Is the Parker Mobility Score in the older patient with a traumatic hip fracture associated with discharge disposition after surgery? A retrospective cohort study

Purpose The research questions for this study were as follows: (1) is the Parker Mobility Score (PMS) associated with discharge disposition and hospital length of stay (HLOS) of geriatric traumatic hip fracture patients? (2) Can the PMS be incorporated in a decision tree for the prediction of discha...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2022-06, Vol.48 (3), p.1919-1927
Main Authors: Kusen, Jip Quirijn, van der Naald, Niels, van Overeem, Laura, van der Vet, Puck Constance Ryanne, Smeeing, Diederik Pieter Johan, Eversdijk, Hubert Adriaan Johannes, Verleisdonk, Egbert Jan Mechtildus Maria, van der Velde, Detlef, Schuijt, Henk Jan
Format: Article
Language:English
Subjects:
Cohort analysis
Critical Care Medicine
Decision trees
Emergency Medicine
Fractures
Geriatrics
Hip joint
Intensive
Medicine
Medicine & Public Health
Mobility
Older people
Original Article
Sports Medicine
Surgery
Surgical Orthopedics
Surgical outcomes
Traumatic Surgery
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Summary:Purpose The research questions for this study were as follows: (1) is the Parker Mobility Score (PMS) associated with discharge disposition and hospital length of stay (HLOS) of geriatric traumatic hip fracture patients? (2) Can the PMS be incorporated in a decision tree for the prediction of discharge disposition of geriatric traumatic hip fracture patients upon admittance. Methods A dual-center retrospective cohort study was conducted at two level II trauma centers. All patients aged 70 years and older with traumatic hip fractures undergoing surgery in 2018 and 2019 were included consecutively ( n  = 649). A χ 2 automatic interaction detection analysis was performed to determine the association of the PMS (and other variables) with discharge disposition and HLOS and predict discharge destination. Results The decision tree for discharge disposition classified patients with an overall accuracy of 82.1% and a positive predictive value of 91% for discharge to a rehabilitation facility. The PMS had the second most significant effect on discharge disposition ( χ 2  = 22.409, p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-021-01712-1