ArticleHealth science reports2020
Predictors of falls in patients during the first year after total hip arthroplasty: A prospective cohort study.
Article in Health science reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Perioperative amino acid infusion reestablishes muscle net balance during total hip arthroplasty.Physiological reports · 2021Trial
- Fatty Infiltration of Muscles Influences Short-term Walking Speed after Primary Total Hip Arthroplasty.Progress in rehabilitation medicine · 2025Article
- Fall risk after total hip replacement: A functional correlation study.Bioinformation · 2025Article
- Risk factors of post discharge falls in patients undergoing total knee arthroplasty: An integrative review.Journal of back and musculoskeletal rehabilitation · 2024Review
- A predictive model for hip abductor strength and knee extensor strength 12 months after total hip arthroplasty with an interaction term.BMC musculoskeletal disorders · 2021Article
- Predictors of falls in patients during the first year after total hip arthroplasty: A prospective cohort study.Health science reports · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeSince falls after total hip arthroplasty (THA) cause severe complications such as dislocation and fractures around the femoral stem, it is important to investigate what factors predict of falls. Thus, investigating predictors of falls in patients waiting for THA would be valuable as it lead to more strategic interventions to prevent these problems. The purpose of this study was to evaluate the predictors of falls in patients during the first year after THA.
methodsThis is a prospective cohort study. A total of 157 patients who underwent THA for unilateral hip osteoarthritis were analyzed. The incidence of falls during the first year after THA was monitored, and patients were classified into a "faller" and "non-faller" group. The following factors were compared between the two groups: demographic data (age, sex, body mass index, leg length discrepancy, length of hospital stay, and history of falling), preoperative hip abductor muscle strength, functional performance (single leg stance and maximum walking speed), pain during walking, and physical activity.
resultsOn multivariate logistic regression analysis, preoperative hip abductor muscle strength on the affected side and a history of falling were predictors of falls during the first year after THA. On subsequent receiver operating characteristic curve analysis, preoperative hip abductor muscle strength on the affected side was retained as a significant predictor, with a cut-off strength of 0.46 Nm/kg differentiating the faller and non-faller groups with a specificity of 73.6%, specificity of 50.0%, and area under the curve of 70.2%.
conclusionsFinding from the present study suggested that clinicians should focus on low preoperative hip abductor muscle strength on the affected side and a history of falling to prevent falls during the first year after THA.
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