Gender and ethnic differences in rehabilitation outcomes after hip-replacement surgery

Ivonne Marie Bergés, Yong Fang Kuo, Glenn V. Ostir, Carl V. Granger, James E. Graham, Kenneth Ottenbacher

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

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 2002ĝ€"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, CI95% ≤ 1.07, 1.41; Hispanic: OR [CI]: 1.51, CI95% ≤ 1.15ĝ€"1.99). Compared with women, men had higher odds of home discharge (OR [CI]: 1.08, CI95% ≤ 1.01, 1.17). Conclusions: The findings suggest that ethnic and gender disparities exist in postacute care outcomes for persons with hip arthroplasty.

Original languageEnglish
Pages (from-to)567-572
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume87
Issue number7
DOIs
StatePublished - Jul 2008

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Arthroplasty
Hip
Hispanic Americans
Subacute Care
Rehabilitation
Information Systems
Inpatients
Cohort Studies
Retrospective Studies
Logistic Models
Databases

Keywords

  • Arthoplasty
  • Ethnicity
  • Gender
  • Hip
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

Gender and ethnic differences in rehabilitation outcomes after hip-replacement surgery. / Bergés, Ivonne Marie; Kuo, Yong Fang; Ostir, Glenn V.; Granger, Carl V.; Graham, James E.; Ottenbacher, Kenneth.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 87, No. 7, 07.2008, p. 567-572.

Research output: Contribution to journalArticle

Bergés, Ivonne Marie ; Kuo, Yong Fang ; Ostir, Glenn V. ; Granger, Carl V. ; Graham, James E. ; Ottenbacher, Kenneth. / Gender and ethnic differences in rehabilitation outcomes after hip-replacement surgery. In: American Journal of Physical Medicine and Rehabilitation. 2008 ; Vol. 87, No. 7. pp. 567-572.
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