Prognosis Prediction in Hip Fracture Surgery Using the Walking Ability at One Week Post-Operation

Abstract

[Purpose] The purpose of this study was to investigate the relationship between walking ability at one week post-operation and prognosis prediction of the hip fracture surgery. [Subjects] The subjects were 119 hip fracture patients. [Methods] The subjects were divided into three groups according to walking ability at one week post-operation and the prediction formula plus age and dementia were investigated. [Results] The probability of achieving walking with a stick at discharge was 24.2% in parallel bar walking, 86.7% in walking with an ambulatory assistance device, and 100% in walking with a stick at one week post-operation. According to logistic regression analysis, the factors affecting ability to walk with a stick at discharge were age, days before operation, and the Barthel index before injury in the parallel bar walking group, and age, and dementia in the walking with an ambulatory assistance device group at one week post-operation. [Conclusion] The walking ability at one week post-operation was related to the prognosis prediction of hip fracture surgery.