A simple scoring system to predict ambulation prognosis after hip fracture in the elderly.
BACKGROUND
We conducted a study on elderly patients with hip fracture to examine whether it is possible to predict the ambulation status of these patients upon hospital discharge.


METHODS
One hundred and eighty six patients with femoral neck or trochanteric fracture, who were ambulant prior to fracture, were studied. Thirteen factors that may affect walking ability were selected and subjected to multivariate analysis.


RESULTS
Of 186 patients, 145 regained walking ability at discharge. Factors significantly affecting walking ability at discharge were (1) anemia, (2) dementia and (3) abnormal chest X-ray. Each patient was scored on the basis of the above factors (1 = yes, 0 = no), and the total was used as the predictive score.


CONCLUSIONS
A simple scoring system composed of these three factors was useful for the prediction of [corrected] the ambulation status upon hospital discharge.
Hagino
Tetsuo
T
Department of Orthopaedic Surgery, Kofu National Hospital, 11-35 Tenjin-cho, Kofu, Yamanashi 400-8533, Japan. tmhagino@amber.plala.or.jp
Ochiai
Satoshi
S
Wako
Masanori
M
Sato
Eiichi
E
Maekawa
Shingo
S
Senga
Shinya
S
Sugiyama
Hajime
H
Hamada
Yoshiki
Y
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010351:Patient Discharge / Q000592:standards; D011379:Prognosis; D012107:Research Design; D012307:Risk Factors; D016138:Walking