OBJECTIVE: To examine gender and ethnic differences in functional status and living setting for patients after hip arthroplasty. DESIGN: Retrospective cohort study of 69,793 patients receiving inpatient medical rehabilitation after hip arthroplasty included in the Uniform Data System for Medical Rehabilitation database for the period of 2002-2003. Primary measures included functional status as assessed by the FIM instrument and discharge living setting (home vs. not home). The sample included non-Hispanic white, non-Hispanic black, Hispanic, and Asian patients. RESULTS: Multivariate regression models showed the greatest FIM instrument change scores from admission to discharge among non-Hispanic whites (mean [SE]: 23.42 [0.18]) and among women (mean [SE]: 22.79 [0.23]). Asians had the lowest mean change scores (mean [SE]: 22.00 [0.53]). Estimates from multivariate logistic models showed that being of nonwhite ethnicity was associated with higher odds of home discharge (black: OR [CI]: 1.23, CI 95% = 1.07, 1.41; Hispanic: OR [CI]: 1.51, CI 95% = 1.15-1.99). Compared with women, men had higher odds of home discharge (OR [CI]: 1.08, CI 95% = 1.01, 1.17). CONCLUSIONS: The findings suggest that ethnic and gender disparities exist in postacute care outcomes for persons with hip arthroplasty.
OBJECTIVE: To examine gender and ethnic differences in functional status and living setting for patients after hip arthroplasty. DESIGN: Retrospective cohort study of 69,793 patients receiving inpatient medical rehabilitation after hip arthroplasty included in the Uniform Data System for Medical Rehabilitation database for the period of 2002-2003. Primary measures included functional status as assessed by the FIM instrument and discharge living setting (home vs. not home). The sample included non-Hispanic white, non-Hispanic black, Hispanic, and Asian patients. RESULTS: Multivariate regression models showed the greatest FIM instrument change scores from admission to discharge among non-Hispanic whites (mean [SE]: 23.42 [0.18]) and among women (mean [SE]: 22.79 [0.23]). Asians had the lowest mean change scores (mean [SE]: 22.00 [0.53]). Estimates from multivariate logistic models showed that being of nonwhite ethnicity was associated with higher odds of home discharge (black: OR [CI]: 1.23, CI 95% = 1.07, 1.41; Hispanic: OR [CI]: 1.51, CI 95% = 1.15-1.99). Compared with women, men had higher odds of home discharge (OR [CI]: 1.08, CI 95% = 1.01, 1.17). CONCLUSIONS: The findings suggest that ethnic and gender disparities exist in postacute care outcomes for persons with hip arthroplasty.
Authors: Kenneth J Ottenbacher; Pamela M Smith; Sandra B Illig; Richard T Linn; Vera A Gonzales; Glenn V Ostir; Carl V Granger Journal: Med Care Date: 2003-02 Impact factor: 2.983
Authors: John D Fitzgerald; E John Orav; Thomas H Lee; Edward R Marcantonio; Robert Poss; Lee Goldman; Carol M Mangione Journal: Arthritis Rheum Date: 2004-02-15
Authors: Jason B T Lim; Andrew C C Chou; William Yeo; Ngai Nung Lo; Shi-Lu Chia; Pak Lin Chin; Darren K J Tay; Seng Jin Yeo Journal: Eur J Orthop Surg Traumatol Date: 2015-04-19
Authors: Irma H J Everink; Jolanda C M van Haastregt; Sofie J M van Hoof; Jos M G A Schols; Gertrudis I J M Kempen Journal: BMC Geriatr Date: 2016-01-12 Impact factor: 3.921
Authors: Vivek Singh; John Realyvasquez; David N Kugelman; Vinay K Aggarwal; William J Long; Ran Schwarzkopf Journal: J Clin Orthop Trauma Date: 2021-05-21