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.
  
  
  METHODS
  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.
authors.affiliation: Department of Rehabilitation, Akita City Hospital, 4-30 Kawamoto Matsuoka-cho, Akita 010-0933, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kagaya
authors.forename: Hitomi
authors.initials: H
authors.lastname: Takahashi
authors.forename: Keiyu
authors.initials: K
authors.lastname: Sugawara
authors.forename: Mayumi
authors.initials: M
authors.lastname: Dobashi
authors.forename: Noritaka
authors.initials: N
authors.lastname: Kiyokawa
authors.forename: Hazuki
authors.initials: H
authors.lastname: Ebina
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D015999:Multivariate Analysis; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010351:Patient Discharge; D011237:Predictive Value of Tests; D011446:Prospective Studies; D020127:Recovery of Function; D016138:Walking