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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
Factors Predicting Ambulatory Status at Discharge After Fragility Hip Fracture Surgery: A Retrospective Cohort Study
Thitirut Jongutchariya1, Palanthorn Loomcharoen1, Jittima Saengsuwan2
1Department of Rehabilitation, Hatyai Hospital, Songkhla 90110, Thailand.
Early rehabilitation and hip arthroplasty predict walking ability after hip fracture surgery in older adults. Delayed therapy and stroke history reduce mobility, highlighting the need for timely interventions.
Area of Science:
- Gerontology
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Ambulatory status post-discharge is crucial for functional recovery in older adults after hip fracture.
- Identifying predictors of ambulation is key for optimizing care in tertiary settings.
Purpose of the Study:
- To identify independent predictors of ambulatory status at hospital discharge following fragility hip fracture surgery.
- To inform targeted rehabilitation strategies for improved patient outcomes.
Main Methods:
- Retrospective study of 532 patients (≥50 years) undergoing hip fracture surgery (Oct 2018-Sep 2023).
- Data collected on pre-, intra-, and post-operative factors, and process of care.
- Univariable and multivariable analyses identified predictors of ambulation at discharge.
Main Results:
- 59.0% (314/532) of patients were ambulatory at discharge.
- Achieving ambulation-level rehabilitation (mRR=24.10) and hip arthroplasty (mRR=1.17) were positive predictors.
- History of cerebrovascular disease (mRR=0.70) and delayed rehab >72h (mRR=0.84) reduced ambulation likelihood.
Conclusions:
- Early, targeted rehabilitation and hip arthroplasty significantly improve discharge ambulation.
- Stroke history and delayed rehabilitation negatively impact mobility post-hip fracture.
- Timely, focused rehabilitation is essential for optimizing functional recovery after hip fracture surgery.
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