Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study
Introduction: Pain and disability often persist following hip (THR) and knee replacement (TKR) surgery predisposing patients to increased risk of falling. This study identified pre-operative predictors for post-operative falls in TKR and THR patients, and the incidence and circumstances of falls in...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Published: |
2017
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| Online Access: | http://hdl.handle.net/20.500.11937/54309 |
| _version_ | 1848759339899158528 |
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| author | Levinger, P. Wee, E. Margelis, S. Menz, H. Bartlett, J. Bergman, N. McMahon, S. Hill, Keith |
| author_facet | Levinger, P. Wee, E. Margelis, S. Menz, H. Bartlett, J. Bergman, N. McMahon, S. Hill, Keith |
| author_sort | Levinger, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: Pain and disability often persist following hip (THR) and knee replacement (TKR) surgery predisposing patients to increased risk of falling. This study identified pre-operative predictors for post-operative falls in TKR and THR patients, and the incidence and circumstances of falls in the 12 months post-surgery. Materials and methods: A survey was undertaken of patients before THR and TKR, and was repeated 12 months post-operation. The survey included (1) medical history and medications usage, (2) pain and function, (3) health-related and physical activity and (4) fear of falls and history of falls questionnaires. Patients were classified as ‘fallers’ (≥1 fall) or ‘non-fallers’ based on prospectively documented falls in the 12 months post-surgery. Binary logistic regression was conducted to identify independent pre-operative predictors of incident falls status. Results: Eighty-two of the 243 participants (33.7%) reported ≥1 fall in the 12 months post-operatively [60 (34.1%) patients following TKR and 22 (32.8%) following THR]. The logistic regression model was statistically significant, χ2 = 24.731, p < 0.001, the model explaining 22% of the variance in falls, and correctly classifying 73.7% of cases as fallers or non-fallers. Reduced SF-36v2 general health sub-scale, increased planned physical activity and previous falls in the preceding year were predictors of falls. Those reporting ≥1 fall pre-operatively were three times more likely to fall post-operatively. Conclusion: People awaiting hip or knee joint replacement surgery might present with complex conditions that predispose them to greater risk of falling post-operation. Review of general health and history of falling is recommended pre-operatively to identify patients at risk. |
| first_indexed | 2025-11-14T09:58:19Z |
| format | Journal Article |
| id | curtin-20.500.11937-54309 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:58:19Z |
| publishDate | 2017 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-543092017-09-13T16:09:44Z Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study Levinger, P. Wee, E. Margelis, S. Menz, H. Bartlett, J. Bergman, N. McMahon, S. Hill, Keith Introduction: Pain and disability often persist following hip (THR) and knee replacement (TKR) surgery predisposing patients to increased risk of falling. This study identified pre-operative predictors for post-operative falls in TKR and THR patients, and the incidence and circumstances of falls in the 12 months post-surgery. Materials and methods: A survey was undertaken of patients before THR and TKR, and was repeated 12 months post-operation. The survey included (1) medical history and medications usage, (2) pain and function, (3) health-related and physical activity and (4) fear of falls and history of falls questionnaires. Patients were classified as ‘fallers’ (≥1 fall) or ‘non-fallers’ based on prospectively documented falls in the 12 months post-surgery. Binary logistic regression was conducted to identify independent pre-operative predictors of incident falls status. Results: Eighty-two of the 243 participants (33.7%) reported ≥1 fall in the 12 months post-operatively [60 (34.1%) patients following TKR and 22 (32.8%) following THR]. The logistic regression model was statistically significant, χ2 = 24.731, p < 0.001, the model explaining 22% of the variance in falls, and correctly classifying 73.7% of cases as fallers or non-fallers. Reduced SF-36v2 general health sub-scale, increased planned physical activity and previous falls in the preceding year were predictors of falls. Those reporting ≥1 fall pre-operatively were three times more likely to fall post-operatively. Conclusion: People awaiting hip or knee joint replacement surgery might present with complex conditions that predispose them to greater risk of falling post-operation. Review of general health and history of falling is recommended pre-operatively to identify patients at risk. 2017 Journal Article http://hdl.handle.net/20.500.11937/54309 10.1007/s00402-017-2727-6 restricted |
| spellingShingle | Levinger, P. Wee, E. Margelis, S. Menz, H. Bartlett, J. Bergman, N. McMahon, S. Hill, Keith Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title | Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title_full | Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title_fullStr | Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title_full_unstemmed | Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title_short | Pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| title_sort | pre-operative predictors of post-operative falls in people undergoing total hip and knee replacement surgery: a prospective study |
| url | http://hdl.handle.net/20.500.11937/54309 |