Predictors of walking ability at discharge post proximal femoral fracture in an acute care hospital.

Abstract

[Purpose] To identify factors immediately post surgical treatment of proximal femoral fractures that can predict walking ability at discharge from an acute care hospital within one month. [Participants and Methods] A total of 122 patients >50 years, admitted to our institution with a fractured proximal femur, were able to walk independently or with a cane or walker prior to admission, and were prescribed physical therapy, post-surgery, were evaluated. Each patient was assigned to one of two groups: those who could walk with a cane or independently at discharge (walking group; n=35) and those who could not walk with the assistance of a cane at discharge (non-walking group; n=87). Multivariate regression analysis was performed to identify predictors of walking ability at discharge. [Results] Age, sex, pre-injury Functional Independence Measure motor (FIMm) score, and pre-injury Functional Independence Measure cognitive (FIMc) score were significantly related to walking ability. In the multivariate regression analysis, the FIMc score was a significant predictor of walking ability. [Conclusion] A detailed assessment of cognitive function on admission may enable predictions regarding the feasibility of direct discharge and the provision of appropriate rehabilitation.