Correlation of the frail scale and frail index to the rehabilitation of elderly patients after hip replacement
Objective:To investigate the correlation between the frail scale and frailty index(FI)with the rehabilitation re-sults of elderly patients after hip replacement.Method:Sixty-nine elderly patients who underwent hip replacement and postoperative rehabilitation training in the authors'hospital from January 2020 to January 2022 were selected for the study.The frail scale and FI were used to assess the frailty state of all patients at the time of admission.The joint functional recovery of patients was assessed by the Harris scale at 1 week,6 week,and 3 months after operation,and the patients were divided into the excellent-outcome group(50 cases)and poor-outcome group(19 cases)according to the rehabilitation effect at 3 months after surgery.Result:The overall rehabilitation outcome of 69 elderly patients at 3 months after surgery was excellent(Harris score 78.72±5.56＞75).The languisher rate assessed by the frail scale and FI in the good-outcome group were lower than that of the poor-outcome group,and both frailty assessment results were negatively correlated with the rehabilitation effect 3 months after surgery(r=-0.393,P=0.001;r=-0.378,P=0.001);the values of the area under ROC curve(AUC)of FI and the frail scale to predict recovery was 0.818 and 0.706,respective-ly;the logistic regression results showed that the frail scale was an independent factor in postoperative recov-ery[OR(95％CI)=7.712(1.362-43.655),P=0.021].Conclusion:The frail scale assessment scale and FI are closely related to the rehabilitation effect of elderly pa-tients after hip replacement,and the frail scale has a relatively higher predictive performance.
the frail scalefrailty indexelderlyhip replacementrehabilitation effect
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NSTL
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