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Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home
BACKGROUND: Little is known about risk factors that may prevent hip fracture patients from being discharged to home. The present study was developed to investigate possible prognostic factors. MATERIALS AND METHODS: We studied 345 patients with hip fracture treated at our hospital since 1997, who we...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Springer International Publishing
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3102807/ https://www.ncbi.nlm.nih.gov/pubmed/21541772 http://dx.doi.org/10.1007/s10195-011-0138-y |
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author | Hagino, Tetsuo Ochiai, Satoshi Sato, Eiichi Watanabe, Yoshiyuki Senga, Shinya Haro, Hirotaka |
author_facet | Hagino, Tetsuo Ochiai, Satoshi Sato, Eiichi Watanabe, Yoshiyuki Senga, Shinya Haro, Hirotaka |
author_sort | Hagino, Tetsuo |
collection | PubMed |
description | BACKGROUND: Little is known about risk factors that may prevent hip fracture patients from being discharged to home. The present study was developed to investigate possible prognostic factors. MATERIALS AND METHODS: We studied 345 patients with hip fracture treated at our hospital since 1997, who were living at home before the injury. There were 84 males and 261 females. Mean age at injury was 81.6 years. Fracture type was femoral neck fracture in 152 patients and trochanteric fracture in 193. Patients were divided into those who were discharged to home (home discharge group) and those who were discharged to rehabilitation facilities or died in hospital (non-home discharge group). Gender, age at admission, fracture type, and other factors were investigated. Multivariate analysis was conducted on these variables for the home discharge and non-home discharge groups. RESULTS: There were 202 patients (58.6%) in the home discharge group and 143 patients (41.4%) in the non-home discharge group. The factors significantly associated with not achieving the goal of discharge to home were age 85 years or above [odds ratio (OR) = 1.79, P = 0.0204], chronic systemic diseases (OR = 1.77, p = 0.0225), dementia (OR = 3.17, P < 0.0001), and walking disability before injury (OR = 5.70, P = 0.0328). CONCLUSIONS: In elderly patients with hip fracture, the risk factors that predict difficulties with discharge to home include age at admission, concomitant chronic systemic diseases and dementia, and walking disability before injury. |
format | Text |
id | pubmed-3102807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-31028072011-07-14 Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home Hagino, Tetsuo Ochiai, Satoshi Sato, Eiichi Watanabe, Yoshiyuki Senga, Shinya Haro, Hirotaka J Orthop Traumatol Original Article BACKGROUND: Little is known about risk factors that may prevent hip fracture patients from being discharged to home. The present study was developed to investigate possible prognostic factors. MATERIALS AND METHODS: We studied 345 patients with hip fracture treated at our hospital since 1997, who were living at home before the injury. There were 84 males and 261 females. Mean age at injury was 81.6 years. Fracture type was femoral neck fracture in 152 patients and trochanteric fracture in 193. Patients were divided into those who were discharged to home (home discharge group) and those who were discharged to rehabilitation facilities or died in hospital (non-home discharge group). Gender, age at admission, fracture type, and other factors were investigated. Multivariate analysis was conducted on these variables for the home discharge and non-home discharge groups. RESULTS: There were 202 patients (58.6%) in the home discharge group and 143 patients (41.4%) in the non-home discharge group. The factors significantly associated with not achieving the goal of discharge to home were age 85 years or above [odds ratio (OR) = 1.79, P = 0.0204], chronic systemic diseases (OR = 1.77, p = 0.0225), dementia (OR = 3.17, P < 0.0001), and walking disability before injury (OR = 5.70, P = 0.0328). CONCLUSIONS: In elderly patients with hip fracture, the risk factors that predict difficulties with discharge to home include age at admission, concomitant chronic systemic diseases and dementia, and walking disability before injury. Springer International Publishing 2011-05-04 2011-06 /pmc/articles/PMC3102807/ /pubmed/21541772 http://dx.doi.org/10.1007/s10195-011-0138-y Text en © The Author(s) 2011 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Article Hagino, Tetsuo Ochiai, Satoshi Sato, Eiichi Watanabe, Yoshiyuki Senga, Shinya Haro, Hirotaka Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title | Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title_full | Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title_fullStr | Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title_full_unstemmed | Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title_short | Prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
title_sort | prognostic prediction in patients with hip fracture: risk factors predicting difficulties with discharge to own home |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3102807/ https://www.ncbi.nlm.nih.gov/pubmed/21541772 http://dx.doi.org/10.1007/s10195-011-0138-y |
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