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Rehabilitation strategy for hip fracture focused on behavioral psychological symptoms of dementia for older people with cognitive impairment: A nationwide Japan rehabilitation database

机译：髋部骨折的康复策略重点关注认知障碍老年人的痴呆的行为心理症状：日本全国性康复数据库

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The aim is to investigate the relationship between a positive outcome on rehabilitation after hip fracture and behavioral psychological symptoms of dementia (BPSD) transition during rehabilitation. This study is a retrospective cohort study based on the Japan Rehabilitation Database. We recruited 756 subjects 65 years of age or older from 31 hospitals in the database. All subjects were in the hospital as patients undergoing rehabilitation for hip fracture. Functional independence measure (FIM), walking ability, Mini-Mental State Examination (MMSE), and BPSD were measured both at the beginning and at the end of rehabilitation. MMSE for 23 or under was defined as the cognitive-impaired group. MMSE for 24 or over was used as the cognitively intact group. Cognitive impaired participants were divided into four groups: participants presented no BPSD both at the beginning of rehabilitation and at the end of rehabilitation (Group (-/-)), participants presented BPSD at the beginning of rehabilitation but resolved at the end of rehabilitation (Group (+/-)), participants had no BPSD at the beginning of rehabilitation but appeared at the end of rehabilitation (Group (-/+)) and participants had sign of BPSD both at the beginning of rehabilitation and at the end of rehabilitation (Group (+/+)). The endpoints were waking ability, FIM gain. As results, one hundred thirty-seven cognitive-impaired older people patients out of 471 (29.1%) suffered from BPSD at the beginning of rehabilitation. FIM gains in cognitively intact group, Group (-/-), Group (+/-), Group (-/+) and Group (+/+) were 24.8 ± 18.7, 17.5 ± 16.9, 27.3 ± 19.7, 17.8 ± 12.2 and 12.2 ± 17.2, respectively. The Group (+/-) was significantly connected to a positive outcome for rehabilitation. The present study suggested that the management of BPSD can lead to better functional recovery during rehabilitation.
机译：目的是研究髋部骨折后康复的积极结果与康复期间痴呆的行为心理症状（BPSD）转变之间的关系。这项研究是一项基于“日本康复”数据库的回顾性队列研究。我们从数据库中的31家医院中招募了756名65岁以上的受试者。所有受试者均在医院接受髋部骨折康复治疗。在康复的开始和结束时均测量了功能独立性测量（FIM），步行能力，小精神状态检查（MMSE）和BPSD。 23岁或以下的MMSE被定义为认知障碍人群。 MMSE 24岁或以上被用作认知完整组。认知障碍的参与者分为四组：参与者在康复开始和康复结束时均未出现BPSD（组（-/-）），参与者在康复开始时未出现BPSD，但在康复结束时出现了BPSD（组（+/-）），参与者在康复开始时没有BPSD，但是在康复结束时出现（组（-/ +）），参与者在康复开始和康复结束时都有BPSD的征兆（组（+ / +））。端点是唤醒能力，FIM增益。结果，在康复开始之初，在471名中有137名认知受损的老年人患者（占29.1％）患有BPSD。认知完好组，组（-/-），组（+/-），组（-/ +）和组（+ / +）的FIM增益分别为24.8±18.7、17.5±16.9、27.3±19.7、17.8±12.2和12.2±17.2。该组（+/-）与康复的积极结果显着相关。本研究表明，BPSD的管理可以在康复期间导致更好的功能恢复。

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