal Title
Journal of Rehabilitation Medicine
Volume
56
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Rehabilitation Medicine Vol.56 (2024)
Suggested Citation
Adulkasem N., Chotiyarnwong P., Vanitcharoenkul E., Unnanuntana A. AMBULATION RECOVERY PREDICTION AFTER HIP FRACTURE SURGERY USING THE HIP FRACTURE SHORT-TERM AMBULATION PREDICTION TOOL. Journal of Rehabilitation Medicine Vol.56 (2024). doi:10.2340/jrm.v56.40780 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102075
Title
AMBULATION RECOVERY PREDICTION AFTER HIP FRACTURE SURGERY USING THE HIP FRACTURE SHORT-TERM AMBULATION PREDICTION TOOL
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Objective: To develop models for predicting postoperative ambulation recovery at 3 months following fragility hip fracture surgery. Design: Cross-sectional study. Subjects: Fragility hip fracture patients aged ≥ 50 years who underwent operative treatment and completed a 3-month follow-up. Methods: Potential predictors were collected from eligible patients, while ambulation at 3 months after injury was assessed using the modified functional ambulation classification. These factors were used to develop the Hip Fracture Short-Term Ambulation Prediction, consisting of 2 models: Model 1 for postoperative ambulation and Model 2 for preinjury status recovery. Results: Among the 275 patients, 55 (20.0%) achieved good ambulation, and 59 (21.5%) retur-ned to their preinjury status at 3 months. Age, preinjury ambulatory status, and discharge ambulatory status were identified as significant pre-dictors of 3-month postoperative ambulation. The tool presented (Models 1 and 2) showed strong per-formance (area under the curve of 0.86 and 0.85, respectively) and good internal validity. Conclusions: Age, preinjury ambulatory status, and discharge ambulatory status significantly pre-dict postoperative ambulation and preinjury status recovery at 3 months after fragility hip fracture surgery. The tool presented may aid clinicians in identifying patients who could benefit from targe-ted rehabilitation interventions during this crucial period.