Predictors of not regaining basic mobility after hip fracture surgery
Predictors of not regaining basic mobility after hip fracture surgery
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DOI：
10.3109/09638288.2014.974836
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发表时间：
2015-01-01
影响因子：
2.2
通讯作者：
Troelsen, Anders
中科院分区：
文献类型：
--
作者：
Hulsbaek, Signe;Larsen, Rikke Faebo;Troelsen, Anders
目的：髋部骨折术后恢复基本活动能力是院内康复的一个里程碑。目的是研究髋部骨折术后第5天和出院时不能恢复基本活动能力的预测因素。方法：在一项前瞻性队列研究中，纳入了274例髋部骨折患者。排除了运动能力受损的患者，留下167例患者进行分析。记录患者人口统计学资料、功能水平、手术方法、术后血红蛋白和物理治疗完成情况。通过累积Ambassador评分评估基本活动度。进行多因素logistic回归分析。结果如下：年龄> 80岁（OR = 7.5），骨折前功能水平低（OR = 3.0），术后第一天未完成物理治疗（OR = 4.6），血红蛋白
Purpose: Regaining basic mobility after hip fracture surgery is a milestone in the in-hospital rehabilitation. The aims were to investigate predictors for not regaining basic mobility at the fifth post-operative day and at discharge after undergoing hip fracture surgery. Method: In a prospective cohort study 274 hip fracture patients were included. Patients with compromised ability to exercise were excluded leaving 167 patients for analysis. Patient demographics, functional level, method of operation, post-operative hemoglobin and the completion of physiotherapy was registered. Basic mobility was assessed by the Cumulated Ambulation Score. Multivariate logistic regression was performed. Results: Age >80 years (OR = 7.5), low prefracture functional level (OR = 3.0), not completed the physiotherapy on first post-operative day (OR = 4.6) and hemoglobin