Volume 127, Number 7, 603-606, DOI: 10.1007/s00402-007-0330-y

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German Speaking Arthroscopy Association

A simple scoring system to predict ambulation prognosis after hip fracture in the elderly

Tetsuo Hagino, Satoshi Ochiai, Masanori Wako, Eiichi Sato, Shingo Maekawa, Shinya Senga, Hajime Sugiyama and Yoshiki Hamada

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Abstract

Introduction  

We conducted a study on elderly patients with hip fracture to examine whether it is possible to predict the ambulation status of these patients upon hospital discharge.

Material and methods  

One hundred and eighty six patients with femoral neck or trochanteric fracture, who were ambulant prior to fracture, were studied. Thirteen factors that may affect walking ability were selected and subjected to multivariate analysis.

Results  

Of 186 patients, 145 regained walking ability at discharge. Factors significantly affecting walking ability at discharge were (1) anemia, (2) dementia and (3) abnormal chest X-ray. Each patient was scored on the basis of the above factors (1 = yes, 0 = no), and the total was used as the predictive score.

Conclusion  

A simple scoring system of the ambulation status upon hospital discharge.

Keywords  Hip fracture - Prognosis - Walking ability - Elderly

An erratum to this article can be found at http://dx.doi.org/10.1007/s00402-007-0376-x

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