Cargando…

Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling

In order to explore the factors affecting patients’ level of activities of daily living (ADL) on discharge after undergoing bipolar hemiarthroplasty or total hip arthroplasty for displaced femoral neck fractures at an acute care hospital, patient data were analyzed with the following statistical too...

Descripción completa

Detalles Bibliográficos
Autores principales: Yokoyama, Kazutaka, Katoh, Hiroyuki, Bito, Seiji, Fujita, Yoshinari, Yamauchi, Keita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918179/
https://www.ncbi.nlm.nih.gov/pubmed/36769880
http://dx.doi.org/10.3390/jcm12031234
_version_ 1784886550170959872
author Yokoyama, Kazutaka
Katoh, Hiroyuki
Bito, Seiji
Fujita, Yoshinari
Yamauchi, Keita
author_facet Yokoyama, Kazutaka
Katoh, Hiroyuki
Bito, Seiji
Fujita, Yoshinari
Yamauchi, Keita
author_sort Yokoyama, Kazutaka
collection PubMed
description In order to explore the factors affecting patients’ level of activities of daily living (ADL) on discharge after undergoing bipolar hemiarthroplasty or total hip arthroplasty for displaced femoral neck fractures at an acute care hospital, patient data were analyzed with the following statistical tools: multiple regression analysis (MRA), structural equation modeling (SEM), and simultaneous analysis of several groups (SASG). The Barthel Index (BI) on discharge was set as the objective variable, while age, sex, degree of dementia, BI on admission, number of days from admission to surgery, surgical option, and number of rehabilitation units per day were set as explanatory variables. Factors such as age, sex, degree of dementia, BI on admission, and number of rehabilitation units per day were significant in MRA. While not significant in MRA, the number of days from admission to surgery was significant in SEM. According to the SASG, the number of rehabilitation units per day was significant for patients without dementia but not for patients with dementia. Analysis of real-world data suggests that early surgery and rehabilitation affect ADL on discharge to a greater degree than the surgical method. For patients without dementia, longer daily rehabilitation was significantly associated with better ADL on discharge.
format Online
Article
Text
id pubmed-9918179
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99181792023-02-11 Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling Yokoyama, Kazutaka Katoh, Hiroyuki Bito, Seiji Fujita, Yoshinari Yamauchi, Keita J Clin Med Article In order to explore the factors affecting patients’ level of activities of daily living (ADL) on discharge after undergoing bipolar hemiarthroplasty or total hip arthroplasty for displaced femoral neck fractures at an acute care hospital, patient data were analyzed with the following statistical tools: multiple regression analysis (MRA), structural equation modeling (SEM), and simultaneous analysis of several groups (SASG). The Barthel Index (BI) on discharge was set as the objective variable, while age, sex, degree of dementia, BI on admission, number of days from admission to surgery, surgical option, and number of rehabilitation units per day were set as explanatory variables. Factors such as age, sex, degree of dementia, BI on admission, and number of rehabilitation units per day were significant in MRA. While not significant in MRA, the number of days from admission to surgery was significant in SEM. According to the SASG, the number of rehabilitation units per day was significant for patients without dementia but not for patients with dementia. Analysis of real-world data suggests that early surgery and rehabilitation affect ADL on discharge to a greater degree than the surgical method. For patients without dementia, longer daily rehabilitation was significantly associated with better ADL on discharge. MDPI 2023-02-03 /pmc/articles/PMC9918179/ /pubmed/36769880 http://dx.doi.org/10.3390/jcm12031234 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
Yokoyama, Kazutaka
Katoh, Hiroyuki
Bito, Seiji
Fujita, Yoshinari
Yamauchi, Keita
Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title_full Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title_fullStr Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title_full_unstemmed Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title_short Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling
title_sort short-term outcomes of surgery and rehabilitation on activities of daily living after displaced femoral neck fractures: structural equation modeling
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918179/
https://www.ncbi.nlm.nih.gov/pubmed/36769880
http://dx.doi.org/10.3390/jcm12031234
work_keys_str_mv AT yokoyamakazutaka shorttermoutcomesofsurgeryandrehabilitationonactivitiesofdailylivingafterdisplacedfemoralneckfracturesstructuralequationmodeling
AT katohhiroyuki shorttermoutcomesofsurgeryandrehabilitationonactivitiesofdailylivingafterdisplacedfemoralneckfracturesstructuralequationmodeling
AT bitoseiji shorttermoutcomesofsurgeryandrehabilitationonactivitiesofdailylivingafterdisplacedfemoralneckfracturesstructuralequationmodeling
AT fujitayoshinari shorttermoutcomesofsurgeryandrehabilitationonactivitiesofdailylivingafterdisplacedfemoralneckfracturesstructuralequationmodeling
AT yamauchikeita shorttermoutcomesofsurgeryandrehabilitationonactivitiesofdailylivingafterdisplacedfemoralneckfracturesstructuralequationmodeling