Merna svojstva Novog upitnika za procenu mobilnosti u funkcionalnom oporavku starijih osoba posle totalne artroplastike kuka

Abstract

Uvod/Cilj Cilj ove studije je da se identifikuje i ispita upotreba Novog upitnika skorovanja mobilnosti (NUS) u proceni funkcionalnog oporavka tri meseca nakon totalne artroplastike kuka. Metode U istraživanje je uključeno ukupno 70 pacijenata, starijih od 60 godina, koji su bili podvrgnuti totalnoj artroplastici kuka. Ispitivana grupa je podvrgnuta sveobuhvatnom programu rehabilitacije, a kontrolna grupa standardnom. Primarni ishod funkcionalnog oporavka je ocenjen Harisovim upitnikom za kuk (HUK) i NUS, a sekundarni Opštim upitnikom o zdravlju (SF-36). Upitnici su popunjavani preoperativno i tri meseca postoperativno. Rezultati Ispitivana grupa je u odnosu na kontrolnu pokazala značajnije poboljšanje tri meseca posle artroplastike kuka. Korelacija u obe grupe između HUK i NUS je bila vrlo jaka (r > 0,700). U ispitivanoj grupi je tri meseca postoperativno pokazana jaka povezanost između ukupnog fizičkog oporavka (UFO) SF-36, HUK i NUS (r > 0,700), umerena do jaka između kategorija bola, HUK (r = 0,380; r = 0,583) i NUS (r = 0,424). U kontrolnoj grupi je pokazana jaka korelacija između UFO SF-36, HUK (r = 0,704) i NUS (r = 0,568) i umerena između kategorija bola i HUK (r = 0,546; r = 0,466). Područje ispod krive (AUC) pokazalo je validnost svih korišćenih mernih instrumenata: AUCNUS = 0,724, r = 0,001, AUCHUK = 0,788, p = 0,000 i AUCUFO = 0,747, r = 0,001. Zaključak NUS može uspešno da se koristi u rutinskoj kliničkoj proceni funkcionalnog oporavka starijih pacijenata posle totalne artroplastike kuka. Istraživanje je registrovano u registru ISRCTN (https://doi. org/10.1186/ISRCTN73197506).

Introduction/Objective The aim of this study is to identify and evaluate the use of New Mobility Score (NMS) in estimating functional recovery three months after total hip arthroplasty (THA). Methods In total, 70 patients, aged > 60 years, underwent THA. Treatment group was subjected to the comprehensive rehabilitation program and control group to the standard one. Primary outcome was assessed with Harris Hip Score (HHS) and NMS, and secondary one by Medical Outcomes Health Survey (Short-Form Health Survey - SF-36). Questionnaires were collected before and three months after hip surgery. Results Treatment group showed significant improvement three months postoperatively. The correlation in both groups between HHS and NMS was very strong (r > 0.700). Treatment group following surgery showed strong correlation between Recovery through Personal Care Services (PCS) and HHS and NMS (r > 0.700), moderate to strong between pain categories and HHS (r = 0.380; r = 0.583) and NMS (r = 0.424). Control group showed strong correlation between PCS and HHS (r = 0.704), and NMS (r = 0.568) and moderate to pain categories and HHS (r = 0.546; r = 0.466). The area under the curve (AUC) described the inherent validity of all measurement used AUCNMS = 0.724, p = 0.001, AUCHHS = 0.788, p = 0.000 and AUCPCS = 0.747, p = 0.001. Conclusion The NMS could be successfully used in routine clinical assessment of elderly patients following THA. The trial is registered in ISRCTN Register with https://doi.org/10.1186/ISRCTN73197506.