Journal of Comprehensive Physiotherapy Research
Online ISSN : 2436-388X
Print ISSN : 2436-3871
Research Paper
Investigation of factors affecting walking independence in patients with proximal femur fractures at the time of discharge from a community comprehensive care unit
—Prediction using assessment at admission—
Naoya IkedaTomonori YamashitaSakura Ishii
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JOURNAL OPEN ACCESS

2024 Volume 4 Pages 63-70

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Abstract

Purpose: The purpose of this study was to identify factors that influence the ability to walk independently at discharge in postoperative patients with femoral proximal fractures admitted to a community comprehensive care unit.

Methods: In order to examine the factors affecting the patients’ ability to walk independently at the time of discharge from the Community Care Unit, multiple logistic regression analysis was used, with the objective variable being the ability to walk independently at the time of discharge and the explanatory variables being the patient’s background information and assessment results obtained at the time of admission. The cut-off value for determining whether the patient could walk independently was calculated using the receiver operating characteristic curve.

Results: The total score of the Mini Mental State Examination (Below, MMSE) and Functional Independence Measure (Below, FIM) motor items at admission was identified as a factor influencing the ability to walk independently at discharge from the community care unit. The cut-off scores for determining whether the patient was able to walk independently at discharge were 21.5 for the MMSE and 49.5 for the FIM motor score.

Conclusion: It was suggested that MMSE and FIM motor scores at admission may be useful in determining whether patients are able to walk independently when they are discharged from the community care unit.

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© 2024 Osaka PhysioTherapist Association Centre for Continuous Professional Development
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