Factors associated with stair climbing independence at discharge in patients with vertebral compression fractures and their interrelationships: a study using decision tree analysis.

Kodai Hosaka, Hiroshi Otao, Eri Nishi, Junpei Imamura, Junko Tanaka, Hajime Shibata
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Abstract

[Purpose] We aimed to examine factors at admission that are related to independence in stair climbing at discharge among patients with vertebral compression fractures. [Participants and Methods] The study included 179 female patients with vertebral compression fractures. A decision tree model was created to predict independence in stair climbing at discharge based on Dementia Scale-Revised, skeletal muscle mass index body mass index, grip strength, number of vertebral fractures, and number of injuries at admission. [Results] Analysis with the decision tree model showed that skeletal muscle mass index at admission, age, and grip strength were predictors for independence in stair climbing at discharge. [Conclusion] Patients with vertebral compression fractures who have a low skeletal muscle mass index and grip strength on admission may require assistance with stair climbing upon discharge.

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椎体压缩性骨折患者出院时独立爬楼梯的相关因素及其相互关系:一项使用决策树分析法进行的研究。
[目的]我们旨在研究椎体压缩性骨折患者入院时与出院时能否独立爬楼梯有关的因素。[参与者和方法] 该研究纳入了 179 名女性椎体压缩性骨折患者。根据痴呆量表(Dementia Scale-Revised)、骨骼肌质量指数(skeleton muscle mass index)、体重指数(body mass index)、握力(grip strength)、椎体骨折次数和入院时受伤次数,创建了一个决策树模型来预测出院时爬楼梯的独立性。[结果]使用决策树模型进行的分析表明,入院时的骨骼肌质量指数、年龄和握力是出院时独立爬楼梯的预测因素。[结论]入院时骨骼肌质量指数和握力较低的椎体压缩性骨折患者在出院时可能需要帮助才能爬楼梯。
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4-8 weeks
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