Predictive Model of Recovery to Prefracture Activities-of-Daily-Living Status One Year after Fragility Hip Fracture
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design and Setting
2.2. Study Patients
2.3. Treatment Protocol
2.4. Data Collection
2.5. Statistical Analysis
3. Results
- Scenario 1:
- Scenario 2:
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Patient Characteristics | Return to Prefracture Activities-of-Daily-Living Status (n = 324) | Did Not Return to Prefracture Activities-of-Daily-Living Status (n = 97) | Odds Ratio | 95% CI | p-Value | auROC |
---|---|---|---|---|---|---|
Age (y), mean ± SD | 77.33 ± 9.65 | 81.35 ± 8.39 | 0.95 | [0.93–0.98] | <0.001 | 0.61 [0.55–0.67] |
Female sex, n (%) | 242 (74.69%) | 76 (78.35%) | 0.82 | [0.47–1.41] | 0.463 | 0.52 [0.47–0.57] |
Body mass index (kg/m2), mean ± SD | 22.68 ± 4.11 | 22.12 ± 4.02 | 1.03 | [0.98–1.10] | 0.24 | 0.54 [0.47–0.60] |
Charlson comorbidity index score, n (%) | ||||||
–<5 | 178 (54.94%) | 31 (31.96%) | 2.6 | [1.61–4.19] | <0.001 | 0.61 [0.56–0.67] |
Type of fracture, n (%) | ||||||
–Femoral neck fracture | 178 (54.94%) | 46 (47.42%) | 1.35 | [0.86–2.13] | 0.19 | 0.54 [0.48–0.59] |
Treatment, n (%) | ||||||
–Conservative treatment | 3 (0.93%) | 14 (14.43%) | 0.60 [0.53–0.66] | |||
–Dynamic hip screw | 21 (6.48%) | 6 (6.19%) | 16.33 | [3.49–76.35] | <0.001 | |
–Cephalomedullary nailing | 133 (41.05%) | 40 (41.24%) | 15.52 | [4.25–56.71] | <0.001 | |
–Multiple screw fixation | 14 (4.32%) | 2 (2.06%) | 32.67 | [4.71–226.52] | <0.001 | |
–Arthroplasty | 153 (47.22%) | 35 (36.08%) | 20.4 | [5.56–74.85] | <0.001 | |
Prefracture BI, mean ± SD | 96.7 ± 6.02 | 80.72 ± 17.79 | 1.16 | [1.12–1.20] | <0.001 | 0.83 [0.79–0.88] |
Prefracture EQ-VAS, mean ± SD | 92.48 ± 7.75 | 79.18 ± 16.29 | 1.11 | [1.08–1.14] | <0.001 | 0.76 [0.70–0.82] |
Predictors | Terms | df | Formula | Log Odds Ratio | 95% CI | p-Value |
---|---|---|---|---|---|---|
Intercept | 0.26 | −1.25, 1.76 | 0.739 | |||
Age | Out | 0 | – | – | – | – |
CCI | Out | 0 | – | – | – | – |
Treatment | Linear | 1 | ||||
–Dynamic hip screw | 2.14 | 0.29, 3.98 | 0.02 | |||
–Cephalomedullary nailing | 2.06 | 0.53, 3.6 | 0.01 | |||
–Multiple screw fixation | 3.3 | 0.48, 6.12 | 0.02 | |||
–Arthroplasty | 2.08 | 0.54, 3.62 | 0.01 | |||
Prefracture Barthel index | Linear | 1 | Prefracture Barthel index-100 | 0.12 | 0.08, 0.16 | <0.001 |
Prefracture EQ-VAS | Linear | 1 | Prefracture EQ-VAS-90 | 0.04 | 0.001, 0.07 | 0.045 |
Categories | LHR to Return to Prefracture Activties-of-Daily-Living Status | Return to Prefracture Activities-of-Daily-Living Status | Did Not Return to Prefracture Activities-of-Daily-Living Status | LR+ | 95% CI of LR+ | PPV | 95% CI of PPV | p-Value | ||
---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | |||||||
Low | <1.3 | 68 | 21 | 79 | 81.4 | 0.26 | 0.20 0.32 | 46.3% | 38.0% 54.7% | <0.001 |
High | ≥1.3 | 256 | 79 | 18 | 18.6 | 4.26 | 2.80 6.48 | 93.4% | 89.8% 96.1% | <0.001 |
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Kitcharanant, N.; Atthakomol, P.; Khorana, J.; Phinyo, P.; Unnanuntana, A. Predictive Model of Recovery to Prefracture Activities-of-Daily-Living Status One Year after Fragility Hip Fracture. Medicina 2024, 60, 615. https://doi.org/10.3390/medicina60040615
Kitcharanant N, Atthakomol P, Khorana J, Phinyo P, Unnanuntana A. Predictive Model of Recovery to Prefracture Activities-of-Daily-Living Status One Year after Fragility Hip Fracture. Medicina. 2024; 60(4):615. https://doi.org/10.3390/medicina60040615
Chicago/Turabian StyleKitcharanant, Nitchanant, Pichitchai Atthakomol, Jiraporn Khorana, Phichayut Phinyo, and Aasis Unnanuntana. 2024. "Predictive Model of Recovery to Prefracture Activities-of-Daily-Living Status One Year after Fragility Hip Fracture" Medicina 60, no. 4: 615. https://doi.org/10.3390/medicina60040615