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Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey

Understanding global body balance can optimize the postoperative course for patients undergoing spinal or lower limb surgical realignment. This observational cohort study aimed to characterize patients with reported imbalance and identify predictors. The CDC establishes a representative sample annua...

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Autores principales: Diebo, Bassel G., Stroud, Sarah G., Shah, Neil V., Messina, James, Hong, James M., Alsoof, Daniel, Ansari, Kashif, Lafage, Renaud, Passias, Peter G., Lafage, Virginie, Schwab, Frank J., Paulino, Carl B., Aaron, Roy, Daniels, Alan H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10004139/
https://www.ncbi.nlm.nih.gov/pubmed/36902730
http://dx.doi.org/10.3390/jcm12051943
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author Diebo, Bassel G.
Stroud, Sarah G.
Shah, Neil V.
Messina, James
Hong, James M.
Alsoof, Daniel
Ansari, Kashif
Lafage, Renaud
Passias, Peter G.
Lafage, Virginie
Schwab, Frank J.
Paulino, Carl B.
Aaron, Roy
Daniels, Alan H.
author_facet Diebo, Bassel G.
Stroud, Sarah G.
Shah, Neil V.
Messina, James
Hong, James M.
Alsoof, Daniel
Ansari, Kashif
Lafage, Renaud
Passias, Peter G.
Lafage, Virginie
Schwab, Frank J.
Paulino, Carl B.
Aaron, Roy
Daniels, Alan H.
author_sort Diebo, Bassel G.
collection PubMed
description Understanding global body balance can optimize the postoperative course for patients undergoing spinal or lower limb surgical realignment. This observational cohort study aimed to characterize patients with reported imbalance and identify predictors. The CDC establishes a representative sample annually via the NHANES. All participants who said “yes” (Imbalanced) or “no” (Balanced) to the following question were identified from 1999–2004: “During the past 12 months, have you had dizziness, difficulty with balance or difficulty with falling?” Univariate analyses compared Imbalanced versus Balanced subjects and binary logistic regression modeling predicted for Imbalance. Of 9964 patients, imbalanced (26.5%) were older (65.4 vs. 60.6 years), with more females (60% vs. 48%). Imbalanced subjects reported higher rates of comorbidities, including osteoporosis (14.4% vs. 6.6%), arthritis (51.6% vs. 31.9%), and low back pain (54.4% vs 32.7%). Imbalanced patients had more difficulty with activities, including climbing 10 steps (43.8% vs. 21%) and stooping/crouching/kneeling (74.3% vs. 44.7%), and they needed greater time to walk 20 feet (9.5 vs. 7.1 s). Imbalanced subjects had significantly lower caloric and dietary intake. Regression revealed that difficulties using fingers to grasp small objects (OR: 1.73), female gender (OR: 1.43), difficulties with prolonged standing (OR: 1.29), difficulties stooping/crouching/kneeling (OR: 1.28), and increased time to walk 20 feet (OR: 1.06) were independent predictors of Imbalance (all p < 0.05). Imbalanced patients were found to have identifiable comorbidities and were detectable using simple functional assessments. Structured tests that assess dynamic functional status may be useful for preoperative optimization and risk-stratification for patients undergoing spinal or lower limb surgical realignment.
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spelling pubmed-100041392023-03-11 Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey Diebo, Bassel G. Stroud, Sarah G. Shah, Neil V. Messina, James Hong, James M. Alsoof, Daniel Ansari, Kashif Lafage, Renaud Passias, Peter G. Lafage, Virginie Schwab, Frank J. Paulino, Carl B. Aaron, Roy Daniels, Alan H. J Clin Med Article Understanding global body balance can optimize the postoperative course for patients undergoing spinal or lower limb surgical realignment. This observational cohort study aimed to characterize patients with reported imbalance and identify predictors. The CDC establishes a representative sample annually via the NHANES. All participants who said “yes” (Imbalanced) or “no” (Balanced) to the following question were identified from 1999–2004: “During the past 12 months, have you had dizziness, difficulty with balance or difficulty with falling?” Univariate analyses compared Imbalanced versus Balanced subjects and binary logistic regression modeling predicted for Imbalance. Of 9964 patients, imbalanced (26.5%) were older (65.4 vs. 60.6 years), with more females (60% vs. 48%). Imbalanced subjects reported higher rates of comorbidities, including osteoporosis (14.4% vs. 6.6%), arthritis (51.6% vs. 31.9%), and low back pain (54.4% vs 32.7%). Imbalanced patients had more difficulty with activities, including climbing 10 steps (43.8% vs. 21%) and stooping/crouching/kneeling (74.3% vs. 44.7%), and they needed greater time to walk 20 feet (9.5 vs. 7.1 s). Imbalanced subjects had significantly lower caloric and dietary intake. Regression revealed that difficulties using fingers to grasp small objects (OR: 1.73), female gender (OR: 1.43), difficulties with prolonged standing (OR: 1.29), difficulties stooping/crouching/kneeling (OR: 1.28), and increased time to walk 20 feet (OR: 1.06) were independent predictors of Imbalance (all p < 0.05). Imbalanced patients were found to have identifiable comorbidities and were detectable using simple functional assessments. Structured tests that assess dynamic functional status may be useful for preoperative optimization and risk-stratification for patients undergoing spinal or lower limb surgical realignment. MDPI 2023-03-01 /pmc/articles/PMC10004139/ /pubmed/36902730 http://dx.doi.org/10.3390/jcm12051943 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Diebo, Bassel G.
Stroud, Sarah G.
Shah, Neil V.
Messina, James
Hong, James M.
Alsoof, Daniel
Ansari, Kashif
Lafage, Renaud
Passias, Peter G.
Lafage, Virginie
Schwab, Frank J.
Paulino, Carl B.
Aaron, Roy
Daniels, Alan H.
Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title_full Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title_fullStr Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title_full_unstemmed Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title_short Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey
title_sort can we predict imbalance in patients? analysis of the cdc national health and nutrition examination survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10004139/
https://www.ncbi.nlm.nih.gov/pubmed/36902730
http://dx.doi.org/10.3390/jcm12051943
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