大腿骨近位部骨折手術後の歩行能力に対する入院時予測チャート（prospective study）

Prediction Chart for Postoperative Walking Ability of Patients with a Proximal Femoral Fracture on Admission (Prospective Study)

　われわれは大腿骨近位部骨折患者が入院した際に，簡易知能評価を中心とした簡単な問診を行い，予測チャートを用いて手術後の歩行能力予測を立てている．本予測チャートを使い始めた2002年6月から2007年8月までに当院において手術を行った474例のうち345例(平均年齢：84.2歳，65～98歳)(男性：47例，女性：298例)に対しprospective studyを行った．本予測チャートの感受性は92％，特異性は91％であった．本予測チャートは入院時の簡単な問診だけで術後の歩行能力予測を立てられる有効な手段と考える

　When patients are admitted for a proximal femoral fracture, we conduct a simple interview centered on a dementia scale and use a prediction chart to predict their postoperative walking ability.　A prospective assessment of the prediction chart was conducted on 345 of the 474 patients, mean age 84.2 years (range：65～98 years), (47 males and 298 females) operated in our hospital for a proximal femoral fracture between June 2002 and August 2007.　The sensitivity of the prediction chart was 92%, and its specificity was 91%.　The prediction chart was concluded to be an effective tool for predicting the postoperative walking ability of patients with a proximal femoral fracture.