Does change in functional performance affect quality of life in persons with orthopaedic impairment?

Glenn V. Ostir, Ivonne Marie Berges, Pamela M. Smith, David Smith, Janida L. Rice, Kenneth Ottenbacher

Research output: Contribution to journalArticle

4 Citations (Scopus)

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: 1.071.09) 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.

Original languageEnglish (US)
Pages (from-to)79-93
Number of pages15
JournalSocial Indicators Research
Volume77
Issue number1
DOIs
StatePublished - May 2006

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Orthopedics
quality of life
Quality of Life
human being
performance
medical rehabilitation
Rehabilitation
Cognition
cognition
Odds Ratio
Person
Impairment
Patient Discharge
Locomotion
Self Care
descriptive statistics
rehabilitation
Retrospective Studies
Logistic Models
Databases

ASJC Scopus subject areas

  • Social Sciences(all)
  • Sociology and Political Science

Cite this

Does change in functional performance affect quality of life in persons with orthopaedic impairment? / Ostir, Glenn V.; Berges, Ivonne Marie; Smith, Pamela M.; Smith, David; Rice, Janida L.; Ottenbacher, Kenneth.

In: Social Indicators Research, Vol. 77, No. 1, 05.2006, p. 79-93.

Research output: Contribution to journalArticle

Ostir, Glenn V. ; Berges, Ivonne Marie ; Smith, Pamela M. ; Smith, David ; Rice, Janida L. ; Ottenbacher, Kenneth. / Does change in functional performance affect quality of life in persons with orthopaedic impairment?. In: Social Indicators Research. 2006 ; Vol. 77, No. 1. pp. 79-93.
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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: 1.071.09) 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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