Cargando…

Functional outcomes after the treatment of hip fracture

Osteoporotic hip fracture is a major public health issue. Estimation of the outcome and maximization of functional recovery after fracture is very important in the treatment of older patients. The purposes of this study were to clarify the functional outcomes after the treatment of hip fracture and...

Descripción completa

Detalles Bibliográficos
Autores principales: Takahashi, Ai, Naruse, Hiroaki, Kitade, Ippei, Shimada, Seiichiro, Tsubokawa, Misao, Kokubo, Yasuo, Matsumine, Akihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392284/
https://www.ncbi.nlm.nih.gov/pubmed/32730298
http://dx.doi.org/10.1371/journal.pone.0236652
_version_ 1783564816230645760
author Takahashi, Ai
Naruse, Hiroaki
Kitade, Ippei
Shimada, Seiichiro
Tsubokawa, Misao
Kokubo, Yasuo
Matsumine, Akihiko
author_facet Takahashi, Ai
Naruse, Hiroaki
Kitade, Ippei
Shimada, Seiichiro
Tsubokawa, Misao
Kokubo, Yasuo
Matsumine, Akihiko
author_sort Takahashi, Ai
collection PubMed
description Osteoporotic hip fracture is a major public health issue. Estimation of the outcome and maximization of functional recovery after fracture is very important in the treatment of older patients. The purposes of this study were to clarify the functional outcomes after the treatment of hip fracture and to identify the factors that influence functional recovery. In the present study, 228 patients admitted to an acute-care hospital from January 2016 to June 2018 were evaluated. The patients were categorized into a trochanteric fracture group (n = 128) and a neck fracture group (n = 100). We retrospectively reviewed their ambulation ability 6 months after fracture using the Functional Ambulation Category (FAC) score. The other survey items were the presurgical duration, length of hospital stay, time until beginning to walk using parallel bars, complications affecting treatment, and mortality rate. The 6-month follow-up rate was 54.4% (n = 124). The results showed that the patients with trochanteric fracture were significantly older than those with neck fracture (86 vs. 82 years, respectively; p = 0.03). In total, 85.0% of patients with trochanteric fracture and 92.2% of patients with neck fracture were independent ambulators before injury (FAC score of 4 or 5). The FAC score 6 months after fracture was positively correlated with the FAC score before fracture and at discharge (all p<0.001) and negatively correlated with patient age (p<0.001) and presurgical duration for patients with neck fracture (p = 0.04). There was no statistically significant correlation with the length of hospital stay or the time until beginning to walk using parallel bars. In conclusion, patients with trochanteric fractures were older than those with neck fractures. In both fracture types, walking recovery 6 months after hip fracture was related to the FAC score before injury and at discharge from an acute-care hospital but not to the time until beginning to walk using parallel bars.
format Online
Article
Text
id pubmed-7392284
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-73922842020-08-05 Functional outcomes after the treatment of hip fracture Takahashi, Ai Naruse, Hiroaki Kitade, Ippei Shimada, Seiichiro Tsubokawa, Misao Kokubo, Yasuo Matsumine, Akihiko PLoS One Research Article Osteoporotic hip fracture is a major public health issue. Estimation of the outcome and maximization of functional recovery after fracture is very important in the treatment of older patients. The purposes of this study were to clarify the functional outcomes after the treatment of hip fracture and to identify the factors that influence functional recovery. In the present study, 228 patients admitted to an acute-care hospital from January 2016 to June 2018 were evaluated. The patients were categorized into a trochanteric fracture group (n = 128) and a neck fracture group (n = 100). We retrospectively reviewed their ambulation ability 6 months after fracture using the Functional Ambulation Category (FAC) score. The other survey items were the presurgical duration, length of hospital stay, time until beginning to walk using parallel bars, complications affecting treatment, and mortality rate. The 6-month follow-up rate was 54.4% (n = 124). The results showed that the patients with trochanteric fracture were significantly older than those with neck fracture (86 vs. 82 years, respectively; p = 0.03). In total, 85.0% of patients with trochanteric fracture and 92.2% of patients with neck fracture were independent ambulators before injury (FAC score of 4 or 5). The FAC score 6 months after fracture was positively correlated with the FAC score before fracture and at discharge (all p<0.001) and negatively correlated with patient age (p<0.001) and presurgical duration for patients with neck fracture (p = 0.04). There was no statistically significant correlation with the length of hospital stay or the time until beginning to walk using parallel bars. In conclusion, patients with trochanteric fractures were older than those with neck fractures. In both fracture types, walking recovery 6 months after hip fracture was related to the FAC score before injury and at discharge from an acute-care hospital but not to the time until beginning to walk using parallel bars. Public Library of Science 2020-07-30 /pmc/articles/PMC7392284/ /pubmed/32730298 http://dx.doi.org/10.1371/journal.pone.0236652 Text en © 2020 Takahashi et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Takahashi, Ai
Naruse, Hiroaki
Kitade, Ippei
Shimada, Seiichiro
Tsubokawa, Misao
Kokubo, Yasuo
Matsumine, Akihiko
Functional outcomes after the treatment of hip fracture
title Functional outcomes after the treatment of hip fracture
title_full Functional outcomes after the treatment of hip fracture
title_fullStr Functional outcomes after the treatment of hip fracture
title_full_unstemmed Functional outcomes after the treatment of hip fracture
title_short Functional outcomes after the treatment of hip fracture
title_sort functional outcomes after the treatment of hip fracture
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392284/
https://www.ncbi.nlm.nih.gov/pubmed/32730298
http://dx.doi.org/10.1371/journal.pone.0236652
work_keys_str_mv AT takahashiai functionaloutcomesafterthetreatmentofhipfracture
AT narusehiroaki functionaloutcomesafterthetreatmentofhipfracture
AT kitadeippei functionaloutcomesafterthetreatmentofhipfracture
AT shimadaseiichiro functionaloutcomesafterthetreatmentofhipfracture
AT tsubokawamisao functionaloutcomesafterthetreatmentofhipfracture
AT kokuboyasuo functionaloutcomesafterthetreatmentofhipfracture
AT matsumineakihiko functionaloutcomesafterthetreatmentofhipfracture