ArticleEuropean journal of physical and rehabilitation medicine2023
Predictive factors for home discharge after femoral fracture surgery: a prospective cohort study.
Article in European journal of physical and rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 6 citations in OpenAlex.
- Characteristics of short-term walking ability and cognitive function in patients with postoperative hip fractures classified by age group.Journal of physical therapy science · 2026Article
- Electronic Medical Record Data-Based Analysis of Discharge Pathways and Functional Recovery by Surgical Procedure Among Patients with Hip-Related Fractures in a Convalescent Rehabilitation Hospital: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Vascular Health and Cutaneous Sensation are Predictive of Upper Limb Bone Loss in People with Stroke: A 2-Year Longitudinal Study.Calcified tissue international · 2026Article
- Predictors of walking ability at discharge post proximal femoral fracture in an acute care hospital.Journal of physical therapy science · 2025Article
- Prevalent vertebral fractures and the diabetic bone paradox in women who sustain a hip fracture: a cross-sectional study.European journal of physical and rehabilitation medicine · 2025Article
- Cognitive assessment to optimize prediction of functional outcome in subacute hip fracture: a short-term prospective study.European journal of physical and rehabilitation medicine · 2024Article
- Nomogram based on high-density lipoprotein cholesterol for the occurrence of preoperative deep vein thrombosis in patients with intertrochanteric femur fracture: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
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Authors and funding
3 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral fractures require protracted hospitalization and often preclude return to pre-fracture levels of mobility, function and prior residential status following hospital discharge. Early prediction of rehabilitation and discharge potential in patients with femoral fracture would optimize discharge planning.
aimTo identify predictive factors of discharge destination during the early phase of femoral fracture rehabilitation.
designProspective cohort design.
settingAcute and postoperative rehabilitation hospital settings. POPULATION: Data from 109 participants (65 women [59.6%]) admitted for unilateral femoral fracture were included.
methodsSociodemographic information, hip pain severity during gait (Numeric Pain Rating Scale), mobility (Elderly Mobility Scale), activities of daily living (Modified Barthel Index), cognition (Mini-Mental State Examination [MMSE]), exercise self-efficacy (Self-Efficacy for Exercise Scale), amount of physiotherapy received, and caregiver availability were assessed pre- and/or postoperatively. Discharge destination was assessed via telephone interviews 6 weeks after discharge from acute care. Receiver operating characteristic curves were used to determine optimal cut-off scores for all outcomes based on discharge destination. Outcomes demonstrating a significant area under the curve were entered as dichotomous independent variables (i.e., above or below ROC-derived cut-off values) in subsequent logistic regression analyses to determine predictors of discharge destination.
resultsSEE Score ≥53 (odds ratio [OR]=5.975, 95% confidence interval [CI]=1.674-21.333, P=0.006), female sex (OR=3.421, 95% CI=1.187-9.861, P=0.023), ≥8 physiotherapy sessions (OR=4.633, 95% CI=1.559-13.771, P=0.006), MMSE Score ≥17 (OR=3.374, 95% CI=1.047-10.873, P=0.042), and caregiver availability (OR=3.766, 95% CI=1.133-12.520, P=0.030) were identified as significant predictors of home discharge.
conclusionsExercise self-efficacy, female sex, more physiotherapy rehabilitation training, better pre-operative cognitive function, and caregiver availability emerged as important predictors of home discharge following femoral fracture. CLINICAL REHABILITATION IMPACT: These findings are highly translational and may be useful for informing clinical guidelines and policy decisions regarding rehabilitation potential and discharge pathway selection during early hospitalization following femoral fracture surgery.
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