Cerebral palsy (CP) is the most common motor functional disability in childhood 1,2. Studies have reported that pain is one of the most frequent problems among children with CP, and lack of acknowledgement as well as a lack of acting on the pain negatively affects their quality of life 3-6. In regard to this, pain will, as the limiting factor for children with CP, affect their quality of life by being incapable or unable to participate in physical leisure activities such as soccer, swimming, gymnastics and other social contexts. Moreover, the pain in children with CP can vary considerably both in intensity and bodily location, depending on the gross motor functioning 7. Children with more severe gross motor impairments, Gross Motor Functioning Classification System (GMFCS) levels IV-V, often depend on adult assistance, walking aids or wheelchairs 8 , thus contributing to a limited opportunity for participation 9 .
Aim To examine whether patients' body mass index is associated with missed hip fracture care consistent with national guideline‐recommended care. Design A nationwide, population‐based cohort study using prospectively collected data from the Danish Multidisciplinary Hip Fracture Registry. Methods The study population consisted of 39,835 patients ≥65 years admitted with a hip fracture and discharged between 1st of January 2012 and 29th of November 2017. National guideline‐recommended care consists of preoperative optimization, early surgery, mobilization within 24 h, basic mobility assessment, nutrition screening, post‐discharge rehabilitation program, and osteoporotic and fall prophylaxis. We used binomial regression to estimate the relative risk for the fulfilment of the individual measures with 95% confidence interval. Multiple imputation method was applied to handle missing values of body mass index. Results The overall fulfilment of the individual measures ranged from 43% for pre‐operative optimization to 95% for receiving a post‐discharge rehabilitation program. The obese patients had a lower fulfilment of surgery within 36 h compared to patients with normal weight. No differences in fulfilment of the other measures were found. However, patients with missing data on body mass index had the highest risk of missed care. In conclusion, patients with missing BMI values had the highest risk of missed care. The obese patients had a slightly higher risk of long waiting times for surgery than normal‐weighted patients. No Patient or Public Contribution This study was done based on population‐based data from medical registries and data was analysed by the authors only.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.