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Hemodialysis Treatment Influences Postoperative Activities of Daily Living Improvement for Patients with Hip
Keita Tai1, Toshiya Mitsunaga2, Moe Kawasumi1
1Department of Rehabilitation, Association of EISEIKAI Medical and Healthcare Corporation Minamitama Hospital, Tokyo, Japan.
Objectives:
The aim of this study was to investigate the influences of hemodialysis (HD) on activities of daily living (ADL) in patients with hip fracture.
Methods:
This study included 28 patients (14 HD and 14 non-HD patients) with acute hip fracture. The effects of variables such as age, sex, surgical procedure, length of hospital stay, serum albumin, C-reactive protein (CRP), number of physical therapy units, and functional independence measure (FIM) were assessed. For each factor, a two-group comparison was conducted between the HD and non-HD groups. Multiple regression analysis was used to examine the factors affecting FIM efficacy (E-FIM).
Results:
For HD patients, total and motor FIM at discharge, E-FIM, and albumin level were significantly lower than in non-HD patients. Length of hospital stay was significantly longer for HD patients. Multiple regression analysis showed that HD had a negative effect on E-FIM.
Conclusions:
The results suggest that rehabilitation for HD patients with hip fractures require intervention that not only provides standard rehabilitation but also addresses aspects of renal rehabilitation.
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