Is the Parker Mobility Score in the older patient with a traumatic hip fracture associated with discharge disposition after surgery? A retrospective cohort study.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Jip Quirijn KusenHenk Jan Schuijt

Abstract

The research questions for this study were as follows: (1) is the Parker Mobility Score (PMS) associated with discharge disposition and hospital length of stay (HLOS) of geriatric traumatic hip fracture patients? (2) Can the PMS be incorporated in a decision tree for the prediction of discharge disposition of geriatric traumatic hip fracture patients upon admittance. A dual-center retrospective cohort study was conducted at two level II trauma centers. All patients aged 70 years and older with traumatic hip fractures undergoing surgery in 2018 and 2019 were included consecutively (n = 649). A χ2 automatic interaction detection analysis was performed to determine the association of the PMS (and other variables) with discharge disposition and HLOS and predict discharge destination. The decision tree for discharge disposition classified patients with an overall accuracy of 82.1% and a positive predictive value of 91% for discharge to a rehabilitation facility. The PMS had the second most significant effect on discharge disposition (χ2 = 22.409, p < 0.001) after age (χ2 = 79.094, p < 0.001). Regarding the tree analysis of HLOS, of all variables in the analysis, PMS had the most significant association with HLOS (F = 14.891, p < 0.0...Continue Reading

References

Sep 1, 1993·The Journal of Bone and Joint Surgery. British Volume·M J Parker, C R Palmer
Nov 14, 2002·The Journal of Surgical Research·Karen J BraselJohn A Weigelt
Sep 18, 2004·Archives of Physical Medicine and Rehabilitation·Leonie B OldmeadowBarry Elliott
Dec 14, 2004·Arthritis and Rheumatism·Paola de PabloJeffrey N Katz
Sep 2, 2008·Journal of Rehabilitation Medicine·Morten Tange KristensenHenrik Kehlet
Sep 5, 2009·The Journal of Arthroplasty·Wael K BarsoumMichael W Kattan
Oct 8, 2009·American Journal of Epidemiology·Suzanne E BentlerFredric D Wolinsky
Jul 27, 2012·Journal of Orthopaedic Trauma·Anna E GarciaManish K Sethi
Aug 6, 2013·Journal of Orthopaedic Trauma·Konstantin V GrigoryanJames L Rudolph
Jun 23, 2016·Acta Orthopaedica·Tonny J Pedersen, Jens M Lauritsen
Jul 1, 2017·Annals of the Royal College of Surgeons of England·O SalarC G Moran
Apr 26, 2018·Annals of the Royal College of Surgeons of England·T RichardsS Thati
Apr 28, 2018·Injury·Nicola Veronese, Stefania Maggi
Aug 8, 2018·American Journal of Surgery·Prakash J MathewBellal Joseph
Aug 31, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Henk Jan SchuijtDetlef van der Velde

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.