Abstract
Background and purpose Clinicians need valid and easily applicable predictors of outcome in patients with hip fracture. Adjusting for previously established predictors we determined the predictive value of the New Mobility score (NMS) for in-hospital outcome in patients with hip fracture. Patients and methods We studied 280 patients with a median age of 81 (interquartile range 7286) years who were admitted from their own homes to a special hip fracture unit. Main outcome was the regain of independence in basic mobility defined as independence in getting in and out of bed sitting down and standing up from a chair and walking with an appropriate walking aid. The Cumulated Ambulation score was used to evaluate basic mobility. Predictor variables were NMS functional level before fracture age sex fracture type and mental and health status. Results Except for sex all predictor variables were statistically significant in univariate testing. In multiple logistic regression analysis only age NMS functional level before fracture and fracture type were significant. Thus patients with a low prefracture NMS and/or an intertrochanteric fracture would be 18 and 4 times more likely not to regain independence in basic mobility during the hospital stay respectively than patients with a high prefracture level and a cervical fracture respectively. The model was statistically stable and correctly classified 84% of cases. Interpretation The NMS functional level before fracture age and fracture type facilitate prediction of the in-hospital rehabilitation potential after hip fracture surgery. Copyright:
| Original language | English |
|---|---|
| Journal | Acta Orthopaedica (Print Edition) |
| Volume | 81 |
| Issue number | 3 |
| Pages (from-to) | 296-302 |
| Number of pages | 7 |
| ISSN | 1745-3674 |
| DOIs | |
| Publication status | Published - 3 Jun 2010 |