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Prefracture functional level evaluated by the New Mobility Score predicts in-hospital outcome after hip fracture surgery.

Tange Kristensen, Morten LU ; Foss, Nicolai B; Ekdahl, Charlotte LU and Kehlet, Henrik (2010) In Acta Orthopaedica 81(3). p.296-302
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 72-86) 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.... (More)
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 72-86) 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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
81
issue
3
pages
296 - 302
publisher
Taylor & Francis
external identifiers
  • WOS:000279535900005
  • PMID:20450426
  • Scopus:77952687903
ISSN
1745-3682
DOI
10.3109/17453674.2010.487240
language
English
LU publication?
yes
id
271ec49b-5299-4f1c-904e-7bf6b089fdae (old id 1610521)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20450426?dopt=Abstract
date added to LUP
2010-06-01 15:44:58
date last changed
2016-12-04 04:40:01
@misc{271ec49b-5299-4f1c-904e-7bf6b089fdae,
  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 72-86) 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.},
  author       = {Tange Kristensen, Morten and Foss, Nicolai B and Ekdahl, Charlotte and Kehlet, Henrik},
  issn         = {1745-3682},
  language     = {eng},
  number       = {3},
  pages        = {296--302},
  publisher    = {ARRAY(0x7c42d98)},
  series       = {Acta Orthopaedica},
  title        = {Prefracture functional level evaluated by the New Mobility Score predicts in-hospital outcome after hip fracture surgery.},
  url          = {http://dx.doi.org/10.3109/17453674.2010.487240},
  volume       = {81},
  year         = {2010},
}