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Does Change in Functional Performance Affect Quality of Life in Persons with Orthopaedic Impairment?

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Abstract

Background and Purpose: Examine the association between change in functional status and quality of life for individuals with orthopaedic impairments approximately 90 days after discharge from in-patient medical rehabilitation. Methods: A retrospective study from 2001 to 2002 using information from the IT HealthTrack database. The study included 3751 individuals with orthopaedic impairments aged 40 or older discharged from in-patient medical rehabilitation. Primary measures included motor and cognition functional status and quality of life. Data analyses included descriptive statistics, χ2 analysis, and cumulative logit models. Results: The sample was 49.4% female and 81.1% non-Hispanic white. Most patients reported high levels of quality of life after hospital discharge. Change in functional status showed a significant association with quality of life with and without adjustment for possible confounding factors. Each one-point increase in total Functional Independence Measure (FIM) score was associated with an 8% increased odds ratio (OR 1.08, 95% CI: 1.07–1.09) of higher quality of life. Each one-point increase in motor and cognition FIM score was associated with an 8% (OR 1.08, 95% CI: 1.07–1.09) and 29% (OR 1.29, 95% CI: 1.24–1.35) increased odds ratio of higher quality of life, respectively. Of the 6 FIM domains, self care (OR 1.05, 95% CI: 1.03–1.06) and locomotion (OR 1.07, 95% CI: 1.03–1.11) were significantly associated with higher quality of life. Conclusions: Among individuals with orthopaedic impairments, a positive change in functional status was significantly associated with higher quality of life. The findings suggest the potential value of rehabilitation programs that focus on improving functional status.

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Authors and Affiliations

  1. Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA

    Glenn V. Ostir, Ivonne-Marie Berges & Kenneth J. Ottenbacher

  2. Division of Geriatrics, Department of Medicine, University of Texas Medical Branch, Galveston, TX, USA

    Glenn V. Ostir

  3. Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, USA

    Glenn V. Ostir & Ivonne-Marie Berges

  4. IT HealthTrack, Buffalo, NY, USA

    Pamela M. Smith & David Smith

  5. Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA

    Janida L. Rice & Kenneth J. Ottenbacher

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  1. Glenn V. Ostir
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  2. Ivonne-Marie Berges
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Correspondence to Glenn V. Ostir.

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Ostir, G.V., Berges, IM., Smith, P.M. et al. Does Change in Functional Performance Affect Quality of Life in Persons with Orthopaedic Impairment?. Soc Indic Res 77, 79–93 (2006). https://doi.org/10.1007/s11205-005-5554-z

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