101. Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study
- Author
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John R. Bartlett, Keith D. Hill, Soula Margelis, Neil R. Bergman, Hylton B. Menz, Pazit Levinger, Elin Wee, and S McMahon
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Knee replacement ,Osteoarthritis ,Logistic regression ,Hip replacement (animal) ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Surveys and Questionnaires ,medicine ,Humans ,Orthopedics and Sports Medicine ,Medical history ,030212 general & internal medicine ,Prospective Studies ,Prospective cohort study ,Arthroplasty, Replacement, Knee ,030222 orthopedics ,business.industry ,Incidence (epidemiology) ,General Medicine ,medicine.disease ,Surgery ,Orthopedic surgery ,Physical therapy ,Accidental Falls ,business - Abstract
Pain and disability often persist following hip (THR) and knee replacement (TKR) surgery predisposing patients to increased risk of falling. This study identified pre-operative predictors for post-operative falls in TKR and THR patients, and the incidence and circumstances of falls in the 12 months post-surgery. A survey was undertaken of patients before THR and TKR, and was repeated 12 months post-operation. The survey included (1) medical history and medications usage, (2) pain and function, (3) health-related and physical activity and (4) fear of falls and history of falls questionnaires. Patients were classified as ‘fallers’ (≥1 fall) or ‘non-fallers’ based on prospectively documented falls in the 12 months post-surgery. Binary logistic regression was conducted to identify independent pre-operative predictors of incident falls status. Eighty-two of the 243 participants (33.7%) reported ≥1 fall in the 12 months post-operatively [60 (34.1%) patients following TKR and 22 (32.8%) following THR]. The logistic regression model was statistically significant, χ 2 = 24.731, p
- Published
- 2016