ArticleMusculoskeletal surgery2023
SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery.
Article in Musculoskeletal surgery, 2023. 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.
- Are elderly patients undergoing blood transfusion during hip fracture surgery at risk of postoperative delirium: a retrospective observational study.Musculoskeletal surgery · 2026Article
- Validity and Reliability of Bengali Language Shoulder Pain and Disability Index Version on Patients With Frozen Shoulder at a Rehabilitation Centre in Bangladesh: A Validation Study.Health science reports · 2025Article
- Can we predict 1-year functional outcomes and mortality following hip fracture in middle-aged and geriatric patients at time of admission?Musculoskeletal surgery · 2024Article
- Outcomes of three cannulated screws in a modified triangular transverse configuration for fixation of intra-capsular femoral neck fractures.Musculoskeletal surgery · 2023Article
- The impacts of anxiety and depression on outcomes in orthopaedic trauma surgery: a narrative review.Annals of medicine and surgery (2012) · 2023Article
- Dual-mobility cup total hip arthroplasty improves the quality of life compared to internal fixation in femoral neck fractures patients with severe neuromuscular disease in the lower extremity after stroke: a retrospective study.Frontiers in surgery · 2023Article
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Abstract
objectiveThe demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient's pre-fracture quality of life and mobility affect acute hospital burden in the management of hip fracture, using length of stay (LOS) as a proxy for healthcare resource. MATERIALS AND
methodsThis is a retrospective study which investigated hip fracture patients who underwent surgery over the period of 2017-2020. Variables collected include LOS, age, gender, race, marital status, payer type, ASA score, time to surgery (TTS), type of surgery, fracture type, POD1 mobilization, discharge disposition, pre-fracture SF-36, EQ-5D and Parker mobility score (PMS) based on patient's recollection on admission. These variables were correlated with LOS using binary logistic regression on SAS.
resultsThere were 1045 patients, and mean age was 79.5 + 8.57 (range 60-105) years with an average LOS 13.64 + 10.0 days (range 2-114). On univariate analysis, PMS, EQ-5D and all domains of SF-36 except bodily pain (BP), emotional role and mental health were associated significantly with LOS. Amongst the QOL and PMS scores, only the domains of SF-36 Physical Function (PF) (OR = 0.993, p = 0.0068) and General Health perception (GH) (OR 0.992, p = 0.0230) remained significant on the multivariate model.
conclusionOur study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning.
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