Development of the Barthel Index 5 years after hip fracture: Results of a prospective study
Development of the Barthel Index 5 years after hip fracture: Results of a prospective study
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DOI：
10.1111/ggi.13723
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发表时间：
2019-07-01
影响因子：
3.3
通讯作者：
Eschbach, Daphne
中科院分区：
文献类型：
--
作者：
Knauf, Tom;Buecking, Benjamin;Eschbach, Daphne
目的股骨近端骨折的重要性由于人口统计学的变化而增加。尽管有适当的护理，这些都与不良的结果。我们仍然落后，需要这些患者的长期功能结果和相关的预测因素的信息。方法回顾性分析2009 - 2011年402例年龄>60岁的髋部骨折患者的临床资料。分别于骨折前、出院时、术后6个月、1年、5年采用Barthel指数对患者进行评估。此外，还收集了各种参数（性别、年龄、骨折类型、美国麻醉医师协会分类、简易精神状态检查、住房情况、住院期间并发症的发生率和护理类型），以使用多变量分析确定可能的独立预测因素。结果急性病患者出院时Barthel指数最低（66 ± 24）。Barthel指数在前6个月内改善（86 +/- 21），随后下降。多变量分析中与Barthel指数显著较高的分值损失相关的因素是年龄（P值0.020）、骨折前Barthel指数（P
Aim The importance of proximal femoral fractures is increasing due to demographic change. Despite appropriate care, these are associated with poor results. We are still lagging behind, and require information on the long-term functional outcome of these patients and the predictive factors involved. Methods Between 2009 and 2011, 402 patients aged >60 years with hip fractures were included in this prospective observational study. Patients were assessed with the Barthel Index before fracture, at discharge, and 6 months, 1 year and 5 years after surgery. In addition, a variety of parameters (sex, age, fracture type, American Society of Anesthesiologists classification, Mini-Mental State Examination, housing situation, occurrence of complications during inpatient stay and type of care) were collected to identify the possible independent predictive factors using multivariate analysis. Results The lowest Barthel Index was found at discharge (66 +/- 24) for patients from an acute hospital. The Barthel Index improved within the first 6 months (86 +/- 21) and decreased afterwards. The factors associated with a significantly higher point loss of the Barthel Index in the multivariate analysis were age (P-value 0.020), pre-fracture Barthel Index, (P