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 J. Ottenbacher

Research output: Contribution to journalArticle

18 Scopus citations

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 (US)
Pages (from-to)567-572
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume87
Issue number7
DOIs
StatePublished - Jul 1 2008

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Keywords

  • Arthoplasty
  • Ethnicity
  • Gender
  • Hip
  • Rehabilitation

ASJC Scopus subject areas

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

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