The Hip Fracture Functional Rating Scale can be used to assess a patient with a fractured hip. The total score correlates with the person's functional status after recovery from the acute episode.
Basic assessments:
(1) physical condition and impairments
(2) ambulation
(3) activities of daily living
(4) prefracture living situation
(5) disabilities
|
Physical Condition and Impairments |
Finding |
Points |
|---|---|---|
|
vision |
good |
10 |
|
|
distinguishes faces |
5 |
|
|
sees light only |
0 |
|
hearing |
good |
5 |
|
|
loud voice |
3 |
|
|
deaf |
0 |
|
communication |
reads, writes, speaks and understands language |
10 |
|
|
speaks and understands |
5 |
|
|
nonverbal |
0 |
|
mental status |
alert |
10 |
|
|
intermittent confusion |
5 |
|
|
confused, combative |
0 |
maximum score = 35
|
Ambulation |
Finding |
Points |
|---|---|---|
|
bed to chair |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
stairs |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
wheelchair |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
crutches |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
walker |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
cane |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
maximum points = 30
|
Activities of Daily Living |
Finding |
Points |
|---|---|---|
|
bathe self |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
dress self |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
feed self |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
bathroom or commode |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
|
brush teeth, shave, et |
independent |
5 |
|
|
with assistance |
3 |
|
|
unable |
0 |
maximum points = 25
|
Prefracture Living Situation |
Finding |
Points |
|---|---|---|
|
|
with spouse or relatives |
10 |
|
|
alone |
5 |
|
|
nursing home |
0 |
maximum points = 10
|
Disabilities |
Points |
|---|---|
|
bowel incontinence |
-10 |
|
paralysis |
-10 |
|
lower extremity amputation |
-10 |
|
pressure sore |
-5 |
|
contractures |
-5 |
|
other |
|
maximum points = 0
total functional rating score =
= (points for physical condition) + (points for ambulation) + (points for activities of daily living) + (points for prefracture living condition) + (points for disabilities)
Interpretation:
• minimum score: -40 points or more
• maximum score: 100 points
• The higher the score, the more likely the patient will be able to recover without permanent disability.
• Patients with a low score tend to have a permanent disability and a higher risk of remaining institutionalized afterwards.
Specialty: Surgery, orthopedic
