Clinical Course of persons with Peri-implant Proximal Femoral Fractures
Pourquoi ce travail est dans la base
Une base qui oublie comment elle a trouvé un travail ne peut pas être vérifiée. Voici les voies qui ont admis celui-ci.
Notice bibliographique
Résumé
We found significant longer acute care stays for persons with PIFF compared to the persons with first proximal femur fractures after surgery, in the period of transfer from acute ward to the recovery ward. We also found significantly lower degree of independence in basic mobility, evaluated by the CAS, within the first to twelfth week of hip fracture surgery, whereafter functional recovery seems comparable. To compare the postoperative outcomes and characteristic of persons with proximal femoral fractures to those with PIFF. Participants were those admitted in an orthopaedic hospital in Japan from January 2022 to December 2023. PIFF severity was assessed using Vancouver Classification: Type A=trochanteric region, B1=well fixed, B2=loose stem but good proximal bone stock, B3=proximal bone that is poor quality or severely comminuted and C=below the stem. We compared various parameters before injury, after surgery, and before discharge in 22 persons with a proximal femoral fracture (Group A) and 12 persons with PIFF (Group B). All participants in both groups received physical therapy six days a week. The following items were examined: pre-injury Functional Independence Measure (FIM, 18-126 points), pre-discharge FIM, length of stays in the hospital, days from the acute ward to the recovery ward, the 3-day Cumulated Ambulation Score (CAS, 0-18 points, total of postoperative days 1-3), and 1-day CAS scores(0-6 points) every 7 days from postoperative day 7 to day 56 evaluated basic mobility. The difference between the two groups was examined using the T-test and Mann-Whitney's U-test, as appropriate. The significance level was set at p<0.05. R-4.3.1 and EZR-1.64 were used for statistical analyses. PIFF and first-ever proximal femoral fractures clearly have a different course, with PIFF requiring longer acute ward stays and significantly lower level of mobility up to 12 weeks post-surgery, indicating deleyed recovery. Physical therapists may need to set goals for patients with PIFF to take long-term changes into consideration and evaluate new approaches for faster recovery. For the severity of PIFF, there were 3 participants in Type A, 4 in Type B1, 2 in Type B3, 3 in Type C. There were no significant between group differences in gender, age, length of hospital stays, or FIM scores before injury and at discharge. Contrary, there was a significant difference in median(25-75% quartiles) days to recovery ward transfer (Group A: 12 (11-14) days, Group B: 19 (13-26) days, p<0.05). There was a significant difference in the 1-day CAS from day 7 and until day 49 in favor of group A.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,002 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle