We thank the authors for their reply to our most recent response. However, we believe
that our findings were clinically significant. Specifically, we believe that a 5-point
improvement in the Barthel Index (BI) is clinically meaningful. Such an increase can
be interpreted by patients and clinicians as an improvement in at least 1 level of
dependence in 1 task of activities of daily living.
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Reference
- 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; 12: 2301-2307
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Publication history
Published online: March 07, 2020
Footnotes
Disclosures: none.
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© 2020 by the American Congress of Rehabilitation Medicine
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- Letter to the Editor Re: Author’s Response to Letter to the EditorArchives of Physical Medicine and RehabilitationVol. 101Issue 6
- PreviewWe appreciate the authors’ response to our letter,1 but we believe their response is insufficient to address our point. In their response they stated, “We believe that the MCID of the BI in both studies was not directly applicable to our study because of differences in the population or length of follow-up. We focused on patients with mild to severe dementia who underwent hip fracture surgery and examined the BI at discharge from acute-care hospitals (median [25th-75th percentile] postoperative length of stay, 21d [15-30d]).
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