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椎体压缩骨折患者出院时与独立爬楼梯相关的因素及其相互关系:一项使用决策树分析的研究

Factors associated with stair climbing independence at discharge in patients with vertebral compression fractures and their interrelationships: a study using decision tree analysis.

作者信息

Hosaka Kodai, Otao Hiroshi, Nishi Eri, Imamura Junpei, Tanaka Junko, Shibata Hajime

机构信息

Kurume Rehabilitation Hospital: 1887 Toyoda, Yamamoto-machi, Kurume-shi, Fukuoka 839-0827, Japan.

Graduate School of Human Care Sciences, Nishikyushu University, Japan.

出版信息

J Phys Ther Sci. 2024 Nov;36(11):711-716. doi: 10.1589/jpts.36.711. Epub 2024 Nov 1.

Abstract

[Purpose] We aimed to examine factors at admission that are related to independence in stair climbing at discharge among patients with vertebral compression fractures. [Participants and Methods] The study included 179 female patients with vertebral compression fractures. A decision tree model was created to predict independence in stair climbing at discharge based on Dementia Scale-Revised, skeletal muscle mass index body mass index, grip strength, number of vertebral fractures, and number of injuries at admission. [Results] Analysis with the decision tree model showed that skeletal muscle mass index at admission, age, and grip strength were predictors for independence in stair climbing at discharge. [Conclusion] Patients with vertebral compression fractures who have a low skeletal muscle mass index and grip strength on admission may require assistance with stair climbing upon discharge.

摘要

[目的] 我们旨在研究椎体压缩性骨折患者入院时与出院时爬楼梯独立性相关的因素。[参与者与方法] 本研究纳入了179例女性椎体压缩性骨折患者。基于修订版痴呆量表、骨骼肌质量指数、体重指数、握力、椎体骨折数量和入院时损伤数量,创建了一个决策树模型来预测出院时爬楼梯的独立性。[结果] 决策树模型分析显示,入院时的骨骼肌质量指数、年龄和握力是出院时爬楼梯独立性的预测因素。[结论] 入院时骨骼肌质量指数和握力较低的椎体压缩性骨折患者出院时爬楼梯可能需要帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/707b/11527465/d8c35ca0ee19/jpts-36-711-g001.jpg

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