Loading…
SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery
Objective The demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient’s pre-fracture quality of life and mobility affect acute hos...
Saved in:
| Published in: | Musculoskeletal surgery 2023-09, Vol.107 (3), p.287-294 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3 |
| container_end_page | 294 |
| container_issue | 3 |
| container_start_page | 287 |
| container_title | Musculoskeletal surgery |
| container_volume | 107 |
| creator | Sim, Craigven H. S. Sultana, Rehena Tay, Kenny X. K. Howe, C. Y. Howe, T. S. Koh, Joyce S. B. |
| description | Objective
The demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient’s pre-fracture quality of life and mobility affect acute hospital burden in the management of hip fracture, using length of stay (LOS) as a proxy for healthcare resource.
Materials and methods
This is a retrospective study which investigated hip fracture patients who underwent surgery over the period of 2017–2020. Variables collected include LOS, age, gender, race, marital status, payer type, ASA score, time to surgery (TTS), type of surgery, fracture type, POD1 mobilization, discharge disposition, pre-fracture SF-36, EQ-5D and Parker mobility score (PMS) based on patient’s recollection on admission. These variables were correlated with LOS using binary logistic regression on SAS.
Results
There were 1045 patients, and mean age was 79.5 + 8.57 (range 60–105) years with an average LOS 13.64 + 10.0 days (range 2–114). On univariate analysis, PMS, EQ-5D and all domains of SF-36 except bodily pain (BP), emotional role and mental health were associated significantly with LOS. Amongst the QOL and PMS scores, only the domains of SF-36 Physical Function (PF) (OR = 0.993,
p
= 0.0068) and General Health perception (GH) (OR 0.992,
p
= 0.0230) remained significant on the multivariate model.
Conclusion
Our study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning. |
| doi_str_mv | 10.1007/s12306-022-00753-y |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2687726353</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A761223452</galeid><sourcerecordid>A761223452</sourcerecordid><originalsourceid>FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhSMEEqXwAqwssWGT1r9J7rKqaEGq1AWwtuY64xtXuXawnUUegbdmykVUIIQs-ef4fKOxT9O8FfxCcN5fFiEV71ouZUtHo9rtWXMmuTKtEUI__73n3cvmVSkPnHd6MLuz5vvnm1Z1bJm2EhzMzK_R1ZAigziyA0bMJE4Ic53YmI4QYmGQkYU44oI0xcqWjGNwNeXCkmfg1opsSmUJldgZ44FYuigVNga-YmZTWJjP4OpKpcqaD5i3180LD3PBN7_W8-brzYcv1x_bu_vbT9dXd61TSm-t4r3rjdt50J3wo1E4wn7vYdiBdHrQgLAfes21HxGdGKEjafAGdkL6offqvHl_qrvk9G3FUu0xFIfzDBHTWqzshr6XnTKKrO_-sj6kNUfqzsrBiJ0WZHpyHWBGG6JPlZ72WNRe9Z2QUmkjyXXxDxeNEY_BpYg-kP4HIE-Ay6mUjN4uORwhb1Zw-xi6PYVuKXT7M3S7EaROUCFzpG996vg_1A9onrE2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2851941533</pqid></control><display><type>article</type><title>SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery</title><source>Springer Link</source><creator>Sim, Craigven H. S. ; Sultana, Rehena ; Tay, Kenny X. K. ; Howe, C. Y. ; Howe, T. S. ; Koh, Joyce S. B.</creator><creatorcontrib>Sim, Craigven H. S. ; Sultana, Rehena ; Tay, Kenny X. K. ; Howe, C. Y. ; Howe, T. S. ; Koh, Joyce S. B.</creatorcontrib><description>Objective
The demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient’s pre-fracture quality of life and mobility affect acute hospital burden in the management of hip fracture, using length of stay (LOS) as a proxy for healthcare resource.
Materials and methods
This is a retrospective study which investigated hip fracture patients who underwent surgery over the period of 2017–2020. Variables collected include LOS, age, gender, race, marital status, payer type, ASA score, time to surgery (TTS), type of surgery, fracture type, POD1 mobilization, discharge disposition, pre-fracture SF-36, EQ-5D and Parker mobility score (PMS) based on patient’s recollection on admission. These variables were correlated with LOS using binary logistic regression on SAS.
Results
There were 1045 patients, and mean age was 79.5 + 8.57 (range 60–105) years with an average LOS 13.64 + 10.0 days (range 2–114). On univariate analysis, PMS, EQ-5D and all domains of SF-36 except bodily pain (BP), emotional role and mental health were associated significantly with LOS. Amongst the QOL and PMS scores, only the domains of SF-36 Physical Function (PF) (OR = 0.993,
p
= 0.0068) and General Health perception (GH) (OR 0.992,
p
= 0.0230) remained significant on the multivariate model.
Conclusion
Our study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning.</description><identifier>ISSN: 2035-5106</identifier><identifier>EISSN: 2035-5114</identifier><identifier>DOI: 10.1007/s12306-022-00753-y</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Analysis ; Fractures ; Hip joint ; Length of stay ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Original Article ; Orthopedics ; Patients ; Surgery ; Surgical Orthopedics</subject><ispartof>Musculoskeletal surgery, 2023-09, Vol.107 (3), p.287-294</ispartof><rights>The Author(s), under exclusive licence to Istituto Ortopedico Rizzoli 2022</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s), under exclusive licence to Istituto Ortopedico Rizzoli 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3</citedby><cites>FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3</cites><orcidid>0000-0003-3612-1376</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids></links><search><creatorcontrib>Sim, Craigven H. S.</creatorcontrib><creatorcontrib>Sultana, Rehena</creatorcontrib><creatorcontrib>Tay, Kenny X. K.</creatorcontrib><creatorcontrib>Howe, C. Y.</creatorcontrib><creatorcontrib>Howe, T. S.</creatorcontrib><creatorcontrib>Koh, Joyce S. B.</creatorcontrib><title>SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery</title><title>Musculoskeletal surgery</title><addtitle>Musculoskelet Surg</addtitle><description>Objective
The demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient’s pre-fracture quality of life and mobility affect acute hospital burden in the management of hip fracture, using length of stay (LOS) as a proxy for healthcare resource.
Materials and methods
This is a retrospective study which investigated hip fracture patients who underwent surgery over the period of 2017–2020. Variables collected include LOS, age, gender, race, marital status, payer type, ASA score, time to surgery (TTS), type of surgery, fracture type, POD1 mobilization, discharge disposition, pre-fracture SF-36, EQ-5D and Parker mobility score (PMS) based on patient’s recollection on admission. These variables were correlated with LOS using binary logistic regression on SAS.
Results
There were 1045 patients, and mean age was 79.5 + 8.57 (range 60–105) years with an average LOS 13.64 + 10.0 days (range 2–114). On univariate analysis, PMS, EQ-5D and all domains of SF-36 except bodily pain (BP), emotional role and mental health were associated significantly with LOS. Amongst the QOL and PMS scores, only the domains of SF-36 Physical Function (PF) (OR = 0.993,
p
= 0.0068) and General Health perception (GH) (OR 0.992,
p
= 0.0230) remained significant on the multivariate model.
Conclusion
Our study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning.</description><subject>Analysis</subject><subject>Fractures</subject><subject>Hip joint</subject><subject>Length of stay</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><issn>2035-5106</issn><issn>2035-5114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhSMEEqXwAqwssWGT1r9J7rKqaEGq1AWwtuY64xtXuXawnUUegbdmykVUIIQs-ef4fKOxT9O8FfxCcN5fFiEV71ouZUtHo9rtWXMmuTKtEUI__73n3cvmVSkPnHd6MLuz5vvnm1Z1bJm2EhzMzK_R1ZAigziyA0bMJE4Ic53YmI4QYmGQkYU44oI0xcqWjGNwNeXCkmfg1opsSmUJldgZ44FYuigVNga-YmZTWJjP4OpKpcqaD5i3180LD3PBN7_W8-brzYcv1x_bu_vbT9dXd61TSm-t4r3rjdt50J3wo1E4wn7vYdiBdHrQgLAfes21HxGdGKEjafAGdkL6offqvHl_qrvk9G3FUu0xFIfzDBHTWqzshr6XnTKKrO_-sj6kNUfqzsrBiJ0WZHpyHWBGG6JPlZ72WNRe9Z2QUmkjyXXxDxeNEY_BpYg-kP4HIE-Ay6mUjN4uORwhb1Zw-xi6PYVuKXT7M3S7EaROUCFzpG996vg_1A9onrE2</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Sim, Craigven H. S.</creator><creator>Sultana, Rehena</creator><creator>Tay, Kenny X. K.</creator><creator>Howe, C. Y.</creator><creator>Howe, T. S.</creator><creator>Koh, Joyce S. B.</creator><general>Springer Milan</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3612-1376</orcidid></search><sort><creationdate>20230901</creationdate><title>SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery</title><author>Sim, Craigven H. S. ; Sultana, Rehena ; Tay, Kenny X. K. ; Howe, C. Y. ; Howe, T. S. ; Koh, Joyce S. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Fractures</topic><topic>Hip joint</topic><topic>Length of stay</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sim, Craigven H. S.</creatorcontrib><creatorcontrib>Sultana, Rehena</creatorcontrib><creatorcontrib>Tay, Kenny X. K.</creatorcontrib><creatorcontrib>Howe, C. Y.</creatorcontrib><creatorcontrib>Howe, T. S.</creatorcontrib><creatorcontrib>Koh, Joyce S. B.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Musculoskeletal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sim, Craigven H. S.</au><au>Sultana, Rehena</au><au>Tay, Kenny X. K.</au><au>Howe, C. Y.</au><au>Howe, T. S.</au><au>Koh, Joyce S. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery</atitle><jtitle>Musculoskeletal surgery</jtitle><stitle>Musculoskelet Surg</stitle><date>2023-09-01</date><risdate>2023</risdate><volume>107</volume><issue>3</issue><spage>287</spage><epage>294</epage><pages>287-294</pages><issn>2035-5106</issn><eissn>2035-5114</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective
The demographics and co-morbidities of individuals may impact healthcare consumption, but it is less understood how premorbid physical and mental function may influence these effects. The aim of this study is to determine patient’s pre-fracture quality of life and mobility affect acute hospital burden in the management of hip fracture, using length of stay (LOS) as a proxy for healthcare resource.
Materials and methods
This is a retrospective study which investigated hip fracture patients who underwent surgery over the period of 2017–2020. Variables collected include LOS, age, gender, race, marital status, payer type, ASA score, time to surgery (TTS), type of surgery, fracture type, POD1 mobilization, discharge disposition, pre-fracture SF-36, EQ-5D and Parker mobility score (PMS) based on patient’s recollection on admission. These variables were correlated with LOS using binary logistic regression on SAS.
Results
There were 1045 patients, and mean age was 79.5 + 8.57 (range 60–105) years with an average LOS 13.64 + 10.0 days (range 2–114). On univariate analysis, PMS, EQ-5D and all domains of SF-36 except bodily pain (BP), emotional role and mental health were associated significantly with LOS. Amongst the QOL and PMS scores, only the domains of SF-36 Physical Function (PF) (OR = 0.993,
p
= 0.0068) and General Health perception (GH) (OR 0.992,
p
= 0.0230) remained significant on the multivariate model.
Conclusion
Our study showed that poor premorbid scores of SF36 PF and GH are independent factors associated with longer LOS in hip fracture patients after surgery, regardless of fracture type, age and ASA status. Hence, premorbid SF36 PF and GH can be used to identify patients that are at risk of prolonged hospital stay and employ targeted strategies to facilitate rehabilitation and discharge planning.</abstract><cop>Milan</cop><pub>Springer Milan</pub><doi>10.1007/s12306-022-00753-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3612-1376</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2035-5106 |
| ispartof | Musculoskeletal surgery, 2023-09, Vol.107 (3), p.287-294 |
| issn | 2035-5106 2035-5114 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2687726353 |
| source | Springer Link |
| subjects | Analysis Fractures Hip joint Length of stay Medical research Medicine Medicine & Public Health Medicine, Experimental Original Article Orthopedics Patients Surgery Surgical Orthopedics |
| title | SF-36 physical function and general health domains are independent predictors of acute hospital length of stay after hip fracture surgery |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T17%3A40%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=SF-36%20physical%20function%20and%20general%20health%20domains%20are%20independent%20predictors%20of%20acute%20hospital%20length%20of%20stay%20after%20hip%20fracture%20surgery&rft.jtitle=Musculoskeletal%20surgery&rft.au=Sim,%20Craigven%20H.%20S.&rft.date=2023-09-01&rft.volume=107&rft.issue=3&rft.spage=287&rft.epage=294&rft.pages=287-294&rft.issn=2035-5106&rft.eissn=2035-5114&rft_id=info:doi/10.1007/s12306-022-00753-y&rft_dat=%3Cgale_proqu%3EA761223452%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c334y-307c75c9fa461fd53edabbfa89a2c484aeab87404fdeec1da64ae8f5a912f87f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2851941533&rft_id=info:pmid/&rft_galeid=A761223452&rfr_iscdi=true |