We thank the authors of the letter to the editor for their comments regarding our
study. They argued that the effect sizes of earlier initiation of postoperative rehabilitation
or larger daily amounts of rehabilitation on the Barthel Index (BI) in our study were
statistically significant but not clinically significant. Their comments are based
on the minimal clinically important difference (MCID) of the BI reported in 2 previous
studies
1
,2
: one reported the MICD of the BI in patients with stroke, and the other reported
the MCID of the BI at 12 months after hip fracture surgery in patients without severe
cognitive impairment.To read this article in full you will need to make a payment
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References
- Establishing the minimal clinically important difference of the Barthel Index in stroke patients.Neurorehabil Neural Repair. 2007; 21: 233-238
- Validity and responsiveness of Barthel Index for measuring functional recovery after hemiarthroplasty for femoral neck fracture.Arch Orthop Trauma Surg. 2018; 138: 1671-1677
- Intensive in-hospital rehabilitation after hip fracture surgery and activities of daily living in patients with dementia: retrospective analysis of a nationwide inpatient database.Arch Phys Med Rehabil. 2019; 100: 2301-2307
Article info
Footnotes
Disclosures: none.
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© 2019 by the American Congress of Rehabilitation Medicine
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Access this article on ScienceDirectLinked Article
- Intensive In-hospital Rehabilitation After Hip Fracture Surgery and Activities of Daily Living in Patients With Dementia: Retrospective Analysis of a Nationwide Inpatient DatabaseArchives of Physical Medicine and RehabilitationVol. 101Issue 1
- PreviewWe read the article by Uda et al entitled “Intensive In-hospital Rehabilitation After Hip Fracture Surgery and Activities of Daily Living in Patients With Dementia: Retrospective Analysis of a Nationwide Inpatient Database.”1 The authors analyzed a large sample size (n=43,206) of the nationwide inpatient administrative claims and discharge database in Japan and examined whether earlier, more frequent, and larger daily amounts of postoperative rehabilitation on activities of daily living (ADL), measured by the 100-point Barthel Index (BI) scale, were effective for patients with dementia who underwent hip fracture surgery.
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