Investigation of Early Evaluation Factors Influencing the Possibility of Stair Ascent and Descent by Patients with Post-proximal Femoral Fractures and Central Nervous System Diseases in Recovery Phase Rehabilitation Wards

Abstract

[Purpose] The purpose of this study was to examine the possibility of acquiring autonomy in stair ascent and descent at the time of discharge using the evaluation and medical information at the initial stage of hospitalization in recovery phase rehabilitation. [Participants and Methods] The subjects were 51 patients who had femoral proximal fractures and 71 patients with central nervous system diseases. Logistic regression analysis was conducted using each evaluation item as an independent variable, and stair ascent and descent autonomy at the time of discharge as the dependent variable. The Receiver Operating Characteristic (ROC) curve was determined and the cutoff values were examined using the area under the curve. [Results] Factors influencing stair ascent and descent autonomy were Functional Independence Measure (FIM) toileting for patients with femoral proximal fractures, and FIM bed transfers for those with central nervous system diseases. The cutoff values obtained from the ROC curve were 4.50 or more for both groups of patients. [Conclusion] The results suggest that the evaluation items identified in this study may be used to easily evaluate prognostic predictions of autonomy in stair ascent and descent at discharge.