Characteristics and Outcomes of Patients in Rehabilitation with Hip Fracture: A Retrospective Chart Review.

Erica Anders, Wendy Laskey, Catherine Milne-Gibson, Brendan Pynenburg, Chelsea Wong,Anna Berall, Nancy Jones,Debbie Mendelson,Susan Jaglal

CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT(2018)

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摘要
Hip fracture rehabilitation has two streams: high tolerance short duration (HTSD) and low tolerance long duration (LTLD). This study examined patient characteristics and outcomes in HTSD and LTLD associated with length of stay (LOS) and discharge destination. We retrospectively examined patients' medical charts following hip fracture surgery and collected demographic, functional, and health characteristics. A statistical analysis was done to describe the differences between HTSD (n = 73) and LTLD (n = 57) patient characteristics and their relationship with LOS and discharge destination. Those in LTLD were significantly older, less independent with prefracture bathing and instrumental activities of daily living, had lower Functional Independence Measure (FIM) admission scores, and more co-morbidities. Higher FIM motor score on admission in HTSD and greater change in FIM total score in LTLD was significantly correlated with discharge home. Diabetes in LTLD and lower total admission FIM in HTSD was significantly associated with increased LOS.
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关键词
aging,hip fracture,low tolerance long duration rehabilitation,high tolerance short duration rehabilitation,length of stay,discharge destination
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