Predictors of recovering ambulation after hip fracture inpatient rehabilitation

BMC Geriatrics
Francesca CecchiClaudio Macchi

Abstract

Despite progress in surgery and care, hip fracture (HF) remains a catastrophic event, burdened with high risk of mortality and disability. This study aims at identifying predictors of recovering ambulation after intensive inpatient rehabilitation within the Tuscany Region HF rehabilitation pathway. All HF patients referred from acute care to the two Massa-Carrara Rehabilitation facilities January 2015-June 2017 were enrolled. Comorbidity Total Score (CIRS) defined high- or low-care setting referral. Recovery of ambulation, with or without aid, (assessed by SAHFE) was the primary outcome. Personal data, comorbidity, cognitive (MMSe) and pre-fracture function (mRANKIN) were recorded on admission. Outcomes included hospital readmission, length of stay (LOS) and home discharge. Urinary catheter, bedsores, disability (modified Barthel Index-mBI), communication disability (CDS), trunk control (TCT), pain (NRS), and ambulation were recorded (admission-discharge). Of 352 patients enrolled (age 83.9 ± 7.1; 80% women), 1 died and 6 were readmitted to acute-care hospital; 97% patients referred to high-care, and 64% referred to low-care, presented moderate-high comorbidity on admission. Median LOS was 22 days; 95% patients were discharged ...Continue Reading

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Citations

May 23, 2020·Orthopaedic Nursing·Minh Ha Nguyen, Siew Kwaon Lui
Nov 26, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Kristopher B DeatrickJay Menaker
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Kristopher B DeatrickJay Menaker
Apr 3, 2019·Journal of Physical Therapy Science·Atsunori ItagakiAkira Ishikawa
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Mar 2, 2021·Health Services Insights·Davide GolinelliMaria Pia Fantini
Aug 20, 2021·Disability and Rehabilitation·Shuntaro TamuraHiroki Iwamoto

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