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. 2006 Oct;30(5):315-9.
doi: 10.1007/s00264-006-0086-y. Epub 2006 Mar 22.

Prediction of ambulation prognosis in the elderly after hip fracture

Tetsuo Hagino  1 , Eiichi Sato, Hisahiro Tonotsuka, Satoshi Ochiai, Morihito Tokai, Yoshiki Hamada
Affiliations

Prediction of ambulation prognosis in the elderly after hip fracture

Tetsuo Hagino et al. Int Orthop. 2006 Oct.

Abstract
in English, French

We investigated the factors influencing ambulation prognosis after hip fracture in the elderly patient and examined whether it is possible to predict the ambulation status upon hospital discharge at the time of admission. Two hundred and five patients aged 60 or older with a hip fracture who were ambulant before injury were studied. The patients were divided into two groups according to their ability to walk at the time of discharge from hospital: the ambulatory group and the non-ambulatory group. We assessed the value of various predictive factors. At discharge, 136 patients (66.3%) were ambulatory while 69 patients (33.7%) were non-ambulatory. Factors significantly affecting walking ability at discharge were: (1) age, (2) dementia, (3) residence before injury, (4) anaemia, (5) electrolyte abnormality, (6) abnormal chest X-ray, and (7) chronic systemic disease. Each patient was scored on the basis of the above factors (1=yes, 0=no), and the total was used as the predictive score. The mean score was significantly higher (p<0.0005) in the non-ambulatory group. It is possible to predict ambulation prognosis after hip fracture using our scoring system at the time of admission.

Nous avons analysé les facteurs influençant le pronostic de la marche après fracture de la hanche chez les patients âgés en nous posant la question de la possibilité de prévoir, lors de l’admission, le statut du patient après sa sortie de l’hôpital. Ont été étudiés 205 patients âgés de 60 ans ou plus, avec une fracture de la hanche, patients « marchant » avant le traumatisme. Ces patients ont été divisés en deux groupes selon leur statut ambulatoire à la sortie de l’hôpital. Un premier groupe de patient autonome sur le plan de la marche et un deuxième groupe non-autonome. Sont sortis de l’hôpital 136 patients: 66,3% étaient autonomes sur le plan de la marche pendant que 69 patients (33,7%) n’étaient pas autonomes. Les facteurs significatifs affectant l’autonomie de la marche après la sortie de l’hôpital étaient l’âge, la démence, le statut résidentiel avant le traumatisme, l’existence ou non d’une anémie, les anomalies électrolytiques, la radio anormale du poumon et une pathologie systémique chronique. Chaque patient a été sérié selon ces facteurs (1=présence du facteur, 0=pas de présence du facteur), le total des différents facteurs donnant le score prédictif. Le score moyen était hautement significatif dans le groupe des patients non-ambulatoires. Il est donc possible de prévoir le pronostic de marche après une fracture de la hanche en utilisant ce score au moment de l’admission du patient avant le traitement de sa fracture.

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Figures

Fig. 1
Fig. 1
Comparison of functional prognosis predictive scores. Data are expressed as means ± SD. FPPS functional prognosis predictive score. *P<0.0005, Mann–Witney U test
Fig. 2
Fig. 2
Preditive score and ambulatory status
See this image and copyright information in PMC

References

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