Document Detail


The effect of body mass index and hip abductor brace use on inpatient rehabilitation outcomes after total hip arthroplasty.
MedLine Citation:
PMID:  19847129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the effect of body mass index and hip abductor brace use on inpatient rehabilitation outcomes after total hip replacement. DESIGN: This was a retrospective, comparative study of natural course of rehabilitation care in 15 inpatient rehabilitation facilities. Patients with total hip replacement (n = 1947) and inpatient rehabilitation were stratified into four body mass index groups: nonobese (body mass index <25 kg/m2), overweight (25-29.9 kg/m2), moderately obese (30-40 kg/m2), severely obese (body mass index >or=40 kg/m2), and further stratified by hip abductor brace (brace, no brace). The proportions of patients in each group who used hip abductor braces ranged from 14.5%-17.5%. The main outcomes were length of stay, functional independence measure scores, facility-related charges, and discharge destination. RESULTS: Length of stay was 0.8-1.3 days longer in the body mass index <25 kg/m2 group compared with the remaining body mass index groups (P < 0.05). Average improvement in total and motor functional independence measure scores ranged 53%-58% and 74%-83% across groups (both P < 0.001). Total rehabilitation charges were highest in the <25 kg/m2 body mass index group ($15,125 vs. $13,608-14,622; P < 0.0001). Hip brace use was associated with an average of $697 excess therapy/pharmacy charges during the rehabilitation stay, but no differences in other outcomes. CONCLUSIONS: Severe obesity and abductor brace use do not impair rehabilitation functional gains or discharge home, but is related with excess rehabilitation costs. Hip abduction braces do not seem necessary during rehabilitation, particularly for obese patients.
Authors:
Heather K Vincent; Gerben DeJong; Don Mascarenas; Kevin R Vincent
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  88     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2009-11-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  201-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopedics and Rehabilitation, University of Florida, Gainesville, Florida 32611, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement, Hip / rehabilitation*
Body Mass Index*
Braces*
Disability Evaluation
Female
Health Status Indicators
Hip Joint*
Humans
Inpatients
Length of Stay
Male
Middle Aged
Muscle Strength
Obesity / complications
Osteoarthritis, Hip / surgery*
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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