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

Kazutaka Yokoyama, Hiroyuki Katoh, Seiji Bito, Yoshinari Fujita, Keita Yamauchi

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number1234
JournalJournal of Clinical Medicine
Volume12
Issue number3
DOIs
Publication statusPublished - 2023 Feb

Keywords

  • bipolar hemiarthroplasty
  • hip fractures
  • multiple factors
  • multiple regression analysis
  • total hip arthroplasty

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint

Dive into the research topics of 'Short-Term Outcomes of Surgery and Rehabilitation on Activities of Daily Living after Displaced Femoral Neck Fractures: Structural Equation Modeling'. Together they form a unique fingerprint.

Cite this