Article

OBJECTIVE: To evaluate if the Timed Up and Go Test is a useful tool to measure
postoperative function and to predict one-year results of rehabilitation in
patients operated owing to hip fracture. DESIGN:
Prospective cohort study.
SETTING: The department of orthopaedic surgery at five hospitals in Norway.
Patients were assessed five days postoperatively and after one year. SUBJECTS: A
total of 684 patients over 60 years with trochanteric or subtrochanteric hip
fractures were included. A total of 171 (25%) patients died within a year and 373
(73% of patients still alive) attended follow-up one year after surgery. MAIN
MEASURES: Timed Up and Go Test and walking ability. RESULTS: A total of 258 (38%)
patients passed the postoperative Timed Up and Go Test. A total of 217 (56%)
patients with a prefracture independent outdoor walking ability, passed the test.
The average Timed Up and Go Test score was 71 seconds. A total of 171 (25%)
patients could not rise from a chair without assistance; 8% of the patients with
cognitive impairment, and 8% of those admitted from nursing homes, were able to
pass the postoperative Timed Up and Go Test. The sensitivity and specificity of
the Timed Up and Go Test in predicting walking ability one year after the
operation were low. At one year follow-up, 38% of the patients not able to
perform the postoperative Timed Up and Go Test, passed the test. A total of 81
(21%) patients did not use any walking-aid, 17 of them did not pass the
postoperative Timed Up and Go Test. CONCLUSION: The Timed Up and Go Test
performed the fifth postoperative day was not a suitable tool to assess
functional mobility for the majority of the patients with hip fractures in our
study. Neither was the postoperative Timed Up and Go Test a suitable tool to
predict the walking ability one year after the operation.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS